{
  "resourceType": "Bundle",
  "id": "63099706-cdc7-4c36-8363-3040519bcd22",
  "meta": {
    "profile": [
      "http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr"
    ]
  },
  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
    },
    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "93d6103e-cb9b-4ba5-b2e6-b61c248aee39"
  },
  "entry": [
    {
      "fullUrl": "urn:uuid:c4a12484-cb25-42d7-b7ec-0bc99a29f6de",
      "resource": {
        "resourceType": "Composition",
        "id": "c4a12484-cb25-42d7-b7ec-0bc99a29f6de",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"
          ]
        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "5a21780b-f45c-4c2c-b538-3b1b97045efd"
        },
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "34105-7",
              "display": "Hospital Discharge summary"
            }
          ],
          "text": "Hospital Discharge Report"
        },
        "author": [
          {
            "reference": "urn:uuid:b793bf85-90e6-49ae-b33e-17154afbd2dd"
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "section": [
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Voluntary surgical sterilization, procedure completed</div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "67781-5",
                  "display": "Summarization of encounter note"
                }
              ]
            },
            "title": "Synthesis"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you regarding your patient, an 81-year-old female who was admitted on 12th April 1976 at her own request for elective surgical sterilization. Pre-operative assessment including routine blood work, cardiovascular evaluation, and anaesthetic review was performed and found satisfactory given her age. The patient was counselled extensively regarding the permanent nature of the procedure, and informed consent was duly obtained. She subsequently underwent bilateral tubal ligation under general anaesthesia without intraoperative or postoperative complications. Recovery was uneventful, and she was mobilised and tolerating diet well prior to discharge on 13th April 1976. Wound inspection revealed satisfactory healing. She has been advised regarding postoperative care and warning signs. No further gynaecological follow-up is anticipated unless concerns arise. Please do not hesitate to contact us should you require further information.</div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8648-8",
                  "display": "Hospital course note"
                }
              ]
            },
            "title": "Hospital course note"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Sterilization admitted</td><td><span class=\"nb\">13-Apr-1976</span></td><td>active</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:441f4e31-8856-4a30-857c-ceffd95c595b"
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11535-2",
                  "display": "Hospital discharge diagnosis note"
                }
              ]
            },
            "title": "Diagnosis at Discharge"
          },
          {
            "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\">13-Apr-1976</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:fd84bc60-cb87-43f4-baf8-5ca7aec84ce6"
              },
              {
                "reference": "urn:uuid:b25c27fc-cee0-4151-80da-0fa5a1b51966"
              },
              {
                "reference": "urn:uuid:3837a015-df6c-491a-bdec-8336d85f47a0"
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10185-7",
                  "display": "Hospital discharge procedure note"
                }
              ]
            },
            "title": "Significant procedures"
          }
        ],
        "title": "Hospital Discharge Report",
        "status": "final",
        "subject": {
          "reference": "urn:uuid:8bc455bb-d912-4232-850e-1ec21807db01",
          "display": "Inga Zastawny"
        },
        "custodian": {
          "reference": "urn:uuid:8576c7db-082f-4fe0-9193-07356580287b"
        },
        "date": "1976-04-13T00:00:00Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:8bc455bb-d912-4232-850e-1ec21807db01",
      "resource": {
        "resourceType": "Patient",
        "id": "8bc455bb-d912-4232-850e-1ec21807db01",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "2891-282463-9"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "99134896-e4d7-1ed1-1925-8bbdd837f0c2"
          }
        ],
        "name": [
          {
            "given": [
              "Inga"
            ],
            "family": "Zastawny",
            "text": "Inga Zastawny"
          }
        ],
        "address": [
          {
            "line": [
              "plac Solidarnosci 52"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "41-300",
            "city": "Dąbrowa Górnicza",
            "country": "Poland"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "575 022 123"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "PL",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Inga Zastawny</td><td>female</td><td>07-Dec-1943</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1943-12-07"
      }
    },
    {
      "fullUrl": "urn:uuid:8bab338d-1d75-4210-b19f-2408acea829b",
      "resource": {
        "resourceType": "Encounter",
        "id": "8bab338d-1d75-4210-b19f-2408acea829b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"
          ]
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "code": "PPRF",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "display": "primary performer"
                  }
                ]
              }
            ],
            "period": {
              "end": "1976-04-13"
            },
            "individual": {
              "reference": "urn:uuid:2e288af8-4b63-4cf6-b593-f469d7158502"
            }
          }
        ],
        "period": {
          "start": "1976-04-13"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "code": "183996000",
                "system": "http://snomed.info/sct",
                "display": "Sterilization requested (situation)"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Przychodnia Rejonowa, Dąbrowa Górnicza, Poland</td><td>12-04-1976 - 13-04-1976</td><td><ul><li>Sterilization requested (situation)</li></ul></td></tr></table></div>"
        },
        "status": "completed",
        "class": {
          "code": "IMP",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
        },
        "serviceProvider": {
          "reference": "urn:uuid:8576c7db-082f-4fe0-9193-07356580287b"
        },
        "subject": {
          "reference": "Patient/8bc455bb-d912-4232-850e-1ec21807db01",
          "display": "Inga Zastawny"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b793bf85-90e6-49ae-b33e-17154afbd2dd",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "b793bf85-90e6-49ae-b33e-17154afbd2dd",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: b793bf85-90e6-49ae-b33e-17154afbd2dd</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:2e288af8-4b63-4cf6-b593-f469d7158502"
        },
        "organization": {
          "reference": "urn:uuid:8576c7db-082f-4fe0-9193-07356580287b"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:8576c7db-082f-4fe0-9193-07356580287b",
      "resource": {
        "resourceType": "Organization",
        "id": "8576c7db-082f-4fe0-9193-07356580287b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"
          ]
        },
        "address": [
          {
            "city": "Dąbrowa Górnicza",
            "postalCode": "41-300",
            "country": "Poland"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Przychodnia Rejonowa, 41-300 Dąbrowa Górnicza, Poland</div>"
        },
        "name": "Przychodnia Rejonowa"
      }
    },
    {
      "fullUrl": "urn:uuid:2e288af8-4b63-4cf6-b593-f469d7158502",
      "resource": {
        "resourceType": "Practitioner",
        "id": "2e288af8-4b63-4cf6-b593-f469d7158502",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "5597d683-be6f-45b8-8768-42a282254980"
          }
        ],
        "name": [
          {
            "given": [
              "Gustaw"
            ],
            "family": "Jędraszek"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: Gustaw Jędraszek</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:441f4e31-8856-4a30-857c-ceffd95c595b",
      "resource": {
        "resourceType": "Condition",
        "id": "441f4e31-8856-4a30-857c-ceffd95c595b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "encounter-diagnosis",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "Z30.2",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Sterilization admitted"
            }
          ],
          "text": "Sterilization admitted"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Sterilization admitted</td><td><span class=\"nb\">13-Apr-1976</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "1976-04-13",
        "subject": {
          "reference": "urn:uuid:8bc455bb-d912-4232-850e-1ec21807db01",
          "display": "Inga Zastawny"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:fd84bc60-cb87-43f4-baf8-5ca7aec84ce6",
      "resource": {
        "resourceType": "Procedure",
        "id": "fd84bc60-cb87-43f4-baf8-5ca7aec84ce6",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "396550006",
              "system": "http://snomed.info/sct",
              "display": "Blood test (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Routine preoperative blood tests</td><td><span class=\"nb\">12-Apr-1976</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1976-04-12",
        "subject": {
          "reference": "urn:uuid:8bc455bb-d912-4232-850e-1ec21807db01",
          "display": "Inga Zastawny"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b25c27fc-cee0-4151-80da-0fa5a1b51966",
      "resource": {
        "resourceType": "Procedure",
        "id": "b25c27fc-cee0-4151-80da-0fa5a1b51966",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "287664005",
              "system": "http://snomed.info/sct",
              "display": "Ligation of bilateral fallopian tubes (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Bilateral tubal ligation</td><td><span class=\"nb\">13-Apr-1976</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1976-04-13",
        "subject": {
          "reference": "urn:uuid:8bc455bb-d912-4232-850e-1ec21807db01",
          "display": "Inga Zastawny"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3837a015-df6c-491a-bdec-8336d85f47a0",
      "resource": {
        "resourceType": "Procedure",
        "id": "3837a015-df6c-491a-bdec-8336d85f47a0",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "50697003",
              "system": "http://snomed.info/sct",
              "display": "Administration of general anesthetic (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>General anaesthesia</td><td><span class=\"nb\">13-Apr-1976</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1976-04-13",
        "subject": {
          "reference": "urn:uuid:8bc455bb-d912-4232-850e-1ec21807db01",
          "display": "Inga Zastawny"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e70ab80d-3e44-4681-94f9-cbffe201038a",
      "resource": {
        "resourceType": "Device",
        "id": "e70ab80d-3e44-4681-94f9-cbffe201038a",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "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"
      }
    },
    {
      "fullUrl": "urn:uuid:198e00fe-7914-4046-a72a-9c08ba443b40",
      "resource": {
        "resourceType": "Provenance",
        "id": "198e00fe-7914-4046-a72a-9c08ba443b40",
        "target": [
          {
            "reference": "urn:uuid:8bc455bb-d912-4232-850e-1ec21807db01"
          },
          {
            "reference": "urn:uuid:b793bf85-90e6-49ae-b33e-17154afbd2dd"
          },
          {
            "reference": "urn:uuid:2e288af8-4b63-4cf6-b593-f469d7158502"
          },
          {
            "reference": "urn:uuid:8576c7db-082f-4fe0-9193-07356580287b"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:e70ab80d-3e44-4681-94f9-cbffe201038a"
            }
          }
        ],
        "reason": [
          {
            "coding": [
              {
                "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": "2026-03-20T18:23:56Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "1976-04-13T00:00:00Z"
}