{
  "resourceType": "Bundle",
  "id": "2a5a3a67-bbc2-4d75-8993-656d50eda550",
  "meta": {
    "profile": [
      "http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr"
    ]
  },
  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
    },
    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "3bcb4a34-57ca-4357-9b99-2a613264a851"
  },
  "entry": [
    {
      "fullUrl": "urn:uuid:bc64fed6-d8a0-41a0-b63a-7746ea61d2a0",
      "resource": {
        "resourceType": "Composition",
        "id": "bc64fed6-d8a0-41a0-b63a-7746ea61d2a0",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"
          ]
        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "bd4455c2-8293-407f-818a-93e27f625307"
        },
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "34105-7",
              "display": "Hospital Discharge summary"
            }
          ],
          "text": "Hospital Discharge Report"
        },
        "author": [
          {
            "reference": "urn:uuid:4df6b87c-07c6-4289-956b-22c8e9cc4ab7"
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "section": [
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patellar tendon repair performed, post-operative recovery uneventful</div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "67781-5",
                  "display": "Summarization of encounter note"
                }
              ]
            },
            "title": "Synthesis"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you regarding your patient, a 25-year-old male admitted on 04/01/2018 following acute rupture of the right patellar tendon, sustained during a sporting activity. Clinical examination revealed inability to extend the knee, with a palpable gap inferior to the patella. Diagnosis was confirmed via ultrasound and MRI imaging, demonstrating complete patellar tendon rupture. The patient underwent successful surgical repair of the patellar tendon under spinal anaesthesia on 06/01/2018. Post-operative recovery was uneventful. Physiotherapy was initiated prior to discharge. He was discharged on 17/01/2018 with a knee immobiliser, analgesia, and outpatient physiotherapy referral. Please arrange follow-up at six weeks. Should you have any queries, do not hesitate to contact our department.</div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8648-8",
                  "display": "Hospital course note"
                }
              ]
            },
            "title": "Hospital course note"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Injury of quadriceps muscle and tendon</td><td><span class=\"nb\">17-Jan-2018</span></td><td>active</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:af41a388-8cd7-48a5-b8a3-36586242fe74"
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11535-2",
                  "display": "Hospital discharge diagnosis note"
                }
              ]
            },
            "title": "Diagnosis at Discharge"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Surgical manipulation of joint of knee (procedure)</td><td><span class=\"nb\">04-Jan-2018</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:92f853a0-239d-42e2-8ef8-4dc0f27b9156"
              },
              {
                "reference": "urn:uuid:e51986ab-8304-4c37-9f97-f9efcc388a75"
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10185-7",
                  "display": "Hospital discharge procedure note"
                }
              ]
            },
            "title": "Significant procedures"
          }
        ],
        "title": "Hospital Discharge Report",
        "status": "final",
        "subject": {
          "reference": "urn:uuid:28ff1154-3571-4e79-8f3d-347eb42e15ae",
          "display": "Raffaele Rienzo"
        },
        "custodian": {
          "reference": "urn:uuid:b3532875-0758-4082-a690-fd1eb5389882"
        },
        "date": "2018-01-17T00:00:00Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:28ff1154-3571-4e79-8f3d-347eb42e15ae",
      "resource": {
        "resourceType": "Patient",
        "id": "28ff1154-3571-4e79-8f3d-347eb42e15ae",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "3729-001107-3"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "404187ed-e98e-9c22-127a-f83ef2c6f39d"
          }
        ],
        "name": [
          {
            "given": [
              "Raffaele"
            ],
            "family": "Rienzo",
            "text": "Raffaele Rienzo"
          }
        ],
        "address": [
          {
            "line": [
              "Strada Pietro, 1"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "26010",
            "city": "Mozzanica",
            "country": "Italy"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "3770239944"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "IT",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Raffaele Rienzo</td><td>male</td><td>13-Dec-1999</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1999-12-13"
      }
    },
    {
      "fullUrl": "urn:uuid:654aa423-fdf1-443d-aa63-f7f0fbc931bd",
      "resource": {
        "resourceType": "Encounter",
        "id": "654aa423-fdf1-443d-aa63-f7f0fbc931bd",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"
          ]
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "code": "PPRF",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "display": "primary performer"
                  }
                ]
              }
            ],
            "period": {
              "end": "2018-01-17"
            },
            "individual": {
              "reference": "urn:uuid:1d5326b1-32c3-42f7-ba99-16c37a845932"
            }
          }
        ],
        "period": {
          "start": "2018-01-17"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "code": "30832001",
                "system": "http://snomed.info/sct",
                "display": "Rupture of patellar tendon (disorder)"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ambulatorio Medico, Azzanello, Italy</td><td>04-01-2018 - 17-01-2018</td><td><ul><li>Rupture of patellar tendon (disorder)</li></ul></td></tr></table></div>"
        },
        "status": "completed",
        "class": {
          "code": "IMP",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
        },
        "serviceProvider": {
          "reference": "urn:uuid:b3532875-0758-4082-a690-fd1eb5389882"
        },
        "subject": {
          "reference": "Patient/28ff1154-3571-4e79-8f3d-347eb42e15ae",
          "display": "Raffaele Rienzo"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4df6b87c-07c6-4289-956b-22c8e9cc4ab7",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "4df6b87c-07c6-4289-956b-22c8e9cc4ab7",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: 4df6b87c-07c6-4289-956b-22c8e9cc4ab7</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:1d5326b1-32c3-42f7-ba99-16c37a845932"
        },
        "organization": {
          "reference": "urn:uuid:b3532875-0758-4082-a690-fd1eb5389882"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b3532875-0758-4082-a690-fd1eb5389882",
      "resource": {
        "resourceType": "Organization",
        "id": "b3532875-0758-4082-a690-fd1eb5389882",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"
          ]
        },
        "address": [
          {
            "city": "Azzanello",
            "postalCode": "26010",
            "country": "Italy"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Ambulatorio Medico, 26010 Azzanello, Italy</div>"
        },
        "name": "Ambulatorio Medico"
      }
    },
    {
      "fullUrl": "urn:uuid:1d5326b1-32c3-42f7-ba99-16c37a845932",
      "resource": {
        "resourceType": "Practitioner",
        "id": "1d5326b1-32c3-42f7-ba99-16c37a845932",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "667b8321-75a1-41b0-8241-3c959b88e636"
          }
        ],
        "name": [
          {
            "given": [
              "Luciana"
            ],
            "family": "Franzese"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: Luciana Franzese</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:af41a388-8cd7-48a5-b8a3-36586242fe74",
      "resource": {
        "resourceType": "Condition",
        "id": "af41a388-8cd7-48a5-b8a3-36586242fe74",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "encounter-diagnosis",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "S76.1",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Injury of quadriceps muscle and tendon"
            }
          ],
          "text": "Injury of quadriceps muscle and tendon"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Injury of quadriceps muscle and tendon</td><td><span class=\"nb\">17-Jan-2018</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "2018-01-17",
        "subject": {
          "reference": "urn:uuid:28ff1154-3571-4e79-8f3d-347eb42e15ae",
          "display": "Raffaele Rienzo"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:92f853a0-239d-42e2-8ef8-4dc0f27b9156",
      "resource": {
        "resourceType": "Procedure",
        "id": "92f853a0-239d-42e2-8ef8-4dc0f27b9156",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "133899007",
              "system": "http://snomed.info/sct",
              "display": "Postoperative care"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Postoperative care (regime/therapy)</td><td><span class=\"nb\">17-Jan-2018</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2018-01-17",
        "subject": {
          "reference": "urn:uuid:28ff1154-3571-4e79-8f3d-347eb42e15ae",
          "display": "Raffaele Rienzo"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e51986ab-8304-4c37-9f97-f9efcc388a75",
      "resource": {
        "resourceType": "Procedure",
        "id": "e51986ab-8304-4c37-9f97-f9efcc388a75",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "699253003",
              "system": "http://snomed.info/sct",
              "display": "Surgical manipulation of joint of knee"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Surgical manipulation of joint of knee (procedure)</td><td><span class=\"nb\">04-Jan-2018</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2018-01-04",
        "subject": {
          "reference": "urn:uuid:28ff1154-3571-4e79-8f3d-347eb42e15ae",
          "display": "Raffaele Rienzo"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ddd43560-2084-444a-9a2d-0101be44bd9b",
      "resource": {
        "resourceType": "Device",
        "id": "ddd43560-2084-444a-9a2d-0101be44bd9b",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
    },
    {
      "fullUrl": "urn:uuid:c5dddcea-794a-4e9d-b03d-47cda3aa62b5",
      "resource": {
        "resourceType": "Provenance",
        "id": "c5dddcea-794a-4e9d-b03d-47cda3aa62b5",
        "target": [
          {
            "reference": "urn:uuid:28ff1154-3571-4e79-8f3d-347eb42e15ae"
          },
          {
            "reference": "urn:uuid:4df6b87c-07c6-4289-956b-22c8e9cc4ab7"
          },
          {
            "reference": "urn:uuid:1d5326b1-32c3-42f7-ba99-16c37a845932"
          },
          {
            "reference": "urn:uuid:b3532875-0758-4082-a690-fd1eb5389882"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:ddd43560-2084-444a-9a2d-0101be44bd9b"
            }
          }
        ],
        "reason": [
          {
            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2026-03-20T18:21:32Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2018-01-17T00:00:00Z"
}