<confidentiality value="N"/> <custodian> <reference value="urn:uuid:95415692-826c-471e-a304-2da716552f77"/> </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">STEMI, treated with PCI</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 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> </text> </section> <section> <title value="Medications"/> <code> <coding> <system value="http://loinc.org"/> <code value="87232-5"/> <display value="Medication administration.brief"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__hdr"> <tr> <td/> <td> <span class="nb">2014-10-06</span> </td> <td>-</td> <td>-</td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:d64ce92a-3653-475d-adf5-635e0db60e5b"/> </entry> <entry> <reference value="urn:uuid:930da641-a31e-4cac-82cd-68377482cd47"/> </entry> <entry> <reference value="urn:uuid:00b1ce23-d82c-4883-8359-17a617423f53"/> </entry> <entry> <reference value="urn:uuid:9064284c-a0b7-4daf-8bd3-8e1938c51d67"/> </entry> <entry> <reference value="urn:uuid:a1822d4a-1b88-4110-9f17-b0913999f14b"/> </entry> </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>Acute transmural myocardial infarction of anterior wall</td> <td> <span class="nb">07-Oct-2014</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:98b3c61f-cd06-4924-bd69-be9fb8065fcd"/> </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>Antiplatelet therapy initiation (dual antiplatelet)</td> <td> <span class="nb">06-Oct-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:643011c4-3ce8-4feb-9db3-539afbb6a98c"/> </entry> <entry> <reference value="urn:uuid:19be0ea0-d656-4340-b03f-dcafe509e0a9"/> </entry> <entry> <reference value="urn:uuid:48bf451f-c2cb-41c9-8815-64732cee48a0"/> </entry> <entry> <reference value="urn:uuid:bb922dc7-c113-4281-892f-b41259ea2e83"/> </entry> <entry> <reference value="urn:uuid:04a6d768-b9e5-4613-a01a-29c0eda507aa"/> </entry> <entry> <reference value="urn:uuid:94484229-08cd-4a79-9813-4d80d84a9a75"/> </entry> <entry> <reference value="urn:uuid:c1dc233e-2c0b-4354-b690-47027c926cdf"/> </entry> <entry> <reference value="urn:uuid:6b13202f-e3e9-4ee6-891a-d613e159b813"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <resource> <Patient> <id value="696a5feb-b003-4869-88bc-420fb25c78d5"/> <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>Kamil Banek</td> <td>male</td> <td>03-Jul-1956</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="PL"/> </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="7118-203757-3"/> </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="82d90800-3c8c-b94e-d424-a1cdbabeebac"/> </identifier> <name> <text value="Kamil Banek"/> <family value="Banek"/> <given value="Kamil"/> </name> <telecom> <system value="phone"/> <value value="507 090 388"/> </telecom> <gender value="male"/> <birthDate value="1956-07-03"/> <address> <use value="home"/> <type value="physical"/> <line value="ul. Wiązowa 27"/> <city value="Jaworzno"/> <postalCode value="43-600"/> <country value="Poland"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:51b01e95-41c2-4e89-80c0-9d4679a562c9"/> <resource> <Encounter> <id value="51b01e95-41c2-4e89-80c0-9d4679a562c9"/> <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>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> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </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="2014-10-07"/> </period> <individual> <reference value="urn:uuid:37d71ae7-b4c7-44b9-bdc7-7b226389dcc9"/> </individual> </participant> <period> <start value="2014-10-07"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="401303003"/> <display value="Acute ST segment elevation myocardial infarction (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:95415692-826c-471e-a304-2da716552f77"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:6c1da09e-2b07-436a-ab25-b3a4213f4fb0"/> <resource> <PractitionerRole> <id value="6c1da09e-2b07-436a-ab25-b3a4213f4fb0"/> <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: 6c1da09e-2b07-436a-ab25-b3a4213f4fb0</div> </text> <practitioner> <reference value="urn:uuid:37d71ae7-b4c7-44b9-bdc7-7b226389dcc9"/> </practitioner> <organization> <reference value="urn:uuid:95415692-826c-471e-a304-2da716552f77"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:95415692-826c-471e-a304-2da716552f77"/> <resource> <Organization> <id value="95415692-826c-471e-a304-2da716552f77"/> <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: Szpital Wielospecjalistyczny w Jaworznie, 43-602 Jaworzno, Poland</div> </text> <name value="Szpital Wielospecjalistyczny w Jaworznie"/> <address> <city value="Jaworzno"/> <postalCode value="43-602"/> <country value="Poland"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:37d71ae7-b4c7-44b9-bdc7-7b226389dcc9"/> <resource> <Practitioner> <id value="37d71ae7-b4c7-44b9-bdc7-7b226389dcc9"/> <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: Gustaw Jędraszek</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="553fec2d-427e-445c-bbb4-89364cddc5e2"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Jędraszek"/> <given value="Gustaw"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:d64ce92a-3653-475d-adf5-635e0db60e5b"/> <resource> <MedicationStatement> <id value="d64ce92a-3653-475d-adf5-635e0db60e5b"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/> </meta> <text> <status value="generated"/> <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> <span class="nb">2014-10-06</span> </td> <td>-</td> <td>-</td> <td>-</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:a5abde2b-4e2d-4217-a65d-f63c3201a2ac"/> </medicationReference> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <effectivePeriod> <start value="2014-10-06"/> </effectivePeriod> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:930da641-a31e-4cac-82cd-68377482cd47"/> <resource> <MedicationStatement> <id value="930da641-a31e-4cac-82cd-68377482cd47"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/> </meta> <text> <status value="generated"/> <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> <span class="nb">2014-10-06</span> </td> <td>-</td> <td>-</td> <td>-</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:04e7e773-25c6-4b3e-adde-1a81bb8d09ed"/> </medicationReference> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <effectivePeriod> <start value="2014-10-06"/> </effectivePeriod> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:00b1ce23-d82c-4883-8359-17a617423f53"/> <resource> <MedicationStatement> <id value="00b1ce23-d82c-4883-8359-17a617423f53"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/> </meta> <text> <status value="generated"/> <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> <span class="nb">2014-10-06</span> </td> <td>-</td> <td>-</td> <td>-</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:8f64cef4-76ee-480e-81d7-20265c21cf80"/> </medicationReference> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <effectivePeriod> <start value="2014-10-06"/> </effectivePeriod> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:9064284c-a0b7-4daf-8bd3-8e1938c51d67"/> <resource> <MedicationStatement> <id value="9064284c-a0b7-4daf-8bd3-8e1938c51d67"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/> </meta> <text> <status value="generated"/> <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> <span class="nb">2014-10-06</span> </td> <td>-</td> <td>-</td> <td>-</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:1cdd22d6-8b63-43e3-92c7-c0d6bf0f78e5"/> </medicationReference> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <effectivePeriod> <start value="2014-10-06"/> </effectivePeriod> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:a1822d4a-1b88-4110-9f17-b0913999f14b"/> <resource> <MedicationStatement> <id value="a1822d4a-1b88-4110-9f17-b0913999f14b"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/> </meta> <text> <status value="generated"/> <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> <span class="nb">2014-10-06</span> </td> <td>-</td> <td>-</td> <td>-</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:6dbc8f4b-cc8a-4c58-94d0-f24dc40b4b49"/> </medicationReference> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <effectivePeriod> <start value="2014-10-06"/> </effectivePeriod> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:98b3c61f-cd06-4924-bd69-be9fb8065fcd"/> <resource> <Condition> <id value="98b3c61f-cd06-4924-bd69-be9fb8065fcd"/> <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>Acute transmural myocardial infarction of anterior wall</td> <td> <span class="nb">07-Oct-2014</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="I21.0"/> <display value="Acute transmural myocardial infarction of anterior wall"/> </coding> <text value="Acute transmural myocardial infarction of anterior wall"/> </code> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <onsetDateTime value="2014-10-07"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:643011c4-3ce8-4feb-9db3-539afbb6a98c"/> <resource> <Procedure> <id value="643011c4-3ce8-4feb-9db3-539afbb6a98c"/> <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>12-lead ECG on admission showing anterior ST-elevation</td> <td> <span class="nb">06-Oct-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="164861001"/> <display value="Electrocardiographic myocardial ischemia (finding)"/> </coding> </code> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <performedDateTime value="2014-10-06"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:19be0ea0-d656-4340-b03f-dcafe509e0a9"/> <resource> <Procedure> <id value="19be0ea0-d656-4340-b03f-dcafe509e0a9"/> <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>Troponin and cardiac enzyme blood sampling</td> <td> <span class="nb">06-Oct-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="252167001"/> <display value="Measurement of urea and electrolytes (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <performedDateTime value="2014-10-06"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:48bf451f-c2cb-41c9-8815-64732cee48a0"/> <resource> <Procedure> <id value="48bf451f-c2cb-41c9-8815-64732cee48a0"/> <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>Chest X-ray on admission</td> <td> <span class="nb">06-Oct-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="399208008"/> <display value="Plain X-ray of chest (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <performedDateTime value="2014-10-06"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:bb922dc7-c113-4281-892f-b41259ea2e83"/> <resource> <Procedure> <id value="bb922dc7-c113-4281-892f-b41259ea2e83"/> <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>Coronary angiography to identify culprit lesion</td> <td> <span class="nb">06-Oct-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="33367005"/> <display value="Angiography of coronary artery (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <performedDateTime value="2014-10-06"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:04a6d768-b9e5-4613-a01a-29c0eda507aa"/> <resource> <Procedure> <id value="04a6d768-b9e5-4613-a01a-29c0eda507aa"/> <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>Transthoracic echocardiography post-PCI</td> <td> <span class="nb">07-Oct-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="40701008"/> <display value="Echocardiography (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <performedDateTime value="2014-10-07"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:94484229-08cd-4a79-9813-4d80d84a9a75"/> <resource> <Procedure> <id value="94484229-08cd-4a79-9813-4d80d84a9a75"/> <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>Percutaneous coronary intervention with stent implantation to LAD</td> <td> <span class="nb">06-Oct-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="415070008"/> <display value="Percutaneous transluminal coronary intervention using imaging guidance with contrast (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <performedDateTime value="2014-10-06"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:c1dc233e-2c0b-4354-b690-47027c926cdf"/> <resource> <Procedure> <id value="c1dc233e-2c0b-4354-b690-47027c926cdf"/> <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>Drug-eluting stent placement in left anterior descending artery</td> <td> <span class="nb">06-Oct-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="36969009"/> <display value="Placement of stent in coronary artery (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <performedDateTime value="2014-10-06"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:6b13202f-e3e9-4ee6-891a-d613e159b813"/> <resource> <Procedure> <id value="6b13202f-e3e9-4ee6-891a-d613e159b813"/> <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>Antiplatelet therapy initiation (dual antiplatelet)</td> <td> <span class="nb">06-Oct-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="229070002"/> <display value="Stretching exercises (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> <display value="Kamil Banek"/> </subject> <performedDateTime value="2014-10-06"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:ee32efd5-b455-466b-a1da-ab7aa024b5b1"/> <resource> <Device> <id value="ee32efd5-b455-466b-a1da-ab7aa024b5b1"/> <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> <version> <value value="5.0"/> </version> </Device> </resource> </entry> <entry> <fullUrl value="urn:uuid:5694e663-066f-433c-bde5-4dcb246f17a9"/> <resource> <Provenance> <id value="5694e663-066f-433c-bde5-4dcb246f17a9"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div> </text> <target> <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/> </target> <target> <reference value="urn:uuid:6c1da09e-2b07-436a-ab25-b3a4213f4fb0"/> </target> <target> <reference value="urn:uuid:37d71ae7-b4c7-44b9-bdc7-7b226389dcc9"/> </target> <target> <reference value="urn:uuid:95415692-826c-471e-a304-2da716552f77"/> </target> <recorded value="2026-03-20T18:24:43Z"/> <policy value="https://synderai.net/synderai-synthetic-data-policy"/> <reason> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> <display value="training"/> </coding> <text value="Interoperability Testing and Training (non-clinical use)"/> </reason> <activity> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/> <code value="CREATE"/> <display value="create"/> </coding> <text value="Synthetic Example Data Generation"/> </activity> <agent> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/> <code value="author"/> <display value="Author"/> </coding> <text value="author"/> </type> <who> <reference value="urn:uuid:ee32efd5-b455-466b-a1da-ab7aa024b5b1"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>


               
                  
                  
               
               
                  
                  
                  
               
            
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:95415692-826c-471e-a304-2da716552f77"/>
            </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">STEMI, treated with PCI</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 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>
               </text>
            </section>
            <section>
               <title value="Medications"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="87232-5"/>
                     <display value="Medication administration.brief"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td/>
                           <td>
                              <span class="nb">2014-10-06</span>
                           </td>
                           <td>-</td>
                           <td>-</td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:d64ce92a-3653-475d-adf5-635e0db60e5b"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:930da641-a31e-4cac-82cd-68377482cd47"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:00b1ce23-d82c-4883-8359-17a617423f53"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:9064284c-a0b7-4daf-8bd3-8e1938c51d67"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:a1822d4a-1b88-4110-9f17-b0913999f14b"/>
               </entry>
            </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>Acute transmural myocardial infarction of anterior wall</td>
                           <td>
                              <span class="nb">07-Oct-2014</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:98b3c61f-cd06-4924-bd69-be9fb8065fcd"/>
               </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>Antiplatelet therapy initiation (dual antiplatelet)</td>
                           <td>
                              <span class="nb">06-Oct-2014</span>
                           </td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:643011c4-3ce8-4feb-9db3-539afbb6a98c"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:19be0ea0-d656-4340-b03f-dcafe509e0a9"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:48bf451f-c2cb-41c9-8815-64732cee48a0"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:bb922dc7-c113-4281-892f-b41259ea2e83"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:04a6d768-b9e5-4613-a01a-29c0eda507aa"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:94484229-08cd-4a79-9813-4d80d84a9a75"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:c1dc233e-2c0b-4354-b690-47027c926cdf"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:6b13202f-e3e9-4ee6-891a-d613e159b813"/>
               </entry>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/>
      <resource>
         <Patient>
            <id value="696a5feb-b003-4869-88bc-420fb25c78d5"/>
            <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>Kamil Banek</td>
                        <td>male</td>
                        <td>03-Jul-1956</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="PL"/>
                     </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="7118-203757-3"/>
            </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="82d90800-3c8c-b94e-d424-a1cdbabeebac"/>
            </identifier>
            <name>
               <text value="Kamil Banek"/>
               <family value="Banek"/>
               <given value="Kamil"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="507 090 388"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1956-07-03"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="ul. Wiązowa 27"/>
               <city value="Jaworzno"/>
               <postalCode value="43-600"/>
               <country value="Poland"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:51b01e95-41c2-4e89-80c0-9d4679a562c9"/>
      <resource>
         <Encounter>
            <id value="51b01e95-41c2-4e89-80c0-9d4679a562c9"/>
            <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>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>
            </text>
            <status value="completed"/>
            <class>
               <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
               <code value="IMP"/>
            </class>
            <subject>
               <reference value="Patient/696a5feb-b003-4869-88bc-420fb25c78d5"/>
               <display value="Kamil Banek"/>
            </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="2014-10-07"/>
               </period>
               <individual>
                  <reference value="urn:uuid:37d71ae7-b4c7-44b9-bdc7-7b226389dcc9"/>
               </individual>
            </participant>
            <period>
               <start value="2014-10-07"/>
            </period>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="401303003"/>
                  <display value="Acute ST segment elevation myocardial infarction (disorder)"/>
               </coding>
            </reasonCode>
            <serviceProvider>
               <reference value="urn:uuid:95415692-826c-471e-a304-2da716552f77"/>
            </serviceProvider>
         </Encounter>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:6c1da09e-2b07-436a-ab25-b3a4213f4fb0"/>
      <resource>
         <PractitionerRole>
            <id value="6c1da09e-2b07-436a-ab25-b3a4213f4fb0"/>
            <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: 6c1da09e-2b07-436a-ab25-b3a4213f4fb0</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:37d71ae7-b4c7-44b9-bdc7-7b226389dcc9"/>
            </practitioner>
            <organization>
               <reference value="urn:uuid:95415692-826c-471e-a304-2da716552f77"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:95415692-826c-471e-a304-2da716552f77"/>
      <resource>
         <Organization>
            <id value="95415692-826c-471e-a304-2da716552f77"/>
            <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: Szpital Wielospecjalistyczny w Jaworznie, 43-602 Jaworzno, Poland</div>
            </text>
            <name value="Szpital Wielospecjalistyczny w Jaworznie"/>
            <address>
               <city value="Jaworzno"/>
               <postalCode value="43-602"/>
               <country value="Poland"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:37d71ae7-b4c7-44b9-bdc7-7b226389dcc9"/>
      <resource>
         <Practitioner>
            <id value="37d71ae7-b4c7-44b9-bdc7-7b226389dcc9"/>
            <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: Gustaw Jędraszek</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="553fec2d-427e-445c-bbb4-89364cddc5e2"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Jędraszek"/>
               <given value="Gustaw"/>
            </name>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d64ce92a-3653-475d-adf5-635e0db60e5b"/>
      <resource>
         <MedicationStatement>
            <id value="d64ce92a-3653-475d-adf5-635e0db60e5b"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
                           <span class="nb">2014-10-06</span>
                        </td>
                        <td>-</td>
                        <td>-</td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:a5abde2b-4e2d-4217-a65d-f63c3201a2ac"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/>
               <display value="Kamil Banek"/>
            </subject>
            <effectivePeriod>
               <start value="2014-10-06"/>
            </effectivePeriod>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:930da641-a31e-4cac-82cd-68377482cd47"/>
      <resource>
         <MedicationStatement>
            <id value="930da641-a31e-4cac-82cd-68377482cd47"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
                           <span class="nb">2014-10-06</span>
                        </td>
                        <td>-</td>
                        <td>-</td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:04e7e773-25c6-4b3e-adde-1a81bb8d09ed"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/>
               <display value="Kamil Banek"/>
            </subject>
            <effectivePeriod>
               <start value="2014-10-06"/>
            </effectivePeriod>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:00b1ce23-d82c-4883-8359-17a617423f53"/>
      <resource>
         <MedicationStatement>
            <id value="00b1ce23-d82c-4883-8359-17a617423f53"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
                           <span class="nb">2014-10-06</span>
                        </td>
                        <td>-</td>
                        <td>-</td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:8f64cef4-76ee-480e-81d7-20265c21cf80"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:696a5feb-b003-4869-88bc-420fb25c78d5"/>
               <display value="Kamil Banek"/>
            </subject>
            <effectivePeriod>
               <start value="2014-10-06"/>
            </effectivePeriod>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:9064284c-a0b7-4daf-8bd3-8e1938c51d67"/>
      <resource>
         <MedicationStatement>
            <id value="9064284c-a0b7-4daf-8bd3-8e1938c51d67"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <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>
                           <span class="nb">2014-10-06</span>
                        </td>
                        <td>-</td>
                        <td>-</td>
                        <td>-</td>
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               <display value="Kamil Banek"/>
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                        <td/>
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                           <span class="nb">06-Oct-2014</span>
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                           <span class="nb">06-Oct-2014</span>
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                           <span class="nb">06-Oct-2014</span>
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                           <span class="nb">06-Oct-2014</span>
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                           <span class="nb">06-Oct-2014</span>
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                           <span class="nb">06-Oct-2014</span>
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