<confidentiality value="N"/> <custodian> <reference value="urn:uuid:bf50086f-d6d5-4859-977c-f83be53c8280"/> </custodian> <section> <title value="Synthesis"/> <code> <coding> <system value="http://loinc.org"/> <code value="67781-5"/> <display value="Summarization of encounter note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Substance dependence, treated and stabilised</div> </text> </section> <section> <title value="Hospital course note"/> <code> <coding> <system value="http://loinc.org"/> <code value="8648-8"/> <display value="Hospital course note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Dear colleague, I am writing to inform you regarding the discharge of your 75-year-old male patient, admitted on 20/02/2021 due to substance dependence. Upon admission, a comprehensive psychiatric and medical assessment was conducted, confirming polysubstance dependence syndrome. Withdrawal monitoring was initiated immediately, with close observation for complications including delirium and seizure risk. The patient received structured detoxification support, pharmacological withdrawal management, and nutritional supplementation. Psychological counselling sessions were provided alongside motivational intervention. Social work assessment was completed to evaluate home circumstances and support needs. The patient remained medically stable throughout and was discharged on 28/02/2021 in a treated and stabilised condition. We recommend close follow-up in primary care, referral to community substance misuse services, and continued monitoring of physical and mental health. Medication details are enclosed. Please do not hesitate to contact us should you require further information.</div> </text> </section> <section> <title value="Diagnosis at Discharge"/> <code> <coding> <system value="http://loinc.org"/> <code value="11535-2"/> <display value="Hospital discharge diagnosis note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__hdr"> <tr> <td>Mental and behavioural disorders due to multiple drug use – dependence syndrome</td> <td> <span class="nb">28-Feb-2021</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:ac7c5d1a-109f-4b86-a212-518aaade26d3"/> </entry> </section> <section> <title value="Significant procedures"/> <code> <coding> <system value="http://loinc.org"/> <code value="10185-7"/> <display value="Hospital discharge procedure note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__hdr"> <tr> <td>Discharge planning and community referral</td> <td> <span class="nb">27-Feb-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:19ad9a03-c040-4eda-b8d8-7464582230ac"/> </entry> <entry> <reference value="urn:uuid:25dbe945-fe4d-46c0-a170-8753eff24d6f"/> </entry> <entry> <reference value="urn:uuid:66161b27-d219-418a-b7c4-d3c1e0c9935a"/> </entry> <entry> <reference value="urn:uuid:bbf05939-5b9d-4b21-8d7f-a57535c98e40"/> </entry> <entry> <reference value="urn:uuid:3fef32b4-025f-4322-ab7d-60b01e616032"/> </entry> <entry> <reference value="urn:uuid:9d1e6d6a-a31e-49ff-9034-2abf10faf1ff"/> </entry> <entry> <reference value="urn:uuid:b408c0ea-c385-431d-9a1f-0e00cd571602"/> </entry> <entry> <reference value="urn:uuid:4b1c05bb-3e52-4af4-853c-26af7c8c7e18"/> </entry> <entry> <reference value="urn:uuid:b8795784-0f46-4a23-8d1b-162f75be4ab4"/> </entry> <entry> <reference value="urn:uuid:cb67824e-4c15-4ed1-a029-05953e3f05fc"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <resource> <Patient> <id value="a653ff4d-c509-49ad-8020-445a87727387"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> </security> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> </security> <tag> <system value="https://synderai.net/fhir/CodeSystem/tags"/> <code value="synthetic"/> <display value="SYNDERAI Synthetic data"/> </tag> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Trinidad Ledesma</td> <td>male</td> <td>16-Apr-1950</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality"> <extension url="code"> <valueCodeableConcept> <coding> <system value="urn:iso:std:iso:3166"/> <code value="ES"/> </coding> </valueCodeableConcept> </extension> </extension> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="JHN"/> </coding> </type> <system value="http://ec.europa.eu/identifier/eci"/> <value value="2966-560528-2"/> </identifier> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="http://local.setting.eu/identifier"/> <value value="0c23254c-16b4-d987-19c5-f7fe1236c828"/> </identifier> <name> <text value="Trinidad Ledesma"/> <family value="Ledesma"/> <given value="Trinidad"/> </name> <telecom> <system value="phone"/> <value value="+34948 80 85 42"/> </telecom> <gender value="male"/> <birthDate value="1950-04-16"/> <address> <use value="home"/> <type value="physical"/> <line value="Calle de Ainara Méndez 2 Apt. 70 "/> <city value="Teruel"/> <postalCode value="44001"/> <country value="Spain"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:1425c4b7-fbdc-45e3-9d56-47aea3fec994"/> <resource> <Encounter> <id value="1425c4b7-fbdc-45e3-9d56-47aea3fec994"/> <meta> <profile value="http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Centro de Rehabilitación San Juan de Dios, Teruel, Spain</td> <td>20-02-2021 - 28-02-2021</td> <td> <ul> <li>Substance dependence (disorder)</li> </ul> </td> </tr> </table> </div> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="PPRF"/> <display value="primary performer"/> </coding> </type> <period> <end value="2021-02-28"/> </period> <individual> <reference value="urn:uuid:1817e71e-f137-4cd6-9006-f99d8b9766af"/> </individual> </participant> <period> <start value="2021-02-28"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:bf50086f-d6d5-4859-977c-f83be53c8280"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:c9c45a06-b164-4a7a-a03f-b197854371a1"/> <resource> <PractitionerRole> <id value="c9c45a06-b164-4a7a-a03f-b197854371a1"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Hospital Role Id: c9c45a06-b164-4a7a-a03f-b197854371a1</div> </text> <practitioner> <reference value="urn:uuid:1817e71e-f137-4cd6-9006-f99d8b9766af"/> </practitioner> <organization> <reference value="urn:uuid:bf50086f-d6d5-4859-977c-f83be53c8280"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:bf50086f-d6d5-4859-977c-f83be53c8280"/> <resource> <Organization> <id value="bf50086f-d6d5-4859-977c-f83be53c8280"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Hospital: Centro de Rehabilitación San Juan de Dios, 44001 Teruel, Spain</div> </text> <name value="Centro de Rehabilitación San Juan de Dios"/> <address> <city value="Teruel"/> <postalCode value="44001"/> <country value="Spain"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:1817e71e-f137-4cd6-9006-f99d8b9766af"/> <resource> <Practitioner> <id value="1817e71e-f137-4cd6-9006-f99d8b9766af"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Practitioner in Hospital: Nélida Grau</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="86256238-ea8d-4788-9104-eb50d2518dd0"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Grau"/> <given value="Nélida"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:ac7c5d1a-109f-4b86-a212-518aaade26d3"/> <resource> <Condition> <id value="ac7c5d1a-109f-4b86-a212-518aaade26d3"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Mental and behavioural disorders due to multiple drug use – dependence syndrome</td> <td> <span class="nb">28-Feb-2021</span> </td> <td>active</td> </tr> </table> </div> </text> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="encounter-diagnosis"/> <display value="Encounter Diagnosis"/> </coding> </category> <code> <coding> <system value="http://hl7.org/fhir/sid/icd-10"/> <code value="F19.2"/> <display value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/> </coding> <text value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/> </code> <subject> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <onsetDateTime value="2021-02-28"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:19ad9a03-c040-4eda-b8d8-7464582230ac"/> <resource> <Procedure> <id value="19ad9a03-c040-4eda-b8d8-7464582230ac"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Comprehensive physical examination</td> <td> <span class="nb">20-Feb-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="5880005"/> <display value="Physical examination procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2021-02-20"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:25dbe945-fe4d-46c0-a170-8753eff24d6f"/> <resource> <Procedure> <id value="25dbe945-fe4d-46c0-a170-8753eff24d6f"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Routine blood sampling for laboratory analysis</td> <td> <span class="nb">21-Feb-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="396550006"/> <display value="Blood test (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2021-02-21"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:66161b27-d219-418a-b7c4-d3c1e0c9935a"/> <resource> <Procedure> <id value="66161b27-d219-418a-b7c4-d3c1e0c9935a"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Urine drug screening</td> <td> <span class="nb">21-Feb-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="167252002"/> <display value="Urine pregnancy test (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2021-02-21"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:bbf05939-5b9d-4b21-8d7f-a57535c98e40"/> <resource> <Procedure> <id value="bbf05939-5b9d-4b21-8d7f-a57535c98e40"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Nutritional status assessment</td> <td> <span class="nb">21-Feb-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="370847001"/> <display value="Dietary needs education (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2021-02-21"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:3fef32b4-025f-4322-ab7d-60b01e616032"/> <resource> <Procedure> <id value="3fef32b4-025f-4322-ab7d-60b01e616032"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Electrocardiogram monitoring</td> <td> <span class="nb">22-Feb-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="29303009"/> <display value="Electrocardiographic procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2021-02-22"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:9d1e6d6a-a31e-49ff-9034-2abf10faf1ff"/> <resource> <Procedure> <id value="9d1e6d6a-a31e-49ff-9034-2abf10faf1ff"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Pharmacological withdrawal management</td> <td> <span class="nb">20-Feb-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182836005"/> <display value="Review of medication (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2021-02-20"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b408c0ea-c385-431d-9a1f-0e00cd571602"/> <resource> <Procedure> <id value="b408c0ea-c385-431d-9a1f-0e00cd571602"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Nutritional supplementation administration</td> <td> <span class="nb">21-Feb-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="229070002"/> <display value="Stretching exercises (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2021-02-21"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:4b1c05bb-3e52-4af4-853c-26af7c8c7e18"/> <resource> <Procedure> <id value="4b1c05bb-3e52-4af4-853c-26af7c8c7e18"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Psychological counselling session</td> <td> <span class="nb">22-Feb-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="76168009"/> <display value="Group psychotherapy (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2021-02-22"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b8795784-0f46-4a23-8d1b-162f75be4ab4"/> <resource> <Procedure> <id value="b8795784-0f46-4a23-8d1b-162f75be4ab4"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Motivational interviewing session</td> <td> <span class="nb">23-Feb-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="702971000"/> <display value="Counseling for childhood immunization (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2021-02-23"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:cb67824e-4c15-4ed1-a029-05953e3f05fc"/> <resource> <Procedure> <id value="cb67824e-4c15-4ed1-a029-05953e3f05fc"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Discharge planning and community referral</td> <td> <span class="nb">27-Feb-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="306206005"/> <display value="Referral to service (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2021-02-27"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:9defcb86-7aba-4062-b875-2e5a72bb89b9"/> <resource> <Device> <id value="9defcb86-7aba-4062-b875-2e5a72bb89b9"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div> </text> <status value="active"/> <distinctIdentifier value="synderai-generator-50"/> <manufacturer value="SYNDERAI Project"/> <deviceName> <name value="SYNDERAI Synthetic Generator"/> <type value="manufacturer-name"/> </deviceName> <version> <value value="5.0"/> </version> </Device> </resource> </entry> <entry> <fullUrl value="urn:uuid:ee097566-452e-4975-8b80-de2cff23e3c0"/> <resource> <Provenance> <id value="ee097566-452e-4975-8b80-de2cff23e3c0"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div> </text> <target> <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/> </target> <target> <reference value="urn:uuid:c9c45a06-b164-4a7a-a03f-b197854371a1"/> </target> <target> <reference value="urn:uuid:1817e71e-f137-4cd6-9006-f99d8b9766af"/> </target> <target> <reference value="urn:uuid:bf50086f-d6d5-4859-977c-f83be53c8280"/> </target> <recorded value="2026-03-20T18:25:52Z"/> <policy value="https://synderai.net/synderai-synthetic-data-policy"/> <reason> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> <display value="training"/> </coding> <text value="Interoperability Testing and Training (non-clinical use)"/> </reason> <activity> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/> <code value="CREATE"/> <display value="create"/> </coding> <text value="Synthetic Example Data Generation"/> </activity> <agent> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/> <code value="author"/> <display value="Author"/> </coding> <text value="author"/> </type> <who> <reference value="urn:uuid:9defcb86-7aba-4062-b875-2e5a72bb89b9"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>


               
                  
                  
               
               
                  
                  
                  
               
            
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:bf50086f-d6d5-4859-977c-f83be53c8280"/>
            </custodian>
            <section>
               <title value="Synthesis"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="67781-5"/>
                     <display value="Summarization of encounter note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">Substance dependence, treated and stabilised</div>
               </text>
            </section>
            <section>
               <title value="Hospital course note"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8648-8"/>
                     <display value="Hospital course note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">Dear colleague, I am writing to inform you regarding the discharge of your 75-year-old male patient, admitted on 20/02/2021 due to substance dependence. Upon admission, a comprehensive psychiatric and medical assessment was conducted, confirming polysubstance dependence syndrome. Withdrawal monitoring was initiated immediately, with close observation for complications including delirium and seizure risk. The patient received structured detoxification support, pharmacological withdrawal management, and nutritional supplementation. Psychological counselling sessions were provided alongside motivational intervention. Social work assessment was completed to evaluate home circumstances and support needs. The patient remained medically stable throughout and was discharged on 28/02/2021 in a treated and stabilised condition. We recommend close follow-up in primary care, referral to community substance misuse services, and continued monitoring of physical and mental health. Medication details are enclosed. Please do not hesitate to contact us should you require further information.</div>
               </text>
            </section>
            <section>
               <title value="Diagnosis at Discharge"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="11535-2"/>
                     <display value="Hospital discharge diagnosis note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td>Mental and behavioural disorders due to multiple drug use – dependence syndrome</td>
                           <td>
                              <span class="nb">28-Feb-2021</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:ac7c5d1a-109f-4b86-a212-518aaade26d3"/>
               </entry>
            </section>
            <section>
               <title value="Significant procedures"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="10185-7"/>
                     <display value="Hospital discharge procedure note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td>Discharge planning and community referral</td>
                           <td>
                              <span class="nb">27-Feb-2021</span>
                           </td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:19ad9a03-c040-4eda-b8d8-7464582230ac"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:25dbe945-fe4d-46c0-a170-8753eff24d6f"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:66161b27-d219-418a-b7c4-d3c1e0c9935a"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:bbf05939-5b9d-4b21-8d7f-a57535c98e40"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:3fef32b4-025f-4322-ab7d-60b01e616032"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:9d1e6d6a-a31e-49ff-9034-2abf10faf1ff"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:b408c0ea-c385-431d-9a1f-0e00cd571602"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:4b1c05bb-3e52-4af4-853c-26af7c8c7e18"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:b8795784-0f46-4a23-8d1b-162f75be4ab4"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:cb67824e-4c15-4ed1-a029-05953e3f05fc"/>
               </entry>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/>
      <resource>
         <Patient>
            <id value="a653ff4d-c509-49ad-8020-445a87727387"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
               </security>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
               </security>
               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
               </tag>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Trinidad Ledesma</td>
                        <td>male</td>
                        <td>16-Apr-1950</td>
                     </tr>
                  </table>
               </div>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
                  <valueCodeableConcept>
                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="ES"/>
                     </coding>
                  </valueCodeableConcept>
               </extension>
            </extension>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
                  </coding>
               </type>
               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="2966-560528-2"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
                  </coding>
               </type>
               <system value="http://local.setting.eu/identifier"/>
               <value value="0c23254c-16b4-d987-19c5-f7fe1236c828"/>
            </identifier>
            <name>
               <text value="Trinidad Ledesma"/>
               <family value="Ledesma"/>
               <given value="Trinidad"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+34948 80 85 42"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1950-04-16"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Calle de Ainara Méndez 2 Apt. 70 "/>
               <city value="Teruel"/>
               <postalCode value="44001"/>
               <country value="Spain"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:1425c4b7-fbdc-45e3-9d56-47aea3fec994"/>
      <resource>
         <Encounter>
            <id value="1425c4b7-fbdc-45e3-9d56-47aea3fec994"/>
            <meta>
               <profile value="http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Centro de Rehabilitación San Juan de Dios, Teruel, Spain</td>
                        <td>20-02-2021 - 28-02-2021</td>
                        <td>
                           <ul>
                              <li>Substance dependence (disorder)</li>
                           </ul>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <class>
               <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
               <code value="IMP"/>
            </class>
            <subject>
               <reference value="Patient/a653ff4d-c509-49ad-8020-445a87727387"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <participant>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                     <code value="PPRF"/>
                     <display value="primary performer"/>
                  </coding>
               </type>
               <period>
                  <end value="2021-02-28"/>
               </period>
               <individual>
                  <reference value="urn:uuid:1817e71e-f137-4cd6-9006-f99d8b9766af"/>
               </individual>
            </participant>
            <period>
               <start value="2021-02-28"/>
            </period>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="6525002"/>
                  <display value="Substance dependence (disorder)"/>
               </coding>
            </reasonCode>
            <serviceProvider>
               <reference value="urn:uuid:bf50086f-d6d5-4859-977c-f83be53c8280"/>
            </serviceProvider>
         </Encounter>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:c9c45a06-b164-4a7a-a03f-b197854371a1"/>
      <resource>
         <PractitionerRole>
            <id value="c9c45a06-b164-4a7a-a03f-b197854371a1"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Hospital Role Id: c9c45a06-b164-4a7a-a03f-b197854371a1</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:1817e71e-f137-4cd6-9006-f99d8b9766af"/>
            </practitioner>
            <organization>
               <reference value="urn:uuid:bf50086f-d6d5-4859-977c-f83be53c8280"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:bf50086f-d6d5-4859-977c-f83be53c8280"/>
      <resource>
         <Organization>
            <id value="bf50086f-d6d5-4859-977c-f83be53c8280"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Hospital: Centro de Rehabilitación San Juan de Dios, 44001 Teruel, Spain</div>
            </text>
            <name value="Centro de Rehabilitación San Juan de Dios"/>
            <address>
               <city value="Teruel"/>
               <postalCode value="44001"/>
               <country value="Spain"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:1817e71e-f137-4cd6-9006-f99d8b9766af"/>
      <resource>
         <Practitioner>
            <id value="1817e71e-f137-4cd6-9006-f99d8b9766af"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Practitioner in Hospital: Nélida Grau</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="86256238-ea8d-4788-9104-eb50d2518dd0"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Grau"/>
               <given value="Nélida"/>
            </name>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:ac7c5d1a-109f-4b86-a212-518aaade26d3"/>
      <resource>
         <Condition>
            <id value="ac7c5d1a-109f-4b86-a212-518aaade26d3"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Mental and behavioural disorders due to multiple drug use – dependence syndrome</td>
                        <td>
                           <span class="nb">28-Feb-2021</span>
                        </td>
                        <td>active</td>
                     </tr>
                  </table>
               </div>
            </text>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="encounter-diagnosis"/>
                  <display value="Encounter Diagnosis"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://hl7.org/fhir/sid/icd-10"/>
                  <code value="F19.2"/>
                  <display value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/>
               </coding>
               <text value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/>
            </code>
            <subject>
               <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <onsetDateTime value="2021-02-28"/>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:19ad9a03-c040-4eda-b8d8-7464582230ac"/>
      <resource>
         <Procedure>
            <id value="19ad9a03-c040-4eda-b8d8-7464582230ac"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Comprehensive physical examination</td>
                        <td>
                           <span class="nb">20-Feb-2021</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="5880005"/>
                  <display value="Physical examination procedure (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2021-02-20"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:25dbe945-fe4d-46c0-a170-8753eff24d6f"/>
      <resource>
         <Procedure>
            <id value="25dbe945-fe4d-46c0-a170-8753eff24d6f"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Routine blood sampling for laboratory analysis</td>
                        <td>
                           <span class="nb">21-Feb-2021</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="396550006"/>
                  <display value="Blood test (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2021-02-21"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:66161b27-d219-418a-b7c4-d3c1e0c9935a"/>
      <resource>
         <Procedure>
            <id value="66161b27-d219-418a-b7c4-d3c1e0c9935a"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Urine drug screening</td>
                        <td>
                           <span class="nb">21-Feb-2021</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="167252002"/>
                  <display value="Urine pregnancy test (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2021-02-21"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:bbf05939-5b9d-4b21-8d7f-a57535c98e40"/>
      <resource>
         <Procedure>
            <id value="bbf05939-5b9d-4b21-8d7f-a57535c98e40"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Nutritional status assessment</td>
                        <td>
                           <span class="nb">21-Feb-2021</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="370847001"/>
                  <display value="Dietary needs education (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2021-02-21"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:3fef32b4-025f-4322-ab7d-60b01e616032"/>
      <resource>
         <Procedure>
            <id value="3fef32b4-025f-4322-ab7d-60b01e616032"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Electrocardiogram monitoring</td>
                        <td>
                           <span class="nb">22-Feb-2021</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="29303009"/>
                  <display value="Electrocardiographic procedure (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2021-02-22"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:9d1e6d6a-a31e-49ff-9034-2abf10faf1ff"/>
      <resource>
         <Procedure>
            <id value="9d1e6d6a-a31e-49ff-9034-2abf10faf1ff"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Pharmacological withdrawal management</td>
                        <td>
                           <span class="nb">20-Feb-2021</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="182836005"/>
                  <display value="Review of medication (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2021-02-20"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:b408c0ea-c385-431d-9a1f-0e00cd571602"/>
      <resource>
         <Procedure>
            <id value="b408c0ea-c385-431d-9a1f-0e00cd571602"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Nutritional supplementation administration</td>
                        <td>
                           <span class="nb">21-Feb-2021</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="229070002"/>
                  <display value="Stretching exercises (regime/therapy)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2021-02-21"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:4b1c05bb-3e52-4af4-853c-26af7c8c7e18"/>
      <resource>
         <Procedure>
            <id value="4b1c05bb-3e52-4af4-853c-26af7c8c7e18"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Psychological counselling session</td>
                        <td>
                           <span class="nb">22-Feb-2021</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="76168009"/>
                  <display value="Group psychotherapy (regime/therapy)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2021-02-22"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:b8795784-0f46-4a23-8d1b-162f75be4ab4"/>
      <resource>
         <Procedure>
            <id value="b8795784-0f46-4a23-8d1b-162f75be4ab4"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Motivational interviewing session</td>
                        <td>
                           <span class="nb">23-Feb-2021</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="702971000"/>
                  <display value="Counseling for childhood immunization (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:a653ff4d-c509-49ad-8020-445a87727387"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2021-02-23"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:cb67824e-4c15-4ed1-a029-05953e3f05fc"/>
      <resource>
         <Procedure>
            <id value="cb67824e-4c15-4ed1-a029-05953e3f05fc"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Discharge planning and community referral</td>
                        <td>
                           <span class="nb">27-Feb-2021</span>
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