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   <type value="document"/>
   <timestamp value="1976-04-13T00:00:00Z"/>
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                  <display value="SYNDERAI Synthetic data"/>
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               <div xmlns="http://www.w3.org/1999/xhtml">intentionally left empty / not meaningful</div>
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               <value value="5a21780b-f45c-4c2c-b538-3b1b97045efd"/>
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                  <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:8bc455bb-d912-4232-850e-1ec21807db01"/>
               <display value="Inga Zastawny"/>
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            <date value="1976-04-13T00:00:00Z"/>
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               <reference value="urn:uuid:b793bf85-90e6-49ae-b33e-17154afbd2dd"/>
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            <confidentiality value="N"/>
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               <title value="Synthesis"/>
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                  <coding>
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                  <div xmlns="http://www.w3.org/1999/xhtml">Voluntary surgical sterilization, procedure completed</div>
               </text>
            </section>
            <section>
               <title value="Hospital course note"/>
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                  <coding>
                     <system value="http://loinc.org"/>
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               <text>
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                  <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>
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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>Sterilization admitted</td>
                           <td>
                              <span class="nb">13-Apr-1976</span>
                           </td>
                           <td>active</td>
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               </text>
               <entry>
                  <reference value="urn:uuid:441f4e31-8856-4a30-857c-ceffd95c595b"/>
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            </section>
            <section>
               <title value="Significant procedures"/>
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                  <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>General anaesthesia</td>
                           <td>
                              <span class="nb">13-Apr-1976</span>
                           </td>
                           <td>-</td>
                        </tr>
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               </text>
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                  <reference value="urn:uuid:b25c27fc-cee0-4151-80da-0fa5a1b51966"/>
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               <entry>
                  <reference value="urn:uuid:3837a015-df6c-491a-bdec-8336d85f47a0"/>
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         <Patient>
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                  <code value="TRAIN"/>
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            <text>
               <status value="generated"/>
               <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>
            </text>
            <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality">
               <extension url="code">
                  <valueCodeableConcept>
                     <coding>
                        <system value="urn:iso:std:iso:3166"/>
                        <code value="PL"/>
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                  </valueCodeableConcept>
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            </extension>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="2891-282463-9"/>
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            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="99134896-e4d7-1ed1-1925-8bbdd837f0c2"/>
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            <name>
               <text value="Inga Zastawny"/>
               <family value="Zastawny"/>
               <given value="Inga"/>
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            <telecom>
               <system value="phone"/>
               <value value="575 022 123"/>
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            <gender value="female"/>
            <birthDate value="1943-12-07"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="plac Solidarnosci 52"/>
               <city value="Dąbrowa Górnicza"/>
               <postalCode value="41-300"/>
               <country value="Poland"/>
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   <entry>
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            <text>
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                        <td>Przychodnia Rejonowa, Dąbrowa Górnicza, Poland</td>
                        <td>12-04-1976 - 13-04-1976</td>
                        <td>
                           <ul>
                              <li>Sterilization requested (situation)</li>
                           </ul>
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                  </table>
               </div>
            </text>
            <status value="completed"/>
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               <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
               <code value="IMP"/>
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               <reference value="Patient/8bc455bb-d912-4232-850e-1ec21807db01"/>
               <display value="Inga Zastawny"/>
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            <participant>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                     <code value="PPRF"/>
                     <display value="primary performer"/>
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               </type>
               <period>
                  <end value="1976-04-13"/>
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               <individual>
                  <reference value="urn:uuid:2e288af8-4b63-4cf6-b593-f469d7158502"/>
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            <period>
               <start value="1976-04-13"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="183996000"/>
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            <serviceProvider>
               <reference value="urn:uuid:8576c7db-082f-4fe0-9193-07356580287b"/>
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   <entry>
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            <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: b793bf85-90e6-49ae-b33e-17154afbd2dd</div>
            </text>
            <practitioner>
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   </entry>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Hospital: Przychodnia Rejonowa, 41-300 Dąbrowa Górnicza, Poland</div>
            </text>
            <name value="Przychodnia Rejonowa"/>
            <address>
               <city value="Dąbrowa Górnicza"/>
               <postalCode value="41-300"/>
               <country value="Poland"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Practitioner in Hospital: Gustaw Jędraszek</div>
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               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
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               <family value="Jędraszek"/>
               <given value="Gustaw"/>
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            <text>
               <status value="generated"/>
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                        <td>Sterilization admitted</td>
                        <td>
                           <span class="nb">13-Apr-1976</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"/>
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            </category>
            <code>
               <coding>
                  <system value="http://hl7.org/fhir/sid/icd-10"/>
                  <code value="Z30.2"/>
                  <display value="Sterilization admitted"/>
               </coding>
               <text value="Sterilization admitted"/>
            </code>
            <subject>
               <reference value="urn:uuid:8bc455bb-d912-4232-850e-1ec21807db01"/>
               <display value="Inga Zastawny"/>
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            <onsetDateTime value="1976-04-13"/>
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   </entry>
   <entry>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
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            <text>
               <status value="generated"/>
               <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>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="396550006"/>
                  <display value="Blood test (procedure)"/>
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            <subject>
               <reference value="urn:uuid:8bc455bb-d912-4232-850e-1ec21807db01"/>
               <display value="Inga Zastawny"/>
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   <entry>
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            <text>
               <status value="generated"/>
               <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>
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            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="287664005"/>
                  <display value="Ligation of bilateral fallopian tubes (procedure)"/>
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                           <span class="nb">13-Apr-1976</span>
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