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            <type>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="34105-7"/>
                  <display value="Hospital Discharge summary"/>
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               <text value="Hospital Discharge Report"/>
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            <subject>
               <reference value="urn:uuid:c81bf49e-8db5-4203-93eb-f22638538010"/>
               <display value="Yascha Schulze"/>
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            <date value="2025-06-08T13:00:00Z"/>
            <author>
               <reference value="urn:uuid:2cbfdcf4-7d1e-4661-904f-841e65b58cac"/>
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            <title value="Hospital Discharge Report"/>
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                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">The patient, a 29-year-old male, was admitted following a physical altercation in Berlin-Neukölln, during which he sustained blunt trauma to the left side of the face. On presentation, clinical findings included a prominent facial contusion and swelling over the left zygomatic region. Palpation suggested underlying bone discontinuity. CT imaging confirmed a displaced left zygomatic arch fracture.</div>
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            </section>
            <section>
               <title value="History of Tobacco use"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="11367-0"/>
                     <display value="History of Tobacco use"/>
                  </coding>
               </code>
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                  <status value="generated"/>
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               </text>
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                  <reference value="urn:uuid:8b38a0dd-33a4-4680-a0e2-8d4d9b1f71f5"/>
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               <title value="Summarization of Encounter"/>
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                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="67781-5"/>
                     <display value="Summarization of encounter note"/>
                  </coding>
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                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">Displaced left zygomatic fracture, open reduction and internal fixation (ORIF), postoperative uneventful.</div>
               </text>
            </section>
            <section>
               <title value="Hospital Course"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8648-8"/>
                     <display value="Hospital Course"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">The patient was admitted to the Oral and Maxillofacial Surgery service for operative management. Pre-operative assessments were completed, and no contraindications to anesthesia or surgery were identified.<p/>A surgical intervention under general anesthesia was performed for open reduction and internal fixation (ORIF) of the zygomatic fracture. Stabilization was achieved using titanium mini-plates and screws. The surgical wound was closed in layers with absorbable sutures.<p/>The postoperative period was uneventful. Pain was adequately managed, and there were no signs of infection, wound dehiscence, or sensory disturbances. The patient received standard post-op wound care and showed good initial healing progress.</div>
               </text>
            </section>
            <section>
               <title value="Significant procedures"/>
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                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="10185-7"/>
                     <display value="Hospital discharge procedures Narrative"/>
                  </coding>
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                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__ips">
                        <tr>
                           <td>Open reduction of fracture with internal fixation of left zygomatic bone</td>
                           <td>male</td>
                           <td class="nb">06-JUN-2025</td>
                        </tr>
                        <tr>
                           <td>Computed tomography of maxillofacial area</td>
                           <td>male</td>
                           <td class="nb">06-JUN-2025</td>
                        </tr>
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                  <reference value="urn:uuid:b6393b6a-0b9d-476a-8647-5373b1101e03"/>
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               <entry>
                  <reference value="urn:uuid:e4494cc2-8d11-42d8-9535-b49f547d3aba"/>
               </entry>
            </section>
            <section>
               <title value="Significant Observation Results"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="30954-2"/>
                     <display value="Relevant diagnostic tests/laboratory data Narrative"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
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                           <td>Computed tomography of maxillofacial area (procedure)</td>
                           <td>Fracture with displacement (morphologic abnormality)</td>
                        </tr>
                     </table>
                  </div>
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               <entry>
                  <reference value="urn:uuid:702ef233-c0d9-4a8a-9573-ad25ff40b919"/>
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            </section>
            <section>
               <title value="Medication"/>
               <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>Product containing only amoxicillin and clavulanic acid (medicinal product)</td>
                           <td>
                              <span class="nb">2025-06-06</span>
                           </td>
                           <td>-</td>
                           <td>-</td>
                           <td>-</td>
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                     </table>
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                  <reference value="urn:uuid:3f4c2ac9-6352-4469-8e09-64ef45f4d9ad"/>
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                  <reference value="urn:uuid:ca571489-c770-4069-910b-7f88081fcfef"/>
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            </section>
            <section>
               <title value="Follow-up"/>
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                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="18776-5"/>
                     <display value="Plan of care note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td>Removal of implant (procedure)</td>
                           <td>
                              <span class="nb">15-Jun-2025</span>
                           </td>
                           <td>-</td>
                        </tr>
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                  <reference value="urn:uuid:f9d3209e-ed86-4f5d-a123-0e965126c9e8"/>
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                  <reference value="urn:uuid:a94d4c0f-a557-421a-968e-aa8d7954d961"/>
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            </section>
            <section>
               <title value="Diagnosis at Discharge"/>
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                  <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>zygomatic fracture, left side, initial encounter for closed fracture</td>
                           <td>?</td>
                           <td>active</td>
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               <entry>
                  <reference value="urn:uuid:6cb2cd7a-572c-4c6c-961a-67e4e13c044d"/>
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               <entry>
                  <reference value="urn:uuid:221e63a6-e8e5-4722-b4ef-cd6c810ecab2"/>
               </entry>
            </section>
            <section>
               <title value="Discharge medications note"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="75311-1"/>
                     <display value="Discharge medications note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td>Product containing only ibuprofen (medicinal product) - Pain (finding)</td>
                           <td>
                              <span class="nb">2025-06-08</span>
                           </td>
                           <td>-</td>
                           <td>-</td>
                           <td>-</td>
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               </text>
               <entry>
                  <reference value="urn:uuid:d07a6923-1901-45fe-8e54-e26e06ca8e06"/>
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         </Composition>
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   <entry>
      <fullUrl value="urn:uuid:c81bf49e-8db5-4203-93eb-f22638538010"/>
      <resource>
         <Patient>
            <id value="c81bf49e-8db5-4203-93eb-f22638538010"/>
            <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"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Yascha Schulze</td>
                        <td>male</td>
                        <td>24-Sep-1996</td>
                     </tr>
                  </table>
               </div>
            </text>
            <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="5595-585184-9"/>
            </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="K5463847500"/>
            </identifier>
            <name>
               <text value="Yascha Schulze"/>
               <family value="Schulze"/>
               <given value="Yascha"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+49 152 865746356"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1996-09-24"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <city value="Berlin"/>
               <postalCode value="12053"/>
               <country value="Germany"/>
            </address>
         </Patient>
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   <entry>
      <fullUrl value="urn:uuid:af7a8e8e-f2f6-4001-a397-7c6f871767dd"/>
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         <Encounter>
            <id value="af7a8e8e-f2f6-4001-a397-7c6f871767dd"/>
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               <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>Vivantes Klinikum am Urban, Berlin, Germany</td>
                        <td>06-06-2025 - 08-06-2025</td>
                        <td>
                           <ul>
                              <li>Injury of face (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/c81bf49e-8db5-4203-93eb-f22638538010"/>
               <display value="Yascha Schulze"/>
            </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="2025-06-08T11:00:00Z"/>
               </period>
               <individual>
                  <reference value="urn:uuid:ac2cff43-d591-478b-8518-962f408213de"/>
               </individual>
            </participant>
            <period>
               <start value="2025-06-08T11:00:00Z"/>
            </period>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="125593007"/>
                  <display value="Injury of face (disorder)"/>
               </coding>
            </reasonCode>
            <serviceProvider>
               <reference value="urn:uuid:efb88ea5-e2b3-472f-b09e-0fc6a9b91547"/>
            </serviceProvider>
         </Encounter>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:2cbfdcf4-7d1e-4661-904f-841e65b58cac"/>
      <resource>
         <PractitionerRole>
            <id value="2cbfdcf4-7d1e-4661-904f-841e65b58cac"/>
            <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: 2cbfdcf4-7d1e-4661-904f-841e65b58cac</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:ac2cff43-d591-478b-8518-962f408213de"/>
            </practitioner>
            <organization>
               <reference value="urn:uuid:efb88ea5-e2b3-472f-b09e-0fc6a9b91547"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:efb88ea5-e2b3-472f-b09e-0fc6a9b91547"/>
      <resource>
         <Organization>
            <id value="efb88ea5-e2b3-472f-b09e-0fc6a9b91547"/>
            <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: Vivantes Klinikum am Urban, 10967 Berlin, Germany</div>
            </text>
            <name value="Vivantes Klinikum am Urban"/>
            <address>
               <line value="Dieffenbachstraße 1"/>
               <city value="Berlin"/>
               <postalCode value="10967"/>
               <country value="Germany"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:ac2cff43-d591-478b-8518-962f408213de"/>
      <resource>
         <Practitioner>
            <id value="ac2cff43-d591-478b-8518-962f408213de"/>
            <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 dr Jochen Bein</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="7804cbc1-1e26-442f-92d2-21fb63fbc503"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Bein"/>
               <given value="Jochen"/>
               <prefix value="dr dr"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+49 30 234276-13"/>
            </telecom>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:8b38a0dd-33a4-4680-a0e2-8d4d9b1f71f5"/>
      <resource>
         <Observation>
            <id value="8b38a0dd-33a4-4680-a0e2-8d4d9b1f71f5"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <th>Social History</th>
                        <th>Date</th>
                        <th>Status</th>
                        <th>Note</th>
                     </tr>
                     <tr>
                        <td>History of Tobacco use</td>
                        <td>-</td>
                        <td>
                           <span class="nb">Current smoker</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="social-history"/>
                  <display value="Social History"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://loinc.org"/>
                  <code value="11367-0"/>
                  <display value="History of Tobacco use"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:c81bf49e-8db5-4203-93eb-f22638538010"/>
               <display value="Yascha Schulze"/>
            </subject>
            <valueCodeableConcept>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="77176002"/>
                  <display value="Current smoker"/>
               </coding>
            </valueCodeableConcept>
         </Observation>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:b6393b6a-0b9d-476a-8647-5373b1101e03"/>
      <resource>
         <Procedure>
            <id value="b6393b6a-0b9d-476a-8647-5373b1101e03"/>
            <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/>
                        <td>
                           <span class="nb">06-Jun-2025</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="1362046005"/>
                  <display value="Computed tomography of maxillofacial area (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:c81bf49e-8db5-4203-93eb-f22638538010"/>
               <display value="Yascha Schulze"/>
            </subject>
            <performedDateTime value="2025-06-06"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e4494cc2-8d11-42d8-9535-b49f547d3aba"/>
      <resource>
         <Procedure>
            <id value="e4494cc2-8d11-42d8-9535-b49f547d3aba"/>
            <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>
                           <br/>Structure of left zygomatic bone (body structure)</td>
                        <td>
                           <span class="nb">06-Jun-2025</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="20701002"/>
                  <display value="Open reduction of fracture with internal fixation (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:c81bf49e-8db5-4203-93eb-f22638538010"/>
               <display value="Yascha Schulze"/>
            </subject>
            <performedDateTime value="2025-06-06"/>
            <bodySite>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="787058006"/>
                  <display value="Structure of left zygomatic bone (body structure)"/>
               </coding>
            </bodySite>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:702ef233-c0d9-4a8a-9573-ad25ff40b919"/>
      <resource>
         <Observation>
            <id value="702ef233-c0d9-4a8a-9573-ad25ff40b919"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicalTestResult-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__eu__lab__report">
                     <tr>
                        <th>Test</th>
                        <th>22-Mar-2026</th>
                        <th>Reference Range</th>
                        <th>Unit</th>
                     </tr>
                     <tr>
                        <td>Computed tomography of maxillofacial area (procedure)</td>
                        <td>Fracture with displacement (morphologic abnormality)</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="final"/>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                  <code value="imaging"/>
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