<confidentiality value="N"/> <custodian> <reference value="urn:uuid:cdeb5974-65b8-4619-9c67-8c9dfdf3b7f5"/> </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 about the inpatient treatment of your 35-year-old male patient, admitted on 14/09/2024 and discharged on 21/09/2024 due to substance dependence disorder. Upon admission, a comprehensive psychiatric and somatic assessment was performed, confirming polysubstance dependence (ICD-10: F19.2), primarily involving opioids, benzodiazepines and cannabis. Urine drug screening was positive for multiple substances. We initiated a structured detoxification protocol with supervised pharmacological withdrawal management, including symptomatic treatment. Psychoeducational sessions and motivational interviewing were conducted throughout the stay. The patient was stabilised without significant medical complications. We strongly recommend referral to an outpatient addiction counselling service and continuation of psychosocial support. A follow-up appointment in your practice within two weeks is advised. Should you require further information, please do not hesitate to contact us.</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">21-Sep-2024</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:91bc9b99-3af6-41fd-9a95-fa315ccba433"/> </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>Discharge planning and aftercare coordination</td> <td> <span class="nb">20-Sep-2024</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:0bad3cdf-d459-4dc8-9fd8-e4e44d9b5855"/> </entry> <entry> <reference value="urn:uuid:e6b0067a-02ce-4391-a5a3-a43ac6262487"/> </entry> <entry> <reference value="urn:uuid:90111851-d62f-437e-8f38-0a8adcf8e1dc"/> </entry> <entry> <reference value="urn:uuid:fbfdb6aa-0273-439a-b832-61a9746f30d3"/> </entry> <entry> <reference value="urn:uuid:14006f06-9477-40ad-89f2-1afa4f2e71a2"/> </entry> <entry> <reference value="urn:uuid:447fe0e4-3019-4833-a851-58f7e2d3d3b5"/> </entry> <entry> <reference value="urn:uuid:83bda6ab-7542-4ae8-b01d-df1125d64803"/> </entry> <entry> <reference value="urn:uuid:eac2d725-7b9e-4cea-a82d-1822dd95908e"/> </entry> <entry> <reference value="urn:uuid:de11cce0-7646-4bc2-b75d-cb9f05c8db40"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <resource> <Patient> <id value="df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <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>Franco Civaschi</td> <td>male</td> <td>11-Nov-1989</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="IT"/> </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="4316-877899-1"/> </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="c8691b16-bfd5-6d46-002b-f9330cf612fd"/> </identifier> <name> <text value="Franco Civaschi"/> <family value="Civaschi"/> <given value="Franco"/> </name> <telecom> <system value="phone"/> <value value="+39 34600733510"/> </telecom> <gender value="male"/> <birthDate value="1989-11-11"/> <address> <use value="home"/> <type value="physical"/> <line value="Stretto Eleanora, 7"/> <city value="Malles Venosta"/> <postalCode value="39024"/> <country value="Italy"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:9c69009d-4fad-4502-8d85-22205ab03419"/> <resource> <Encounter> <id value="9c69009d-4fad-4502-8d85-22205ab03419"/> <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>Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, Silandro, Italy</td> <td>14-09-2024 - 21-09-2024</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/df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <display value="Franco Civaschi"/> </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="2024-09-21"/> </period> <individual> <reference value="urn:uuid:94115bb2-c09a-478e-8f61-71e6e5516347"/> </individual> </participant> <period> <start value="2024-09-21"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:cdeb5974-65b8-4619-9c67-8c9dfdf3b7f5"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:0344a259-3cd7-47a6-81fb-3e24bce1b694"/> <resource> <PractitionerRole> <id value="0344a259-3cd7-47a6-81fb-3e24bce1b694"/> <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: 0344a259-3cd7-47a6-81fb-3e24bce1b694</div> </text> <practitioner> <reference value="urn:uuid:94115bb2-c09a-478e-8f61-71e6e5516347"/> </practitioner> <organization> <reference value="urn:uuid:cdeb5974-65b8-4619-9c67-8c9dfdf3b7f5"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:cdeb5974-65b8-4619-9c67-8c9dfdf3b7f5"/> <resource> <Organization> <id value="cdeb5974-65b8-4619-9c67-8c9dfdf3b7f5"/> <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: Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, 39028 Silandro, Italy</div> </text> <name value="Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro"/> <address> <city value="Silandro"/> <postalCode value="39028"/> <country value="Italy"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:94115bb2-c09a-478e-8f61-71e6e5516347"/> <resource> <Practitioner> <id value="94115bb2-c09a-478e-8f61-71e6e5516347"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Practitioner in Hospital: dr Dina Tognazzi</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="115753a0-6a7d-4685-8214-672b535717eb"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Tognazzi"/> <given value="Dina"/> <prefix value="dr"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:91bc9b99-3af6-41fd-9a95-fa315ccba433"/> <resource> <Condition> <id value="91bc9b99-3af6-41fd-9a95-fa315ccba433"/> <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">21-Sep-2024</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:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <display value="Franco Civaschi"/> </subject> <onsetDateTime value="2024-09-21"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:0bad3cdf-d459-4dc8-9fd8-e4e44d9b5855"/> <resource> <Procedure> <id value="0bad3cdf-d459-4dc8-9fd8-e4e44d9b5855"/> <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>Physical examination on admission</td> <td> <span class="nb">14-Sep-2024</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:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2024-09-14"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e6b0067a-02ce-4391-a5a3-a43ac6262487"/> <resource> <Procedure> <id value="e6b0067a-02ce-4391-a5a3-a43ac6262487"/> <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>Blood sample collection for laboratory testing</td> <td> <span class="nb">15-Sep-2024</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="396540005"/> <display value="Phlebotomy (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2024-09-15"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:90111851-d62f-437e-8f38-0a8adcf8e1dc"/> <resource> <Procedure> <id value="90111851-d62f-437e-8f38-0a8adcf8e1dc"/> <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>Electrocardiogram</td> <td> <span class="nb">15-Sep-2024</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="29303009"/> <display value="Electrocardiographic procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2024-09-15"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:fbfdb6aa-0273-439a-b832-61a9746f30d3"/> <resource> <Procedure> <id value="fbfdb6aa-0273-439a-b832-61a9746f30d3"/> <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 evaluation</td> <td> <span class="nb">16-Sep-2024</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="386807006"/> <display value="Memory impairment (finding)"/> </coding> </code> <subject> <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2024-09-16"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:14006f06-9477-40ad-89f2-1afa4f2e71a2"/> <resource> <Procedure> <id value="14006f06-9477-40ad-89f2-1afa4f2e71a2"/> <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>Supervised pharmacological detoxification</td> <td> <span class="nb">14-Sep-2024</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="413334001"/> <display value="Patient given written advice (situation)"/> </coding> </code> <subject> <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2024-09-14"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:447fe0e4-3019-4833-a851-58f7e2d3d3b5"/> <resource> <Procedure> <id value="447fe0e4-3019-4833-a851-58f7e2d3d3b5"/> <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>Withdrawal symptom management with medication</td> <td> <span class="nb">15-Sep-2024</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="18629005"/> <display value="Administration of drug or medicament (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2024-09-15"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:83bda6ab-7542-4ae8-b01d-df1125d64803"/> <resource> <Procedure> <id value="83bda6ab-7542-4ae8-b01d-df1125d64803"/> <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>Psychoeducation session</td> <td> <span class="nb">16-Sep-2024</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="409073007"/> <display value="Education (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2024-09-16"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:eac2d725-7b9e-4cea-a82d-1822dd95908e"/> <resource> <Procedure> <id value="eac2d725-7b9e-4cea-a82d-1822dd95908e"/> <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>Motivational interviewing session</td> <td> <span class="nb">17-Sep-2024</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="370988000"/> <display value="Hepatitis C antibody detected with elevated alanine transaminase (finding)"/> </coding> </code> <subject> <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2024-09-17"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:de11cce0-7646-4bc2-b75d-cb9f05c8db40"/> <resource> <Procedure> <id value="de11cce0-7646-4bc2-b75d-cb9f05c8db40"/> <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>Discharge planning and aftercare coordination</td> <td> <span class="nb">20-Sep-2024</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182836005"/> <display value="Review of medication (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2024-09-20"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:bb38609b-6934-4989-94e7-de3b4db697ab"/> <resource> <Device> <id value="bb38609b-6934-4989-94e7-de3b4db697ab"/> <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:2a0f5bf7-0919-48bf-9c18-016e50e76497"/> <resource> <Provenance> <id value="2a0f5bf7-0919-48bf-9c18-016e50e76497"/> <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:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/> </target> <target> <reference value="urn:uuid:0344a259-3cd7-47a6-81fb-3e24bce1b694"/> </target> <target> <reference value="urn:uuid:94115bb2-c09a-478e-8f61-71e6e5516347"/> </target> <target> <reference value="urn:uuid:cdeb5974-65b8-4619-9c67-8c9dfdf3b7f5"/> </target> <recorded value="2026-03-20T18:22:47Z"/> <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:bb38609b-6934-4989-94e7-de3b4db697ab"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>


               
                  
                  
               
               
                  
                  
                  
               
            
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:cdeb5974-65b8-4619-9c67-8c9dfdf3b7f5"/>
            </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 about the inpatient treatment of your 35-year-old male patient, admitted on 14/09/2024 and discharged on 21/09/2024 due to substance dependence disorder. Upon admission, a comprehensive psychiatric and somatic assessment was performed, confirming polysubstance dependence (ICD-10: F19.2), primarily involving opioids, benzodiazepines and cannabis. Urine drug screening was positive for multiple substances. We initiated a structured detoxification protocol with supervised pharmacological withdrawal management, including symptomatic treatment. Psychoeducational sessions and motivational interviewing were conducted throughout the stay. The patient was stabilised without significant medical complications. We strongly recommend referral to an outpatient addiction counselling service and continuation of psychosocial support. A follow-up appointment in your practice within two weeks is advised. Should you require further information, please do not hesitate to contact us.</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">21-Sep-2024</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:91bc9b99-3af6-41fd-9a95-fa315ccba433"/>
               </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>Discharge planning and aftercare coordination</td>
                           <td>
                              <span class="nb">20-Sep-2024</span>
                           </td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:0bad3cdf-d459-4dc8-9fd8-e4e44d9b5855"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e6b0067a-02ce-4391-a5a3-a43ac6262487"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:90111851-d62f-437e-8f38-0a8adcf8e1dc"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:fbfdb6aa-0273-439a-b832-61a9746f30d3"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:14006f06-9477-40ad-89f2-1afa4f2e71a2"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:447fe0e4-3019-4833-a851-58f7e2d3d3b5"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:83bda6ab-7542-4ae8-b01d-df1125d64803"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:eac2d725-7b9e-4cea-a82d-1822dd95908e"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:de11cce0-7646-4bc2-b75d-cb9f05c8db40"/>
               </entry>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
      <resource>
         <Patient>
            <id value="df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
            <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>Franco Civaschi</td>
                        <td>male</td>
                        <td>11-Nov-1989</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="IT"/>
                     </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="4316-877899-1"/>
            </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="c8691b16-bfd5-6d46-002b-f9330cf612fd"/>
            </identifier>
            <name>
               <text value="Franco Civaschi"/>
               <family value="Civaschi"/>
               <given value="Franco"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+39 34600733510"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1989-11-11"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Stretto Eleanora, 7"/>
               <city value="Malles Venosta"/>
               <postalCode value="39024"/>
               <country value="Italy"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:9c69009d-4fad-4502-8d85-22205ab03419"/>
      <resource>
         <Encounter>
            <id value="9c69009d-4fad-4502-8d85-22205ab03419"/>
            <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>Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, Silandro, Italy</td>
                        <td>14-09-2024 - 21-09-2024</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/df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
               <display value="Franco Civaschi"/>
            </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="2024-09-21"/>
               </period>
               <individual>
                  <reference value="urn:uuid:94115bb2-c09a-478e-8f61-71e6e5516347"/>
               </individual>
            </participant>
            <period>
               <start value="2024-09-21"/>
            </period>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="6525002"/>
                  <display value="Substance dependence (disorder)"/>
               </coding>
            </reasonCode>
            <serviceProvider>
               <reference value="urn:uuid:cdeb5974-65b8-4619-9c67-8c9dfdf3b7f5"/>
            </serviceProvider>
         </Encounter>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0344a259-3cd7-47a6-81fb-3e24bce1b694"/>
      <resource>
         <PractitionerRole>
            <id value="0344a259-3cd7-47a6-81fb-3e24bce1b694"/>
            <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: 0344a259-3cd7-47a6-81fb-3e24bce1b694</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:94115bb2-c09a-478e-8f61-71e6e5516347"/>
            </practitioner>
            <organization>
               <reference value="urn:uuid:cdeb5974-65b8-4619-9c67-8c9dfdf3b7f5"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:cdeb5974-65b8-4619-9c67-8c9dfdf3b7f5"/>
      <resource>
         <Organization>
            <id value="cdeb5974-65b8-4619-9c67-8c9dfdf3b7f5"/>
            <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: Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, 39028 Silandro, Italy</div>
            </text>
            <name value="Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro"/>
            <address>
               <city value="Silandro"/>
               <postalCode value="39028"/>
               <country value="Italy"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:94115bb2-c09a-478e-8f61-71e6e5516347"/>
      <resource>
         <Practitioner>
            <id value="94115bb2-c09a-478e-8f61-71e6e5516347"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Practitioner in Hospital: dr Dina Tognazzi</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="115753a0-6a7d-4685-8214-672b535717eb"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Tognazzi"/>
               <given value="Dina"/>
               <prefix value="dr"/>
            </name>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:91bc9b99-3af6-41fd-9a95-fa315ccba433"/>
      <resource>
         <Condition>
            <id value="91bc9b99-3af6-41fd-9a95-fa315ccba433"/>
            <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">21-Sep-2024</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:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
               <display value="Franco Civaschi"/>
            </subject>
            <onsetDateTime value="2024-09-21"/>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0bad3cdf-d459-4dc8-9fd8-e4e44d9b5855"/>
      <resource>
         <Procedure>
            <id value="0bad3cdf-d459-4dc8-9fd8-e4e44d9b5855"/>
            <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>Physical examination on admission</td>
                        <td>
                           <span class="nb">14-Sep-2024</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:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2024-09-14"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e6b0067a-02ce-4391-a5a3-a43ac6262487"/>
      <resource>
         <Procedure>
            <id value="e6b0067a-02ce-4391-a5a3-a43ac6262487"/>
            <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>Blood sample collection for laboratory testing</td>
                        <td>
                           <span class="nb">15-Sep-2024</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="396540005"/>
                  <display value="Phlebotomy (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2024-09-15"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:90111851-d62f-437e-8f38-0a8adcf8e1dc"/>
      <resource>
         <Procedure>
            <id value="90111851-d62f-437e-8f38-0a8adcf8e1dc"/>
            <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>Electrocardiogram</td>
                        <td>
                           <span class="nb">15-Sep-2024</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="29303009"/>
                  <display value="Electrocardiographic procedure (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2024-09-15"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:fbfdb6aa-0273-439a-b832-61a9746f30d3"/>
      <resource>
         <Procedure>
            <id value="fbfdb6aa-0273-439a-b832-61a9746f30d3"/>
            <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 evaluation</td>
                        <td>
                           <span class="nb">16-Sep-2024</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="386807006"/>
                  <display value="Memory impairment (finding)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2024-09-16"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:14006f06-9477-40ad-89f2-1afa4f2e71a2"/>
      <resource>
         <Procedure>
            <id value="14006f06-9477-40ad-89f2-1afa4f2e71a2"/>
            <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>Supervised pharmacological detoxification</td>
                        <td>
                           <span class="nb">14-Sep-2024</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="413334001"/>
                  <display value="Patient given written advice (situation)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2024-09-14"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:447fe0e4-3019-4833-a851-58f7e2d3d3b5"/>
      <resource>
         <Procedure>
            <id value="447fe0e4-3019-4833-a851-58f7e2d3d3b5"/>
            <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>Withdrawal symptom management with medication</td>
                        <td>
                           <span class="nb">15-Sep-2024</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="18629005"/>
                  <display value="Administration of drug or medicament (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2024-09-15"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:83bda6ab-7542-4ae8-b01d-df1125d64803"/>
      <resource>
         <Procedure>
            <id value="83bda6ab-7542-4ae8-b01d-df1125d64803"/>
            <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>Psychoeducation session</td>
                        <td>
                           <span class="nb">16-Sep-2024</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="409073007"/>
                  <display value="Education (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2024-09-16"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:eac2d725-7b9e-4cea-a82d-1822dd95908e"/>
      <resource>
         <Procedure>
            <id value="eac2d725-7b9e-4cea-a82d-1822dd95908e"/>
            <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>Motivational interviewing session</td>
                        <td>
                           <span class="nb">17-Sep-2024</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="370988000"/>
                  <display value="Hepatitis C antibody detected with elevated alanine transaminase (finding)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2024-09-17"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:de11cce0-7646-4bc2-b75d-cb9f05c8db40"/>
      <resource>
         <Procedure>
            <id value="de11cce0-7646-4bc2-b75d-cb9f05c8db40"/>
            <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>Discharge planning and aftercare coordination</td>
                        <td>
                           <span class="nb">20-Sep-2024</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="182836005"/>
                  <display value="Review of medication (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2024-09-20"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:bb38609b-6934-4989-94e7-de3b4db697ab"/>
      <resource>
         <Device>
            <id value="bb38609b-6934-4989-94e7-de3b4db697ab"/>
            <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:2a0f5bf7-0919-48bf-9c18-016e50e76497"/>
      <resource>
         <Provenance>
            <id value="2a0f5bf7-0919-48bf-9c18-016e50e76497"/>
            <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:df288fc4-dd71-4203-9b7f-3c2d7dc27c9e"/>
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