intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:4ca30fdc-09c1-4963-9cc2-e2e9541db2eb"/> </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">Coronary artery disease confirmed on imaging, management plan established</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 our mutual patient, a 55-year-old male admitted on 31/01/2006 due to abnormal findings on cardiac imaging. Following admission, the patient underwent comprehensive cardiac evaluation including resting ECG, echocardiography, and coronary angiography, which confirmed the presence of significant coronary artery disease. Findings demonstrated evidence of coronary arterial narrowing consistent with atherosclerotic disease. During the inpatient stay, the patient was stabilised medically with initiation of antiplatelet therapy, statin, and beta-blocker. A structured management plan was established including lifestyle modification counselling and cardiac rehabilitation referral. The patient was discharged in a stable condition on 01/02/2006. We kindly request your continued follow-up, monitoring of cardiovascular risk factors, and medication adherence. 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>Abnormal findings on diagnostic imaging of heart and coronary circulation</td> <td> <span class="nb">01-Feb-2006</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:d0227c5a-d9cb-4827-a3ad-9e87a8b8c276"/> </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>Lifestyle modification and cardiac rehabilitation counselling</td> <td> <span class="nb">01-Feb-2006</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:b953cc58-e265-479b-94bd-03d25a10584a"/> </entry> <entry> <reference value="urn:uuid:3d5d726a-10ec-4014-87f3-2174f8ffaef6"/> </entry> <entry> <reference value="urn:uuid:be6ae9f2-1c1d-47de-884f-38d22221976b"/> </entry> <entry> <reference value="urn:uuid:329e73a2-0d17-47a1-ae60-86450cc98262"/> </entry> <entry> <reference value="urn:uuid:b145cea9-22ed-4496-996f-8ccacc7c6830"/> </entry> <entry> <reference value="urn:uuid:a1d5fb9f-d57b-45bc-9112-613182cb3d00"/> </entry> <entry> <reference value="urn:uuid:993a8025-94bd-4e69-904e-ebfbdd1edfa9"/> </entry> <entry> <reference value="urn:uuid:089fef49-ee84-4806-af89-ad72d25cdffd"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <resource> <Patient> <id value="fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <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>Piotr Zaczyk</td> <td>male</td> <td>25-Jun-1970</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="PL"/> </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="8035-929440-4"/> </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="34ce4bca-bef9-7685-21c0-c35fd5752a72"/> </identifier> <name> <text value="Piotr Zaczyk"/> <family value="Zaczyk"/> <given value="Piotr"/> </name> <telecom> <system value="phone"/> <value value="+48 796 364 373"/> </telecom> <gender value="male"/> <birthDate value="1970-06-25"/> <address> <use value="home"/> <type value="physical"/> <line value="plac Sucharskiego 61/73"/> <city value="Poznań"/> <postalCode value="61-701"/> <country value="Poland"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:a52482fb-2000-4755-82f8-5f4d46e073b1"/> <resource> <Encounter> <id value="a52482fb-2000-4755-82f8-5f4d46e073b1"/> <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>Szpital Dziecięcy im. Bolesława Krysiewicza, Poznań, Poland</td> <td>31-01-2006 - 01-02-2006</td> <td> <ul> <li>Abnormal findings diagnostic imaging heart+coronary circulat (finding)</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/fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <display value="Piotr Zaczyk"/> </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="2006-02-01"/> </period> <individual> <reference value="urn:uuid:c1596523-d589-4637-92de-f67ecad7aef6"/> </individual> </participant> <period> <start value="2006-02-01"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="274531002"/> <display value="Abnormal findings diagnostic imaging heart+coronary circulat (finding)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:4ca30fdc-09c1-4963-9cc2-e2e9541db2eb"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:d8db6bf3-60c2-4d81-a9f1-f5dcd2effe20"/> <resource> <PractitionerRole> <id value="d8db6bf3-60c2-4d81-a9f1-f5dcd2effe20"/> <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: d8db6bf3-60c2-4d81-a9f1-f5dcd2effe20</div> </text> <practitioner> <reference value="urn:uuid:c1596523-d589-4637-92de-f67ecad7aef6"/> </practitioner> <organization> <reference value="urn:uuid:4ca30fdc-09c1-4963-9cc2-e2e9541db2eb"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:4ca30fdc-09c1-4963-9cc2-e2e9541db2eb"/> <resource> <Organization> <id value="4ca30fdc-09c1-4963-9cc2-e2e9541db2eb"/> <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: Szpital Dziecięcy im. Bolesława Krysiewicza, 61-758 Poznań, Poland</div> </text> <name value="Szpital Dziecięcy im. Bolesława Krysiewicza"/> <address> <city value="Poznań"/> <postalCode value="61-758"/> <country value="Poland"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:c1596523-d589-4637-92de-f67ecad7aef6"/> <resource> <Practitioner> <id value="c1596523-d589-4637-92de-f67ecad7aef6"/> <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: dr Łukasz Lubera</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="669e9733-3361-4a63-888f-1c71df498b48"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Lubera"/> <given value="Łukasz"/> <prefix value="dr"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:d0227c5a-d9cb-4827-a3ad-9e87a8b8c276"/> <resource> <Condition> <id value="d0227c5a-d9cb-4827-a3ad-9e87a8b8c276"/> <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>Abnormal findings on diagnostic imaging of heart and coronary circulation</td> <td> <span class="nb">01-Feb-2006</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="R93.1"/> <display value="Abnormal findings on diagnostic imaging of heart and coronary circulation"/> </coding> <text value="Abnormal findings on diagnostic imaging of heart and coronary circulation"/> </code> <subject> <reference value="urn:uuid:fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <display value="Piotr Zaczyk"/> </subject> <onsetDateTime value="2006-02-01"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:b953cc58-e265-479b-94bd-03d25a10584a"/> <resource> <Procedure> <id value="b953cc58-e265-479b-94bd-03d25a10584a"/> <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>Resting ECG performed on admission</td> <td> <span class="nb">31-Jan-2006</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:fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <display value="Piotr Zaczyk"/> </subject> <performedDateTime value="2006-01-31"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:3d5d726a-10ec-4014-87f3-2174f8ffaef6"/> <resource> <Procedure> <id value="3d5d726a-10ec-4014-87f3-2174f8ffaef6"/> <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>Echocardiography performed to assess cardiac structure and function</td> <td> <span class="nb">31-Jan-2006</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="40701008"/> <display value="Echocardiography (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <display value="Piotr Zaczyk"/> </subject> <performedDateTime value="2006-01-31"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:be6ae9f2-1c1d-47de-884f-38d22221976b"/> <resource> <Procedure> <id value="be6ae9f2-1c1d-47de-884f-38d22221976b"/> <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>Chest X-ray performed</td> <td> <span class="nb">31-Jan-2006</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="399208008"/> <display value="Plain X-ray of chest (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <display value="Piotr Zaczyk"/> </subject> <performedDateTime value="2006-01-31"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:329e73a2-0d17-47a1-ae60-86450cc98262"/> <resource> <Procedure> <id value="329e73a2-0d17-47a1-ae60-86450cc98262"/> <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>Blood sampling for cardiac biomarkers and lipid profile</td> <td> <span class="nb">31-Jan-2006</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:fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <display value="Piotr Zaczyk"/> </subject> <performedDateTime value="2006-01-31"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b145cea9-22ed-4496-996f-8ccacc7c6830"/> <resource> <Procedure> <id value="b145cea9-22ed-4496-996f-8ccacc7c6830"/> <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>Coronary angiography confirming coronary artery disease</td> <td> <span class="nb">01-Feb-2006</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="33367005"/> <display value="Angiography of coronary artery (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <display value="Piotr Zaczyk"/> </subject> <performedDateTime value="2006-02-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:a1d5fb9f-d57b-45bc-9112-613182cb3d00"/> <resource> <Procedure> <id value="a1d5fb9f-d57b-45bc-9112-613182cb3d00"/> <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>Antiplatelet therapy initiated</td> <td> <span class="nb">01-Feb-2006</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182764009"/> <display value="Anticoagulant therapy (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <display value="Piotr Zaczyk"/> </subject> <performedDateTime value="2006-02-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:993a8025-94bd-4e69-904e-ebfbdd1edfa9"/> <resource> <Procedure> <id value="993a8025-94bd-4e69-904e-ebfbdd1edfa9"/> <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>Beta-blocker therapy initiated</td> <td> <span class="nb">01-Feb-2006</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:fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <display value="Piotr Zaczyk"/> </subject> <performedDateTime value="2006-02-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:089fef49-ee84-4806-af89-ad72d25cdffd"/> <resource> <Procedure> <id value="089fef49-ee84-4806-af89-ad72d25cdffd"/> <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>Lifestyle modification and cardiac rehabilitation counselling</td> <td> <span class="nb">01-Feb-2006</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="281078001"/> <display value="Education about alcohol consumption (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:fca746de-234c-426d-bcb6-aea3a0cc3aab"/> <display 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value="author"/> <display value="Author"/> </coding> <text value="author"/> </type> <who> <reference value="urn:uuid:71931197-4a2a-4cae-870d-55d9f4b28a73"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>