intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:d33d662a-9a76-4edd-b7ab-2da7432cdf05"/> </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 34-year-old male patient, admitted on 08/08/2020 due to substance dependence. Upon admission, a comprehensive psychiatric and somatic assessment was conducted, including laboratory screening, urine toxicology, and structured addiction severity evaluation. The patient met criteria for ICD-10 F19.2, dependence syndrome related to multiple drug use. During the inpatient stay, a medically supervised detoxification was initiated, alongside pharmacological support to manage withdrawal symptoms. Psychological counselling sessions were provided, and the patient was introduced to a structured motivational intervention programme. Social work assessment was completed to address psychosocial risk factors. The patient was discharged in a stabilised condition on 19/08/2020. Follow-up in your practice is strongly recommended, alongside referral to outpatient addiction services. Please do not hesitate to contact me 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">19-Aug-2020</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:71cdd81d-888a-4fdd-b5f8-80a7f54023d3"/> </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>Social work psychosocial risk assessment</td> <td> <span class="nb">15-Aug-2020</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:266ba1fb-09a7-40fe-93e1-494780476151"/> </entry> <entry> <reference value="urn:uuid:cc5a694f-f985-43b5-927a-e9ee4ee48930"/> </entry> <entry> <reference value="urn:uuid:574b62e0-44ea-4882-9b50-b55d79d78048"/> </entry> <entry> <reference value="urn:uuid:0dcc9065-c11b-4cf8-b4c6-a4ac58029e22"/> </entry> <entry> <reference value="urn:uuid:cec48e13-19ed-46f4-84f0-9bec641c7afe"/> </entry> <entry> <reference value="urn:uuid:89ff9997-b951-4a66-9715-e0c2e1ae649d"/> </entry> <entry> <reference value="urn:uuid:67c1d5a6-a731-439b-bc76-79237b5a26aa"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:9c95ce1a-ea1e-429f-9a27-a40e2a3d809a"/> <resource> <Patient> <id value="9c95ce1a-ea1e-429f-9a27-a40e2a3d809a"/> <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>Colin Kemp</td> <td>male</td> <td>07-Nov-1990</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="GB"/> </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="2070-143180-9"/> </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="9fd7b6cb-1ed4-7b83-56aa-8dadc54e53ee"/> </identifier> <name> <text value="Colin Kemp"/> <family value="Kemp"/> <given value="Colin"/> </name> <telecom> <system value="phone"/> <value value="+4420 74960675"/> </telecom> <gender value="male"/> <birthDate value="1990-11-07"/> <address> <use value="home"/> <type value="physical"/> <line value="54 Martyn glens"/> <city value="South Aaron"/> <postalCode value="SW1A"/> <country value="United Kingdom"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:ed48f26b-6b51-41f6-a30b-2be6676ff9fe"/> <resource> <Encounter> <id value="ed48f26b-6b51-41f6-a30b-2be6676ff9fe"/> <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>Evelina Children's Hospital, London, United Kingdom</td> <td>08-08-2020 - 19-08-2020</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/9c95ce1a-ea1e-429f-9a27-a40e2a3d809a"/> <display value="Colin Kemp"/> </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="2020-08-19"/> </period> <individual> <reference value="urn:uuid:ac5f2154-70bf-43c3-b7f4-5b332508d915"/> </individual> </participant> <period> <start value="2020-08-19"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:d33d662a-9a76-4edd-b7ab-2da7432cdf05"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:bf18be39-d73d-46b2-8cbb-6233e44aaf95"/> <resource> <PractitionerRole> <id value="bf18be39-d73d-46b2-8cbb-6233e44aaf95"/> <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: bf18be39-d73d-46b2-8cbb-6233e44aaf95</div> </text> <practitioner> <reference value="urn:uuid:ac5f2154-70bf-43c3-b7f4-5b332508d915"/> </practitioner> <organization> <reference value="urn:uuid:d33d662a-9a76-4edd-b7ab-2da7432cdf05"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:d33d662a-9a76-4edd-b7ab-2da7432cdf05"/> <resource> <Organization> <id value="d33d662a-9a76-4edd-b7ab-2da7432cdf05"/> <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: Evelina Children&#039;s Hospital, SE1 7 London, United Kingdom</div> </text> <name value="Evelina Children&amp;#039;s Hospital"/> <address> <city value="London"/> <postalCode value="SE1 7"/> <country value="United Kingdom"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:ac5f2154-70bf-43c3-b7f4-5b332508d915"/> <resource> <Practitioner> <id value="ac5f2154-70bf-43c3-b7f4-5b332508d915"/> <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: Adrian Gray</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="345363a0-d054-4550-9832-16a476ff7ef7"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Gray"/> <given value="Adrian"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:71cdd81d-888a-4fdd-b5f8-80a7f54023d3"/> <resource> <Condition> <id value="71cdd81d-888a-4fdd-b5f8-80a7f54023d3"/> <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">19-Aug-2020</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:9c95ce1a-ea1e-429f-9a27-a40e2a3d809a"/> <display value="Colin Kemp"/> </subject> <onsetDateTime value="2020-08-19"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:266ba1fb-09a7-40fe-93e1-494780476151"/> <resource> <Procedure> <id value="266ba1fb-09a7-40fe-93e1-494780476151"/> <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>Laboratory blood screening</td> <td> <span class="nb">08-Aug-2020</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:9c95ce1a-ea1e-429f-9a27-a40e2a3d809a"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2020-08-08"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:cc5a694f-f985-43b5-927a-e9ee4ee48930"/> <resource> <Procedure> <id value="cc5a694f-f985-43b5-927a-e9ee4ee48930"/> <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>Addiction severity structured evaluation</td> <td> <span class="nb">09-Aug-2020</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="273830002"/> <display value="Spielberger state-trait anxiety inventory (assessment scale)"/> </coding> </code> <subject> <reference value="urn:uuid:9c95ce1a-ea1e-429f-9a27-a40e2a3d809a"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2020-08-09"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:574b62e0-44ea-4882-9b50-b55d79d78048"/> <resource> <Procedure> <id value="574b62e0-44ea-4882-9b50-b55d79d78048"/> <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>Somatic physical examination</td> <td> <span class="nb">09-Aug-2020</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:9c95ce1a-ea1e-429f-9a27-a40e2a3d809a"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2020-08-09"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:0dcc9065-c11b-4cf8-b4c6-a4ac58029e22"/> <resource> <Procedure> <id value="0dcc9065-c11b-4cf8-b4c6-a4ac58029e22"/> <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>Medically supervised detoxification</td> <td> <span class="nb">09-Aug-2020</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="784645002"/> <display value="Product containing precisely water 1 gram/1 milliliter conventional release solution for injection (clinical drug)"/> </coding> </code> <subject> <reference value="urn:uuid:9c95ce1a-ea1e-429f-9a27-a40e2a3d809a"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2020-08-09"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:cec48e13-19ed-46f4-84f0-9bec641c7afe"/> <resource> <Procedure> <id value="cec48e13-19ed-46f4-84f0-9bec641c7afe"/> <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 management of withdrawal symptoms</td> <td> <span class="nb">10-Aug-2020</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182849000"/> <display value="No drug therapy prescribed (situation)"/> </coding> </code> <subject> <reference value="urn:uuid:9c95ce1a-ea1e-429f-9a27-a40e2a3d809a"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2020-08-10"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:89ff9997-b951-4a66-9715-e0c2e1ae649d"/> <resource> <Procedure> <id value="89ff9997-b951-4a66-9715-e0c2e1ae649d"/> <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">11-Aug-2020</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="410223002"/> <display value="Mental health care assessment (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:9c95ce1a-ea1e-429f-9a27-a40e2a3d809a"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2020-08-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:67c1d5a6-a731-439b-bc76-79237b5a26aa"/> <resource> <Procedure> <id value="67c1d5a6-a731-439b-bc76-79237b5a26aa"/> <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>Social work psychosocial risk assessment</td> <td> <span class="nb">15-Aug-2020</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="308440001"/> <display value="Referral to social worker (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:9c95ce1a-ea1e-429f-9a27-a40e2a3d809a"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2020-08-15"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:f34a07ed-3d99-420d-be78-4bb9b21c7560"/> <resource> <Device> <id value="f34a07ed-3d99-420d-be78-4bb9b21c7560"/> <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 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