{
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              "display": "Hospital Discharge summary"
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          ],
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          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">STEMI, treated with PCI</div>"
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              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "67781-5",
                  "display": "Summarization of encounter note"
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            "title": "Synthesis"
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          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you regarding our mutual patient, a 69-year-old male admitted on 06/10/2014 with acute chest pain and dyspnoea. On admission, ECG demonstrated ST-segment elevation in anterior leads, and troponin levels were significantly elevated, confirming an acute anterior STEMI. The patient was immediately transferred to the cardiac catheterisation laboratory, where coronary angiography revealed significant occlusion of the left anterior descending artery. Successful percutaneous coronary intervention (PCI) with drug-eluting stent implantation was performed with good angiographic result. Post-procedurally, the patient remained haemodynamically stable. Echocardiography showed mildly reduced left ventricular function with anterior wall hypokinesia. Dual antiplatelet therapy, beta-blocker, ACE inhibitor, and statin were initiated. The patient was discharged on 07/10/2014 in stable condition. Please ensure medication compliance and arrange cardiology follow-up within four weeks.</div>"
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              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8648-8",
                  "display": "Hospital course note"
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            "title": "Hospital course note"
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          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td></td><td><span class=\"nb\">2014-10-06</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
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              {
                "reference": "urn:uuid:9064284c-a0b7-4daf-8bd3-8e1938c51d67"
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              {
                "reference": "urn:uuid:a1822d4a-1b88-4110-9f17-b0913999f14b"
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            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "87232-5",
                  "display": "Medication administration.brief"
                }
              ]
            },
            "title": "Medications"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Acute transmural myocardial infarction of anterior wall</td><td><span class=\"nb\">07-Oct-2014</span></td><td>active</td></tr></table></div>"
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            "entry": [
              {
                "reference": "urn:uuid:98b3c61f-cd06-4924-bd69-be9fb8065fcd"
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            "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>Antiplatelet therapy initiation (dual antiplatelet)</td><td><span class=\"nb\">06-Oct-2014</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:643011c4-3ce8-4feb-9db3-539afbb6a98c"
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              {
                "reference": "urn:uuid:19be0ea0-d656-4340-b03f-dcafe509e0a9"
              },
              {
                "reference": "urn:uuid:48bf451f-c2cb-41c9-8815-64732cee48a0"
              },
              {
                "reference": "urn:uuid:bb922dc7-c113-4281-892f-b41259ea2e83"
              },
              {
                "reference": "urn:uuid:04a6d768-b9e5-4613-a01a-29c0eda507aa"
              },
              {
                "reference": "urn:uuid:94484229-08cd-4a79-9813-4d80d84a9a75"
              },
              {
                "reference": "urn:uuid:c1dc233e-2c0b-4354-b690-47027c926cdf"
              },
              {
                "reference": "urn:uuid:6b13202f-e3e9-4ee6-891a-d613e159b813"
              }
            ],
            "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:696a5feb-b003-4869-88bc-420fb25c78d5",
          "display": "Kamil Banek"
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        "custodian": {
          "reference": "urn:uuid:95415692-826c-471e-a304-2da716552f77"
        },
        "date": "2014-10-07T00:00:00Z",
        "confidentiality": "N"
      }
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    {
      "fullUrl": "urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5",
      "resource": {
        "resourceType": "Patient",
        "id": "696a5feb-b003-4869-88bc-420fb25c78d5",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
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            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
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          ],
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            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
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          ],
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
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        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
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              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "7118-203757-3"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "82d90800-3c8c-b94e-d424-a1cdbabeebac"
          }
        ],
        "name": [
          {
            "given": [
              "Kamil"
            ],
            "family": "Banek",
            "text": "Kamil Banek"
          }
        ],
        "address": [
          {
            "line": [
              "ul. Wiązowa 27"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "43-600",
            "city": "Jaworzno",
            "country": "Poland"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "507 090 388"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "PL",
                      "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>Kamil Banek</td><td>male</td><td>03-Jul-1956</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1956-07-03"
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    {
      "fullUrl": "urn:uuid:51b01e95-41c2-4e89-80c0-9d4679a562c9",
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        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "code": "PPRF",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "display": "primary performer"
                  }
                ]
              }
            ],
            "period": {
              "end": "2014-10-07"
            },
            "individual": {
              "reference": "urn:uuid:37d71ae7-b4c7-44b9-bdc7-7b226389dcc9"
            }
          }
        ],
        "period": {
          "start": "2014-10-07"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "code": "401303003",
                "system": "http://snomed.info/sct",
                "display": "Acute ST segment elevation myocardial infarction (disorder)"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Szpital Wielospecjalistyczny w Jaworznie, Jaworzno, Poland</td><td>06-10-2014 - 07-10-2014</td><td><ul><li>Acute ST segment elevation myocardial infarction (disorder)</li></ul></td></tr></table></div>"
        },
        "status": "completed",
        "class": {
          "code": "IMP",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
        },
        "serviceProvider": {
          "reference": "urn:uuid:95415692-826c-471e-a304-2da716552f77"
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        "subject": {
          "reference": "Patient/696a5feb-b003-4869-88bc-420fb25c78d5",
          "display": "Kamil Banek"
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    {
      "fullUrl": "urn:uuid:6c1da09e-2b07-436a-ab25-b3a4213f4fb0",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "6c1da09e-2b07-436a-ab25-b3a4213f4fb0",
        "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: 6c1da09e-2b07-436a-ab25-b3a4213f4fb0</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:37d71ae7-b4c7-44b9-bdc7-7b226389dcc9"
        },
        "organization": {
          "reference": "urn:uuid:95415692-826c-471e-a304-2da716552f77"
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      }
    },
    {
      "fullUrl": "urn:uuid:95415692-826c-471e-a304-2da716552f77",
      "resource": {
        "resourceType": "Organization",
        "id": "95415692-826c-471e-a304-2da716552f77",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"
          ]
        },
        "address": [
          {
            "city": "Jaworzno",
            "postalCode": "43-602",
            "country": "Poland"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Szpital Wielospecjalistyczny w Jaworznie, 43-602 Jaworzno, Poland</div>"
        },
        "name": "Szpital Wielospecjalistyczny w Jaworznie"
      }
    },
    {
      "fullUrl": "urn:uuid:37d71ae7-b4c7-44b9-bdc7-7b226389dcc9",
      "resource": {
        "resourceType": "Practitioner",
        "id": "37d71ae7-b4c7-44b9-bdc7-7b226389dcc9",
        "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": "553fec2d-427e-445c-bbb4-89364cddc5e2"
          }
        ],
        "name": [
          {
            "given": [
              "Gustaw"
            ],
            "family": "Jędraszek"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: Gustaw Jędraszek</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d64ce92a-3653-475d-adf5-635e0db60e5b",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "d64ce92a-3653-475d-adf5-635e0db60e5b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"
          ]
        },
        "effectivePeriod": {
          "start": "2014-10-06"
        },
        "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\">2014-10-06</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:a5abde2b-4e2d-4217-a65d-f63c3201a2ac"
        },
        "subject": {
          "reference": "urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5",
          "display": "Kamil Banek"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:930da641-a31e-4cac-82cd-68377482cd47",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "930da641-a31e-4cac-82cd-68377482cd47",
        "meta": {
          "profile": [
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          ]
        },
        "effectivePeriod": {
          "start": "2014-10-06"
        },
        "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\">2014-10-06</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:04e7e773-25c6-4b3e-adde-1a81bb8d09ed"
        },
        "subject": {
          "reference": "urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5",
          "display": "Kamil Banek"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:00b1ce23-d82c-4883-8359-17a617423f53",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "00b1ce23-d82c-4883-8359-17a617423f53",
        "meta": {
          "profile": [
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          ]
        },
        "effectivePeriod": {
          "start": "2014-10-06"
        },
        "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\">2014-10-06</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:8f64cef4-76ee-480e-81d7-20265c21cf80"
        },
        "subject": {
          "reference": "urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5",
          "display": "Kamil Banek"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:9064284c-a0b7-4daf-8bd3-8e1938c51d67",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "9064284c-a0b7-4daf-8bd3-8e1938c51d67",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"
          ]
        },
        "effectivePeriod": {
          "start": "2014-10-06"
        },
        "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\">2014-10-06</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:1cdd22d6-8b63-43e3-92c7-c0d6bf0f78e5"
        },
        "subject": {
          "reference": "urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5",
          "display": "Kamil Banek"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a1822d4a-1b88-4110-9f17-b0913999f14b",
      "resource": {
        "resourceType": "MedicationStatement",
        "id": "a1822d4a-1b88-4110-9f17-b0913999f14b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"
          ]
        },
        "effectivePeriod": {
          "start": "2014-10-06"
        },
        "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\">2014-10-06</span></td><td>-</td><td>-</td><td>-</td></tr></table></div>"
        },
        "status": "active",
        "medicationReference": {
          "reference": "urn:uuid:6dbc8f4b-cc8a-4c58-94d0-f24dc40b4b49"
        },
        "subject": {
          "reference": "urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5",
          "display": "Kamil Banek"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:98b3c61f-cd06-4924-bd69-be9fb8065fcd",
      "resource": {
        "resourceType": "Condition",
        "id": "98b3c61f-cd06-4924-bd69-be9fb8065fcd",
        "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": "I21.0",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Acute transmural myocardial infarction of anterior wall"
            }
          ],
          "text": "Acute transmural myocardial infarction of anterior wall"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Acute transmural myocardial infarction of anterior wall</td><td><span class=\"nb\">07-Oct-2014</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "2014-10-07",
        "subject": {
          "reference": "urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5",
          "display": "Kamil Banek"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:643011c4-3ce8-4feb-9db3-539afbb6a98c",
      "resource": {
        "resourceType": "Procedure",
        "id": "643011c4-3ce8-4feb-9db3-539afbb6a98c",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "164861001",
              "system": "http://snomed.info/sct",
              "display": "Electrocardiographic myocardial ischemia (finding)"
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          "status": "generated",
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            "text": "Interoperability Testing and Training (non-clinical use)"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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        "recorded": "2026-03-20T18:24:43Z"
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  "timestamp": "2014-10-07T00:00:00Z"
}