intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:309af610-3139-45ea-94a4-1313aa037680"/> </custodian> <section> <title value="Synthesis"/> <code> <coding> <system value="http://loinc.org"/> <code value="67781-5"/> <display value="Summarization of encounter note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Substance dependence, treated and stabilised</div> </text> </section> <section> <title value="Hospital course note"/> <code> <coding> <system value="http://loinc.org"/> <code value="8648-8"/> <display value="Hospital course note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Dear colleague, I am writing to inform you regarding the discharge of your 24-year-old female patient, admitted on 10.05.2025 due to substance dependence disorder. Upon admission, a comprehensive psychiatric and somatic assessment was conducted, confirming dependence on multiple substances including opioids and benzodiazepines. Urine toxicology screening was positive for multiple substances. The patient underwent a structured detoxification protocol with medically supervised withdrawal management, including symptomatic pharmacotherapy to address withdrawal symptoms. Psychological counseling sessions were initiated during the inpatient stay. The patient was stabilized successfully without major complications. At discharge, she was motivated for continued outpatient addiction treatment. We strongly recommend referral to an outpatient addiction counseling service and close follow-up including regular urine drug screening. Should any concerns arise, please do not hesitate to contact our department.</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">20-May-2025</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:294dfdba-d7af-4081-895a-ba19eca8718c"/> </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>Addiction rehabilitation planning</td> <td> <span class="nb">19-May-2025</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:18d82d67-5d03-4797-8fcb-73101b359f42"/> </entry> <entry> <reference value="urn:uuid:8e6f5a53-9f38-4103-ba6d-63ce9e94863b"/> </entry> <entry> <reference value="urn:uuid:e806f1de-2b06-4df1-89b0-ab9a4122be5c"/> </entry> <entry> <reference value="urn:uuid:454e39b2-bbf9-4ebd-9889-4debcea5678f"/> </entry> <entry> <reference value="urn:uuid:9373af02-e7bc-4b20-9189-af514ef0ad5d"/> </entry> <entry> <reference value="urn:uuid:b16e4861-6b17-4787-b41a-28e6be1f8a22"/> </entry> <entry> <reference value="urn:uuid:e04e40d9-6070-4336-9408-87f8b5ee499b"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:9958f7e0-3926-47ad-acc2-7b0dcadcf792"/> <resource> <Patient> <id value="9958f7e0-3926-47ad-acc2-7b0dcadcf792"/> <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>Fabienne Davids</td> <td>female</td> <td>04-Nov-2000</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="DE"/> </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="3833-073163-9"/> </identifier> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="http://local.setting.eu/identifier"/> <value value="f0218843-f631-9757-4c4c-c933163b94db"/> </identifier> <name> <text value="Fabienne Davids"/> <family value="Davids"/> <given value="Fabienne"/> </name> <telecom> <system value="phone"/> <value value="(07676) 187696"/> </telecom> <gender value="female"/> <birthDate value="2000-11-04"/> <address> <use value="home"/> <type value="physical"/> <line value="Flantzplatz 73"/> <city value="Illertissen"/> <postalCode value="89257"/> <country value="Germany"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:91c7ca80-e862-474e-ae8e-d8d3bc9c28ae"/> <resource> <Encounter> <id value="91c7ca80-e862-474e-ae8e-d8d3bc9c28ae"/> <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>Illertalklinik, Illertissen, Germany</td> <td>10-05-2025 - 20-05-2025</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/9958f7e0-3926-47ad-acc2-7b0dcadcf792"/> <display value="Fabienne Davids"/> </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="2025-05-20"/> </period> <individual> <reference value="urn:uuid:0a13d2a9-7ce6-41ff-851f-68beaec16b0e"/> </individual> </participant> <period> <start value="2025-05-20"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:309af610-3139-45ea-94a4-1313aa037680"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:c55c1591-b9f4-4749-9b27-3b3003ddb603"/> <resource> <PractitionerRole> <id value="c55c1591-b9f4-4749-9b27-3b3003ddb603"/> <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: c55c1591-b9f4-4749-9b27-3b3003ddb603</div> </text> <practitioner> <reference value="urn:uuid:0a13d2a9-7ce6-41ff-851f-68beaec16b0e"/> </practitioner> <organization> <reference value="urn:uuid:309af610-3139-45ea-94a4-1313aa037680"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:309af610-3139-45ea-94a4-1313aa037680"/> <resource> <Organization> <id value="309af610-3139-45ea-94a4-1313aa037680"/> <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: Illertalklinik, 89257 Illertissen, Germany</div> </text> <name value="Illertalklinik"/> <address> <city value="Illertissen"/> <postalCode value="89257"/> <country value="Germany"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:0a13d2a9-7ce6-41ff-851f-68beaec16b0e"/> <resource> <Practitioner> <id value="0a13d2a9-7ce6-41ff-851f-68beaec16b0e"/> <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. Cordula Wulf</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="e6735370-67b9-489d-9e7d-3c0e38cbe382"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Wulf"/> <given value="Cordula"/> <prefix value="Dr."/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:294dfdba-d7af-4081-895a-ba19eca8718c"/> <resource> <Condition> <id value="294dfdba-d7af-4081-895a-ba19eca8718c"/> <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">20-May-2025</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:9958f7e0-3926-47ad-acc2-7b0dcadcf792"/> <display value="Fabienne Davids"/> </subject> <onsetDateTime value="2025-05-20"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:18d82d67-5d03-4797-8fcb-73101b359f42"/> <resource> <Procedure> <id value="18d82d67-5d03-4797-8fcb-73101b359f42"/> <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>Urine toxicology screening</td> <td> <span class="nb">10-May-2025</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="401324008"/> <display value="Urinary microscopy, culture and sensitivities (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:9958f7e0-3926-47ad-acc2-7b0dcadcf792"/> <display value="Fabienne Davids"/> </subject> <performedDateTime value="2025-05-10"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:8e6f5a53-9f38-4103-ba6d-63ce9e94863b"/> <resource> <Procedure> <id value="8e6f5a53-9f38-4103-ba6d-63ce9e94863b"/> <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</td> <td> <span class="nb">11-May-2025</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:9958f7e0-3926-47ad-acc2-7b0dcadcf792"/> <display value="Fabienne Davids"/> </subject> <performedDateTime value="2025-05-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e806f1de-2b06-4df1-89b0-ab9a4122be5c"/> <resource> <Procedure> <id value="e806f1de-2b06-4df1-89b0-ab9a4122be5c"/> <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 analysis</td> <td> <span class="nb">11-May-2025</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:9958f7e0-3926-47ad-acc2-7b0dcadcf792"/> <display value="Fabienne Davids"/> </subject> <performedDateTime value="2025-05-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:454e39b2-bbf9-4ebd-9889-4debcea5678f"/> <resource> <Procedure> <id value="454e39b2-bbf9-4ebd-9889-4debcea5678f"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Pharmacological detoxification therapy</td> <td> <span class="nb">13-May-2025</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182832007"/> <display value="Procedure related to management of drug administration (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:9958f7e0-3926-47ad-acc2-7b0dcadcf792"/> <display value="Fabienne Davids"/> </subject> <performedDateTime value="2025-05-13"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:9373af02-e7bc-4b20-9189-af514ef0ad5d"/> <resource> <Procedure> <id value="9373af02-e7bc-4b20-9189-af514ef0ad5d"/> <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>Individual psychological counseling</td> <td> <span class="nb">14-May-2025</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="228557008"/> <display value="Cognitive and behavioral therapy (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:9958f7e0-3926-47ad-acc2-7b0dcadcf792"/> <display value="Fabienne Davids"/> </subject> <performedDateTime value="2025-05-14"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b16e4861-6b17-4787-b41a-28e6be1f8a22"/> <resource> <Procedure> <id value="b16e4861-6b17-4787-b41a-28e6be1f8a22"/> <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">16-May-2025</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="702826007"/> <display value="Bipolar clinic (environment)"/> </coding> </code> <subject> <reference value="urn:uuid:9958f7e0-3926-47ad-acc2-7b0dcadcf792"/> <display value="Fabienne Davids"/> </subject> <performedDateTime value="2025-05-16"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e04e40d9-6070-4336-9408-87f8b5ee499b"/> <resource> <Procedure> <id value="e04e40d9-6070-4336-9408-87f8b5ee499b"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Addiction rehabilitation planning</td> <td> <span class="nb">19-May-2025</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:9958f7e0-3926-47ad-acc2-7b0dcadcf792"/> <display value="Fabienne Davids"/> </subject> <performedDateTime value="2025-05-19"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:3f6b0255-9dee-4820-bc39-2864ec12c721"/> <resource> <Device> <id value="3f6b0255-9dee-4820-bc39-2864ec12c721"/> <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 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