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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you regarding your patient, a 54-year-old female who was admitted on 02.04.2002 following her voluntary request for surgical sterilization. Prior to the procedure, a thorough preoperative assessment was conducted, including a review of her medical history, physical examination, routine blood work, and anaesthetic evaluation. The patient confirmed her informed consent for permanent contraception. She underwent laparoscopic bilateral tubal ligation under general anaesthesia on 03.04.2002, which was performed without complications. Postoperative recovery was uneventful, and the patient remained haemodynamically stable throughout her stay. She was discharged home on 04.04.2002 in good general condition with standard postoperative instructions. No further gynaecological follow-up is anticipated unless symptoms arise. Please do not hesitate to contact us should you require any further information.</div>"
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            "title": "Diagnosis at Discharge"
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            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>General anaesthesia</td><td><span class=\"nb\">03-Apr-2002</span></td><td>-</td></tr></table></div>"
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            "title": "Significant procedures"
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            "city": "Carrodano",
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            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ospedale San Nicolò, Levanto, Italy</td><td>03-04-2002 - 04-04-2002</td><td><ul><li>Sterilization requested (situation)</li></ul></td></tr></table></div>"
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        "address": [
          {
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            "postalCode": "19015",
            "country": "Italy"
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        "name": "Ospedale San Nicolò"
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              "code": "Z30.2",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Sterilization admitted"
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          ],
          "text": "Sterilization admitted"
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              "system": "http://snomed.info/sct",
              "display": "Blood test (procedure)"
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        "subject": {
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          "display": "Margherita Togliatti"
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    {
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        "code": {
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              "display": "Repair of inguinal hernia (procedure)"
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          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Laparoscopic bilateral tubal ligation</td><td><span class=\"nb\">03-Apr-2002</span></td><td>-</td></tr></table></div>"
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        "performedDateTime": "2002-04-03",
        "subject": {
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          "display": "Margherita Togliatti"
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    {
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      "resource": {
        "resourceType": "Device",
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            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
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        ],
        "version": [
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
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    },
    {
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      "resource": {
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              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
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        ],
        "agent": [
          {
            "type": {
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                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
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              ],
              "text": "author"
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            "who": {
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        "reason": [
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              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2026-03-20T18:22:02Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2002-04-04T00:00:00Z"
}