<confidentiality value="N"/> <custodian> <reference value="urn:uuid:64bcd62a-b6d5-493d-a5ed-1d342ef5441b"/> </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">Rotator cuff repair performed, post-operative recovery uneventful</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 your patient, a 40-year-old male, admitted on 23/04/2019 following confirmed injury to the rotator cuff of the right shoulder. Clinical examination revealed significant pain, reduced range of motion, and weakness on abduction. MRI confirmed a full-thickness rotator cuff tear involving the supraspinatus tendon. Following multidisciplinary assessment, the patient underwent arthroscopic rotator cuff repair on 25/04/2019. Post-operative recovery was uneventful, with adequate pain management achieved using analgesics and physiotherapy initiated prior to discharge. Wound healing was satisfactory. The patient was discharged on 29/04/2019 with a sling, oral analgesia, and referral for outpatient physiotherapy. Please ensure follow-up within two weeks and monitor for signs of re-tear or infection. Should you require further information, do not hesitate to contact our department.</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>Rotator cuff syndrome</td> <td> <span class="nb">29-Apr-2019</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:4bf9977f-036e-4282-9030-ac9d8bf82bf7"/> </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>Surgical manipulation of shoulder joint (procedure)</td> <td> <span class="nb">23-Apr-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:8c32f0d4-4583-4ca3-a9fe-680f8a15fdda"/> </entry> <entry> <reference value="urn:uuid:a561a89e-abcb-4657-97dc-9d86a9e14d67"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:d60ef5e1-4343-4e14-bfe8-3026fd05fc12"/> <resource> <Patient> <id value="d60ef5e1-4343-4e14-bfe8-3026fd05fc12"/> <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>Raymond Meunier</td> <td>male</td> <td>03-Oct-1984</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="FR"/> </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="4894-076522-4"/> </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="d7ac2f1c-9718-dbf8-9be9-a4f44aad064e"/> </identifier> <name> <text value="Raymond Meunier"/> <family value="Meunier"/> <given value="Raymond"/> </name> <telecom> <system value="phone"/> <value value="+33 (0)3 88 09 51 30"/> </telecom> <gender value="male"/> <birthDate value="1984-10-03"/> <address> <use value="home"/> <type value="physical"/> <line value="56, avenue Lejeune"/> <city value="Paris"/> <postalCode value="75000"/> <country value="France"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:48c13188-864a-4f5f-9341-917c2bf8b3d5"/> <resource> <Encounter> <id value="48c13188-864a-4f5f-9341-917c2bf8b3d5"/> <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>Hôtel-Dieu, Paris, France</td> <td>23-04-2019 - 29-04-2019</td> <td> <ul> <li>Injury of tendon of the rotator cuff of shoulder (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/d60ef5e1-4343-4e14-bfe8-3026fd05fc12"/> <display value="Raymond Meunier"/> </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="2019-04-29"/> </period> <individual> <reference value="urn:uuid:59ba633e-6f7a-46e5-997e-474e9c05b18c"/> </individual> </participant> <period> <start value="2019-04-29"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="307731004"/> <display value="Injury of tendon of the rotator cuff of shoulder (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:64bcd62a-b6d5-493d-a5ed-1d342ef5441b"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:47f411d8-892b-48dc-8c77-657537d39959"/> <resource> <PractitionerRole> <id value="47f411d8-892b-48dc-8c77-657537d39959"/> <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: 47f411d8-892b-48dc-8c77-657537d39959</div> </text> <practitioner> <reference value="urn:uuid:59ba633e-6f7a-46e5-997e-474e9c05b18c"/> </practitioner> <organization> <reference value="urn:uuid:64bcd62a-b6d5-493d-a5ed-1d342ef5441b"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:64bcd62a-b6d5-493d-a5ed-1d342ef5441b"/> <resource> <Organization> <id value="64bcd62a-b6d5-493d-a5ed-1d342ef5441b"/> <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: Hôtel-Dieu, 75001 Paris, France</div> </text> <name value="Hôtel-Dieu"/> <address> <city value="Paris"/> <postalCode value="75001"/> <country value="France"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:59ba633e-6f7a-46e5-997e-474e9c05b18c"/> <resource> <Practitioner> <id value="59ba633e-6f7a-46e5-997e-474e9c05b18c"/> <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 Tristan Gilbert</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="f2a96dd5-35bb-49aa-8eab-3d1d58bbef78"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Gilbert"/> <given value="Tristan"/> <prefix value="dr"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:4bf9977f-036e-4282-9030-ac9d8bf82bf7"/> <resource> <Condition> <id value="4bf9977f-036e-4282-9030-ac9d8bf82bf7"/> <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>Rotator cuff syndrome</td> <td> <span class="nb">29-Apr-2019</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="M75.1"/> <display value="Rotator cuff syndrome"/> </coding> <text value="Rotator cuff syndrome"/> </code> <subject> <reference value="urn:uuid:d60ef5e1-4343-4e14-bfe8-3026fd05fc12"/> <display value="Raymond Meunier"/> </subject> <onsetDateTime value="2019-04-29"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:8c32f0d4-4583-4ca3-a9fe-680f8a15fdda"/> <resource> <Procedure> <id value="8c32f0d4-4583-4ca3-a9fe-680f8a15fdda"/> <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>Postoperative care (regime/therapy)</td> <td> <span class="nb">29-Apr-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="133899007"/> <display value="Postoperative care"/> </coding> </code> <subject> <reference value="urn:uuid:d60ef5e1-4343-4e14-bfe8-3026fd05fc12"/> <display value="Raymond Meunier"/> </subject> <performedDateTime value="2019-04-29"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:a561a89e-abcb-4657-97dc-9d86a9e14d67"/> <resource> <Procedure> <id value="a561a89e-abcb-4657-97dc-9d86a9e14d67"/> <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>Surgical manipulation of shoulder joint (procedure)</td> <td> <span class="nb">23-Apr-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="387685009"/> <display value="Surgical manipulation of shoulder joint"/> </coding> </code> <subject> <reference value="urn:uuid:d60ef5e1-4343-4e14-bfe8-3026fd05fc12"/> <display value="Raymond Meunier"/> </subject> <performedDateTime value="2019-04-23"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:20c53afa-5001-4863-9259-1f178c34d8d1"/> <resource> <Device> <id value="20c53afa-5001-4863-9259-1f178c34d8d1"/> <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> 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               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:64bcd62a-b6d5-493d-a5ed-1d342ef5441b"/>
            </custodian>
            <section>
               <title value="Synthesis"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="67781-5"/>
                     <display value="Summarization of encounter note"/>
                  </coding>
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               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">Rotator cuff repair performed, post-operative recovery uneventful</div>
               </text>
            </section>
            <section>
               <title value="Hospital course note"/>
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                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8648-8"/>
                     <display value="Hospital course note"/>
                  </coding>
               </code>
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                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">Dear colleague, I am writing to inform you regarding your patient, a 40-year-old male, admitted on 23/04/2019 following confirmed injury to the rotator cuff of the right shoulder. Clinical examination revealed significant pain, reduced range of motion, and weakness on abduction. MRI confirmed a full-thickness rotator cuff tear involving the supraspinatus tendon. Following multidisciplinary assessment, the patient underwent arthroscopic rotator cuff repair on 25/04/2019. Post-operative recovery was uneventful, with adequate pain management achieved using analgesics and physiotherapy initiated prior to discharge. Wound healing was satisfactory. The patient was discharged on 29/04/2019 with a sling, oral analgesia, and referral for outpatient physiotherapy. Please ensure follow-up within two weeks and monitor for signs of re-tear or infection. Should you require further information, do not hesitate to contact our department.</div>
               </text>
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            <section>
               <title value="Diagnosis at Discharge"/>
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                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="11535-2"/>
                     <display value="Hospital discharge diagnosis note"/>
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                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td>Rotator cuff syndrome</td>
                           <td>
                              <span class="nb">29-Apr-2019</span>
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                           <td>active</td>
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                     </table>
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               <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>Surgical manipulation of shoulder joint (procedure)</td>
                           <td>
                              <span class="nb">23-Apr-2019</span>
                           </td>
                           <td>-</td>
                        </tr>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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                  <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>Raymond Meunier</td>
                        <td>male</td>
                        <td>03-Oct-1984</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="FR"/>
                     </coding>
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               </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="4894-076522-4"/>
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            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="d7ac2f1c-9718-dbf8-9be9-a4f44aad064e"/>
            </identifier>
            <name>
               <text value="Raymond Meunier"/>
               <family value="Meunier"/>
               <given value="Raymond"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+33 (0)3 88 09 51 30"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1984-10-03"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="56, avenue Lejeune"/>
               <city value="Paris"/>
               <postalCode value="75000"/>
               <country value="France"/>
            </address>
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   <entry>
      <fullUrl value="urn:uuid:48c13188-864a-4f5f-9341-917c2bf8b3d5"/>
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         <Encounter>
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            <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>Hôtel-Dieu, Paris, France</td>
                        <td>23-04-2019 - 29-04-2019</td>
                        <td>
                           <ul>
                              <li>Injury of tendon of the rotator cuff of shoulder (disorder)</li>
                           </ul>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <class>
               <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
               <code value="IMP"/>
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            <subject>
               <reference value="Patient/d60ef5e1-4343-4e14-bfe8-3026fd05fc12"/>
               <display value="Raymond Meunier"/>
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            <participant>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                     <code value="PPRF"/>
                     <display value="primary performer"/>
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               <period>
                  <end value="2019-04-29"/>
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               <individual>
                  <reference value="urn:uuid:59ba633e-6f7a-46e5-997e-474e9c05b18c"/>
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            <period>
               <start value="2019-04-29"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="307731004"/>
                  <display value="Injury of tendon of the rotator cuff of shoulder (disorder)"/>
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            <serviceProvider>
               <reference value="urn:uuid:64bcd62a-b6d5-493d-a5ed-1d342ef5441b"/>
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      <fullUrl value="urn:uuid:47f411d8-892b-48dc-8c77-657537d39959"/>
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            <id value="47f411d8-892b-48dc-8c77-657537d39959"/>
            <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: 47f411d8-892b-48dc-8c77-657537d39959</div>
            </text>
            <practitioner>
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   <entry>
      <fullUrl value="urn:uuid:64bcd62a-b6d5-493d-a5ed-1d342ef5441b"/>
      <resource>
         <Organization>
            <id value="64bcd62a-b6d5-493d-a5ed-1d342ef5441b"/>
            <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: Hôtel-Dieu, 75001 Paris, France</div>
            </text>
            <name value="Hôtel-Dieu"/>
            <address>
               <city value="Paris"/>
               <postalCode value="75001"/>
               <country value="France"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:59ba633e-6f7a-46e5-997e-474e9c05b18c"/>
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                        <td>
                           <span class="nb">29-Apr-2019</span>
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                           <span class="nb">29-Apr-2019</span>
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            <text>
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                  <table class="hl7__ips">
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                        <td>Surgical manipulation of shoulder joint (procedure)</td>
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                           <span class="nb">23-Apr-2019</span>
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                        <td>-</td>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div>
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               <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div>
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