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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">NSTEMI, treated with PCI</div>"
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            "title": "Synthesis"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you regarding our mutual patient, an 81-year-old male, admitted on 06/07/2018 presenting with acute chest pain and dyspnoea. Initial ECG showed no ST-elevation; however, serial troponin measurements were significantly elevated, confirming a Non-ST-Elevation Myocardial Infarction (NSTEMI). The patient was commenced on dual antiplatelet therapy, anticoagulation, and supportive medication. Urgent coronary angiography revealed significant coronary artery disease, and percutaneous coronary intervention (PCI) was successfully performed with stent implantation. Post-procedurally, the patient remained haemodynamically stable without complications. He was discharged on 08/07/2018 on dual antiplatelet therapy, statin, ACE inhibitor, and beta-blocker. Please ensure medication compliance and arrange cardiology follow-up within four weeks. Do not hesitate to contact me should you require further information.</div>"
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                  "system": "http://loinc.org",
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                  "code": "87232-5",
                  "display": "Medication administration.brief"
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            "title": "Medications"
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              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Acute subendocardial myocardial infarction</td><td><span class=\"nb\">08-Jul-2018</span></td><td>active</td></tr></table></div>"
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                {
                  "system": "http://loinc.org",
                  "code": "11535-2",
                  "display": "Hospital discharge diagnosis note"
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              ]
            },
            "title": "Diagnosis at Discharge"
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          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Risk assessment (procedure)</td><td><span class=\"nb\">06-Jul-2018</span></td><td>-</td></tr></table></div>"
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            "entry": [
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                "reference": "urn:uuid:340fe9f9-2f3a-405f-a3ef-53ac871c8bfb"
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                {
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                  "code": "10185-7",
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            "title": "Significant procedures"
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        ],
        "title": "Hospital Discharge Report",
        "status": "final",
        "subject": {
          "reference": "urn:uuid:16d14715-5cf8-4c3d-b5da-d09ac04d9998",
          "display": "Roger Lefèvre"
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        "custodian": {
          "reference": "urn:uuid:312f7e59-a622-41f4-9450-7bf26cfe7664"
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        "date": "2018-07-08T00:00:00Z",
        "confidentiality": "N"
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        "identifier": [
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            "system": "http://local.setting.eu/identifier",
            "value": "54767e78-1ba4-568e-5303-4d4d6590afcc"
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        "name": [
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            "given": [
              "Roger"
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            "family": "Lefèvre",
            "text": "Roger Lefèvre"
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        ],
        "address": [
          {
            "line": [
              "56, boulevard Julie Lemaître"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "97480",
            "city": "Mahe-sur-Dijoux",
            "country": "France"
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        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+33 (0)2 51 71 25 38"
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        "extension": [
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            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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                "display": "Acute non-ST segment elevation myocardial infarction (disorder)"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Centre Medical Mon Caprice, , France</td><td>06-07-2018 - 08-07-2018</td><td><ul><li>Acute non-ST segment elevation myocardial infarction (disorder)</li></ul></td></tr></table></div>"
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        "status": "completed",
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        "meta": {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: 694bfe90-ee54-4607-b18e-130de0b69db1</div>"
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        "address": [
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            "country": "France"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Centre Medical Mon Caprice, , France</div>"
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        "name": "Centre Medical Mon Caprice"
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    {
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        "identifier": [
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        "name": [
          {
            "given": [
              "given_name"
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            "family": "family_name"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: given_name family_name</div>"
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      }
    },
    {
      "fullUrl": "urn:uuid:42fba91b-e336-4f3c-ac1c-21bc20075138",
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        "resourceType": "MedicationStatement",
        "id": "42fba91b-e336-4f3c-ac1c-21bc20075138",
        "meta": {
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        },
        "effectivePeriod": {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td></td><td><span class=\"nb\">2018-07-08</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
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        "status": "active",
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          "reference": "urn:uuid:16d14715-5cf8-4c3d-b5da-d09ac04d9998",
          "display": "Roger Lefèvre"
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    {
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      "resource": {
        "resourceType": "MedicationStatement",
        "id": "f6c56b95-dfaa-4fa1-961b-566a03682045",
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        "text": {
          "status": "generated",
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        "status": "active",
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          "display": "Roger Lefèvre"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td></td><td><span class=\"nb\">2018-07-08</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
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        "status": "active",
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        "subject": {
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          "display": "Roger Lefèvre"
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    {
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      "resource": {
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        "meta": {
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        },
        "effectivePeriod": {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips first25\"><tr><th>Medication</th><th>Since</th><th>Form</th><th>Dosage</th><th>Reason</th></tr><tr><td></td><td><span class=\"nb\">2018-07-08</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
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        "status": "active",
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        "subject": {
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          "display": "Roger Lefèvre"
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    },
    {
      "fullUrl": "urn:uuid:72d6e95e-7800-4ea4-9181-bf31606747ce",
      "resource": {
        "resourceType": "Condition",
        "id": "72d6e95e-7800-4ea4-9181-bf31606747ce",
        "meta": {
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        },
        "category": [
          {
            "coding": [
              {
                "code": "encounter-diagnosis",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Encounter Diagnosis"
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "I21.4",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Acute subendocardial myocardial infarction"
            }
          ],
          "text": "Acute subendocardial myocardial infarction"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Acute subendocardial myocardial infarction</td><td><span class=\"nb\">08-Jul-2018</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "2018-07-08",
        "subject": {
          "reference": "urn:uuid:16d14715-5cf8-4c3d-b5da-d09ac04d9998",
          "display": "Roger Lefèvre"
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      }
    },
    {
      "fullUrl": "urn:uuid:340fe9f9-2f3a-405f-a3ef-53ac871c8bfb",
      "resource": {
        "resourceType": "Procedure",
        "id": "340fe9f9-2f3a-405f-a3ef-53ac871c8bfb",
        "meta": {
          "profile": [
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        },
        "code": {
          "coding": [
            {
              "code": "33367005",
              "system": "http://snomed.info/sct",
              "display": "Angiography of coronary artery"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Angiography of coronary artery (procedure)</td><td><span class=\"nb\">08-Jul-2018</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2018-07-08",
        "subject": {
          "reference": "urn:uuid:16d14715-5cf8-4c3d-b5da-d09ac04d9998",
          "display": "Roger Lefèvre"
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      }
    },
    {
      "fullUrl": "urn:uuid:20aec7a5-9573-40fa-8e19-146371a72b33",
      "resource": {
        "resourceType": "Procedure",
        "id": "20aec7a5-9573-40fa-8e19-146371a72b33",
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        },
        "code": {
          "coding": [
            {
              "code": "415070008",
              "system": "http://snomed.info/sct",
              "display": "Percutaneous coronary intervention"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Percutaneous transluminal coronary intervention using imaging guidance with contrast (procedure)</td><td><span class=\"nb\">08-Jul-2018</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2018-07-08",
        "subject": {
          "reference": "urn:uuid:16d14715-5cf8-4c3d-b5da-d09ac04d9998",
          "display": "Roger Lefèvre"
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    {
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        "meta": {
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            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "225338004",
              "system": "http://snomed.info/sct",
              "display": "Risk assessment"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Risk assessment (procedure)</td><td><span class=\"nb\">06-Jul-2018</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2018-07-06",
        "subject": {
          "reference": "urn:uuid:16d14715-5cf8-4c3d-b5da-d09ac04d9998",
          "display": "Roger Lefèvre"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:5627ff44-42bb-43bc-b8ac-3b61f61dc6bd",
      "resource": {
        "resourceType": "Device",
        "id": "5627ff44-42bb-43bc-b8ac-3b61f61dc6bd",
        "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:b547f3c3-8364-4f50-bfb7-ad48c20827ec",
      "resource": {
        "resourceType": "Provenance",
        "id": "b547f3c3-8364-4f50-bfb7-ad48c20827ec",
        "target": [
          {
            "reference": "urn:uuid:16d14715-5cf8-4c3d-b5da-d09ac04d9998"
          },
          {
            "reference": "urn:uuid:694bfe90-ee54-4607-b18e-130de0b69db1"
          },
          {
            "reference": "urn:uuid:f9ba416f-bdd9-45a9-907e-2b6b4c6be44f"
          },
          {
            "reference": "urn:uuid:312f7e59-a622-41f4-9450-7bf26cfe7664"
          }
        ],
        "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:5627ff44-42bb-43bc-b8ac-3b61f61dc6bd"
            }
          }
        ],
        "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": "2026-03-20T18:15:17Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2018-07-08T00:00:00Z"
}