<confidentiality value="N"/> <custodian> <reference value="urn:uuid:8a852454-ba05-4cce-91c6-22f06dee15d1"/> </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 35-year-old male patient, admitted on 10th December 2016 due to substance dependence. Upon admission, comprehensive psychiatric and somatic assessment confirmed multiple drug dependence syndrome (ICD-10: F19.2), including polysubstance use involving opioids, benzodiazepines, and cannabis. Urine toxicology screening was positive for multiple substances. During inpatient stay, medically supervised detoxification was initiated, including symptomatic pharmacological management of withdrawal symptoms. Motivational counselling sessions and structured psychoeducation regarding substance misuse were provided. The patient was stabilised without significant complications. At discharge, the patient is abstinent, medically stable, and has been referred to an outpatient addiction counselling service. Continuation of motivational therapy and regular follow-up is strongly recommended. Please do not hesitate to contact me for further information.</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">26-Dec-2016</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:b6d5aff0-9921-4f70-97e0-6138adfcff86"/> </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>Discharge planning and addiction referral</td> <td> <span class="nb">23-Dec-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:979a7d32-f4b5-45e2-991d-0c6d85a281d5"/> </entry> <entry> <reference value="urn:uuid:e8e0ce28-0c56-44fc-9b40-4f8a0ca2080c"/> </entry> <entry> <reference value="urn:uuid:7cc0995d-68a0-4517-9659-09ea848777d0"/> </entry> <entry> <reference value="urn:uuid:fafc6800-8e8d-43a1-bd20-7673507bf08b"/> </entry> <entry> <reference value="urn:uuid:ff3b2a84-37f6-4a2d-b605-375c5d1d245c"/> </entry> <entry> <reference value="urn:uuid:72bf7d03-0a2a-4724-b7cd-f717876fb361"/> </entry> <entry> <reference value="urn:uuid:54443b6b-c0fe-4c77-83ce-9effc070a02c"/> </entry> <entry> <reference value="urn:uuid:8147ef75-04be-42d2-a346-dcf157616bac"/> </entry> <entry> <reference value="urn:uuid:8cebb7e7-df67-42b7-a38b-c7ccad993b3b"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/> <resource> <Patient> <id value="0faf67aa-4942-49cc-97dc-c36cd8918752"/> <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>Franco Civaschi</td> <td>male</td> <td>11-Nov-1989</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="IT"/> </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="4316-877899-1"/> </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="c8691b16-bfd5-6d46-002b-f9330cf612fd"/> </identifier> <name> <text value="Franco Civaschi"/> <family value="Civaschi"/> <given value="Franco"/> </name> <telecom> <system value="phone"/> <value value="+39 34600733510"/> </telecom> <gender value="male"/> <birthDate value="1989-11-11"/> <address> <use value="home"/> <type value="physical"/> <line value="Stretto Eleanora, 7"/> <city value="Malles Venosta"/> <postalCode value="39024"/> <country value="Italy"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:c677df50-c750-4610-861a-21b60d7841d3"/> <resource> <Encounter> <id value="c677df50-c750-4610-861a-21b60d7841d3"/> <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>Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, Silandro, Italy</td> <td>10-12-2016 - 26-12-2016</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/0faf67aa-4942-49cc-97dc-c36cd8918752"/> <display value="Franco Civaschi"/> </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="2016-12-26"/> </period> <individual> <reference value="urn:uuid:597c2995-141b-4d12-bf52-427e71f3e802"/> </individual> </participant> <period> <start value="2016-12-26"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:8a852454-ba05-4cce-91c6-22f06dee15d1"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:8c55f0ff-9711-4146-b678-289cfc032a13"/> <resource> <PractitionerRole> <id value="8c55f0ff-9711-4146-b678-289cfc032a13"/> <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: 8c55f0ff-9711-4146-b678-289cfc032a13</div> </text> <practitioner> <reference value="urn:uuid:597c2995-141b-4d12-bf52-427e71f3e802"/> </practitioner> <organization> <reference value="urn:uuid:8a852454-ba05-4cce-91c6-22f06dee15d1"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:8a852454-ba05-4cce-91c6-22f06dee15d1"/> <resource> <Organization> <id value="8a852454-ba05-4cce-91c6-22f06dee15d1"/> <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: Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, 39028 Silandro, Italy</div> </text> <name value="Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro"/> <address> <city value="Silandro"/> <postalCode value="39028"/> <country value="Italy"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:597c2995-141b-4d12-bf52-427e71f3e802"/> <resource> <Practitioner> <id value="597c2995-141b-4d12-bf52-427e71f3e802"/> <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 Dina Tognazzi</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="2fe38fbe-1f31-4e3a-bf4c-1d3daf8ee2ad"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Tognazzi"/> <given value="Dina"/> <prefix value="dr"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:b6d5aff0-9921-4f70-97e0-6138adfcff86"/> <resource> <Condition> <id value="b6d5aff0-9921-4f70-97e0-6138adfcff86"/> <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">26-Dec-2016</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:0faf67aa-4942-49cc-97dc-c36cd8918752"/> <display value="Franco Civaschi"/> </subject> <onsetDateTime value="2016-12-26"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:979a7d32-f4b5-45e2-991d-0c6d85a281d5"/> <resource> <Procedure> <id value="979a7d32-f4b5-45e2-991d-0c6d85a281d5"/> <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 on admission</td> <td> <span class="nb">10-Dec-2016</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:0faf67aa-4942-49cc-97dc-c36cd8918752"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2016-12-10"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e8e0ce28-0c56-44fc-9b40-4f8a0ca2080c"/> <resource> <Procedure> <id value="e8e0ce28-0c56-44fc-9b40-4f8a0ca2080c"/> <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">11-Dec-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="167297006"/> <display value="Blood not detected in urine (finding)"/> </coding> </code> <subject> <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2016-12-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:7cc0995d-68a0-4517-9659-09ea848777d0"/> <resource> <Procedure> <id value="7cc0995d-68a0-4517-9659-09ea848777d0"/> <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 specimen collection for laboratory testing</td> <td> <span class="nb">11-Dec-2016</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)"/> </coding> </code> <subject> <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2016-12-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:fafc6800-8e8d-43a1-bd20-7673507bf08b"/> <resource> <Procedure> <id value="fafc6800-8e8d-43a1-bd20-7673507bf08b"/> <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>Electrocardiogram</td> <td> <span class="nb">12-Dec-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="29303009"/> <display value="Electrocardiographic procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2016-12-12"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:ff3b2a84-37f6-4a2d-b605-375c5d1d245c"/> <resource> <Procedure> <id value="ff3b2a84-37f6-4a2d-b605-375c5d1d245c"/> <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>Liver function blood test</td> <td> <span class="nb">13-Dec-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="26958001"/> <display value="Hepatic function panel (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2016-12-13"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:72bf7d03-0a2a-4724-b7cd-f717876fb361"/> <resource> <Procedure> <id value="72bf7d03-0a2a-4724-b7cd-f717876fb361"/> <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 management of withdrawal symptoms</td> <td> <span class="nb">13-Dec-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182964004"/> <display value="Terminal care (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2016-12-13"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:54443b6b-c0fe-4c77-83ce-9effc070a02c"/> <resource> <Procedure> <id value="54443b6b-c0fe-4c77-83ce-9effc070a02c"/> <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>Psychoeducation regarding substance misuse</td> <td> <span class="nb">16-Dec-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="409063005"/> <display value="Counseling (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2016-12-16"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:8147ef75-04be-42d2-a346-dcf157616bac"/> <resource> <Procedure> <id value="8147ef75-04be-42d2-a346-dcf157616bac"/> <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>Group therapy session</td> <td> <span class="nb">19-Dec-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="76168009"/> <display value="Group psychotherapy (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2016-12-19"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:8cebb7e7-df67-42b7-a38b-c7ccad993b3b"/> <resource> <Procedure> <id value="8cebb7e7-df67-42b7-a38b-c7ccad993b3b"/> <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>Discharge planning and addiction referral</td> <td> <span class="nb">23-Dec-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="306206005"/> <display value="Referral to service (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2016-12-23"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:f5d50ca2-4c3a-45fc-a429-6e9c33ad0e86"/> <resource> <Device> <id value="f5d50ca2-4c3a-45fc-a429-6e9c33ad0e86"/> <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 Project"/> <deviceName> <name value="SYNDERAI Synthetic Generator"/> <type value="manufacturer-name"/> </deviceName> <version> <value value="5.0"/> </version> </Device> </resource> </entry> <entry> <fullUrl value="urn:uuid:3eb532e2-31e9-47c4-92ce-5e6edb966d26"/> <resource> <Provenance> <id value="3eb532e2-31e9-47c4-92ce-5e6edb966d26"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div> </text> <target> <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/> </target> <target> <reference value="urn:uuid:8c55f0ff-9711-4146-b678-289cfc032a13"/> </target> <target> <reference value="urn:uuid:597c2995-141b-4d12-bf52-427e71f3e802"/> </target> <target> <reference value="urn:uuid:8a852454-ba05-4cce-91c6-22f06dee15d1"/> </target> <recorded value="2026-03-20T18:22:47Z"/> <policy value="https://synderai.net/synderai-synthetic-data-policy"/> <reason> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> <display value="training"/> </coding> <text value="Interoperability Testing and Training (non-clinical use)"/> </reason> <activity> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/> <code value="CREATE"/> <display value="create"/> </coding> <text value="Synthetic Example Data Generation"/> </activity> <agent> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/> <code value="author"/> <display value="Author"/> </coding> <text value="author"/> </type> <who> <reference value="urn:uuid:f5d50ca2-4c3a-45fc-a429-6e9c33ad0e86"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>


               
                  
                  
               
               
                  
                  
                  
               
            
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:8a852454-ba05-4cce-91c6-22f06dee15d1"/>
            </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 35-year-old male patient, admitted on 10th December 2016 due to substance dependence. Upon admission, comprehensive psychiatric and somatic assessment confirmed multiple drug dependence syndrome (ICD-10: F19.2), including polysubstance use involving opioids, benzodiazepines, and cannabis. Urine toxicology screening was positive for multiple substances. During inpatient stay, medically supervised detoxification was initiated, including symptomatic pharmacological management of withdrawal symptoms. Motivational counselling sessions and structured psychoeducation regarding substance misuse were provided. The patient was stabilised without significant complications. At discharge, the patient is abstinent, medically stable, and has been referred to an outpatient addiction counselling service. Continuation of motivational therapy and regular follow-up is strongly recommended. Please do not hesitate to contact me for further information.</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">26-Dec-2016</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:b6d5aff0-9921-4f70-97e0-6138adfcff86"/>
               </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>Discharge planning and addiction referral</td>
                           <td>
                              <span class="nb">23-Dec-2016</span>
                           </td>
                           <td>-</td>
                        </tr>
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                  <reference value="urn:uuid:e8e0ce28-0c56-44fc-9b40-4f8a0ca2080c"/>
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                  <reference value="urn:uuid:7cc0995d-68a0-4517-9659-09ea848777d0"/>
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               <entry>
                  <reference value="urn:uuid:fafc6800-8e8d-43a1-bd20-7673507bf08b"/>
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               <entry>
                  <reference value="urn:uuid:ff3b2a84-37f6-4a2d-b605-375c5d1d245c"/>
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               <entry>
                  <reference value="urn:uuid:72bf7d03-0a2a-4724-b7cd-f717876fb361"/>
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               <entry>
                  <reference value="urn:uuid:54443b6b-c0fe-4c77-83ce-9effc070a02c"/>
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               <entry>
                  <reference value="urn:uuid:8147ef75-04be-42d2-a346-dcf157616bac"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:8cebb7e7-df67-42b7-a38b-c7ccad993b3b"/>
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            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
      <resource>
         <Patient>
            <id value="0faf67aa-4942-49cc-97dc-c36cd8918752"/>
            <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>Franco Civaschi</td>
                        <td>male</td>
                        <td>11-Nov-1989</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="IT"/>
                     </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="4316-877899-1"/>
            </identifier>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               </type>
               <system value="http://local.setting.eu/identifier"/>
               <value value="c8691b16-bfd5-6d46-002b-f9330cf612fd"/>
            </identifier>
            <name>
               <text value="Franco Civaschi"/>
               <family value="Civaschi"/>
               <given value="Franco"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+39 34600733510"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1989-11-11"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Stretto Eleanora, 7"/>
               <city value="Malles Venosta"/>
               <postalCode value="39024"/>
               <country value="Italy"/>
            </address>
         </Patient>
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   <entry>
      <fullUrl value="urn:uuid:c677df50-c750-4610-861a-21b60d7841d3"/>
      <resource>
         <Encounter>
            <id value="c677df50-c750-4610-861a-21b60d7841d3"/>
            <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>Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, Silandro, Italy</td>
                        <td>10-12-2016 - 26-12-2016</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"/>
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            <subject>
               <reference value="Patient/0faf67aa-4942-49cc-97dc-c36cd8918752"/>
               <display value="Franco Civaschi"/>
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            <participant>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                     <code value="PPRF"/>
                     <display value="primary performer"/>
                  </coding>
               </type>
               <period>
                  <end value="2016-12-26"/>
               </period>
               <individual>
                  <reference value="urn:uuid:597c2995-141b-4d12-bf52-427e71f3e802"/>
               </individual>
            </participant>
            <period>
               <start value="2016-12-26"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="6525002"/>
                  <display value="Substance dependence (disorder)"/>
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            <serviceProvider>
               <reference value="urn:uuid:8a852454-ba05-4cce-91c6-22f06dee15d1"/>
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   <entry>
      <fullUrl value="urn:uuid:8c55f0ff-9711-4146-b678-289cfc032a13"/>
      <resource>
         <PractitionerRole>
            <id value="8c55f0ff-9711-4146-b678-289cfc032a13"/>
            <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: 8c55f0ff-9711-4146-b678-289cfc032a13</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:597c2995-141b-4d12-bf52-427e71f3e802"/>
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            <organization>
               <reference value="urn:uuid:8a852454-ba05-4cce-91c6-22f06dee15d1"/>
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         </PractitionerRole>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:8a852454-ba05-4cce-91c6-22f06dee15d1"/>
      <resource>
         <Organization>
            <id value="8a852454-ba05-4cce-91c6-22f06dee15d1"/>
            <meta>
               <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: Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, 39028 Silandro, Italy</div>
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            <name value="Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro"/>
            <address>
               <city value="Silandro"/>
               <postalCode value="39028"/>
               <country value="Italy"/>
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         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:597c2995-141b-4d12-bf52-427e71f3e802"/>
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         <Practitioner>
            <id value="597c2995-141b-4d12-bf52-427e71f3e802"/>
            <meta>
               <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: dr Dina Tognazzi</div>
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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="2fe38fbe-1f31-4e3a-bf4c-1d3daf8ee2ad"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            <name>
               <family value="Tognazzi"/>
               <given value="Dina"/>
               <prefix value="dr"/>
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   <entry>
      <fullUrl value="urn:uuid:b6d5aff0-9921-4f70-97e0-6138adfcff86"/>
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         <Condition>
            <id value="b6d5aff0-9921-4f70-97e0-6138adfcff86"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"/>
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            <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">26-Dec-2016</span>
                        </td>
                        <td>active</td>
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                  </table>
               </div>
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            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="encounter-diagnosis"/>
                  <display value="Encounter Diagnosis"/>
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            <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"/>
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               <text value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/>
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            <subject>
               <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
               <display value="Franco Civaschi"/>
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            <onsetDateTime value="2016-12-26"/>
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      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:979a7d32-f4b5-45e2-991d-0c6d85a281d5"/>
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         <Procedure>
            <id value="979a7d32-f4b5-45e2-991d-0c6d85a281d5"/>
            <meta>
               <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>Physical examination on admission</td>
                        <td>
                           <span class="nb">10-Dec-2016</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="5880005"/>
                  <display value="Physical examination procedure (procedure)"/>
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            <subject>
               <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
               <display value="Franco Civaschi"/>
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            <performedDateTime value="2016-12-10"/>
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   <entry>
      <fullUrl value="urn:uuid:e8e0ce28-0c56-44fc-9b40-4f8a0ca2080c"/>
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         <Procedure>
            <id value="e8e0ce28-0c56-44fc-9b40-4f8a0ca2080c"/>
            <meta>
               <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>Urine toxicology screening</td>
                        <td>
                           <span class="nb">11-Dec-2016</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="167297006"/>
                  <display value="Blood not detected in urine (finding)"/>
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            <subject>
               <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
               <display value="Franco Civaschi"/>
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            <performedDateTime value="2016-12-11"/>
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   <entry>
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         <Procedure>
            <id value="7cc0995d-68a0-4517-9659-09ea848777d0"/>
            <meta>
               <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>Blood specimen collection for laboratory testing</td>
                        <td>
                           <span class="nb">11-Dec-2016</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="396550006"/>
                  <display value="Blood test (procedure)"/>
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            <subject>
               <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
               <display value="Franco Civaschi"/>
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            <performedDateTime value="2016-12-11"/>
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   <entry>
      <fullUrl value="urn:uuid:fafc6800-8e8d-43a1-bd20-7673507bf08b"/>
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         <Procedure>
            <id value="fafc6800-8e8d-43a1-bd20-7673507bf08b"/>
            <meta>
               <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>Electrocardiogram</td>
                        <td>
                           <span class="nb">12-Dec-2016</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="29303009"/>
                  <display value="Electrocardiographic procedure (procedure)"/>
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            </code>
            <subject>
               <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
               <display value="Franco Civaschi"/>
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            <performedDateTime value="2016-12-12"/>
         </Procedure>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:ff3b2a84-37f6-4a2d-b605-375c5d1d245c"/>
      <resource>
         <Procedure>
            <id value="ff3b2a84-37f6-4a2d-b605-375c5d1d245c"/>
            <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>Liver function blood test</td>
                        <td>
                           <span class="nb">13-Dec-2016</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26958001"/>
                  <display value="Hepatic function panel (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
               <display value="Franco Civaschi"/>
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            <performedDateTime value="2016-12-13"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:72bf7d03-0a2a-4724-b7cd-f717876fb361"/>
      <resource>
         <Procedure>
            <id value="72bf7d03-0a2a-4724-b7cd-f717876fb361"/>
            <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 management of withdrawal symptoms</td>
                        <td>
                           <span class="nb">13-Dec-2016</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="182964004"/>
                  <display value="Terminal care (regime/therapy)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2016-12-13"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:54443b6b-c0fe-4c77-83ce-9effc070a02c"/>
      <resource>
         <Procedure>
            <id value="54443b6b-c0fe-4c77-83ce-9effc070a02c"/>
            <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>Psychoeducation regarding substance misuse</td>
                        <td>
                           <span class="nb">16-Dec-2016</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="409063005"/>
                  <display value="Counseling (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
               <display value="Franco Civaschi"/>
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            <performedDateTime value="2016-12-16"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:8147ef75-04be-42d2-a346-dcf157616bac"/>
      <resource>
         <Procedure>
            <id value="8147ef75-04be-42d2-a346-dcf157616bac"/>
            <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>Group therapy session</td>
                        <td>
                           <span class="nb">19-Dec-2016</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="76168009"/>
                  <display value="Group psychotherapy (regime/therapy)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
               <display value="Franco Civaschi"/>
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            <performedDateTime value="2016-12-19"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:8cebb7e7-df67-42b7-a38b-c7ccad993b3b"/>
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         <Procedure>
            <id value="8cebb7e7-df67-42b7-a38b-c7ccad993b3b"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Discharge planning and addiction referral</td>
                        <td>
                           <span class="nb">23-Dec-2016</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="306206005"/>
                  <display value="Referral to service (procedure)"/>
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            <subject>
               <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
               <display value="Franco Civaschi"/>
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            <performedDateTime value="2016-12-23"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:f5d50ca2-4c3a-45fc-a429-6e9c33ad0e86"/>
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            <id value="f5d50ca2-4c3a-45fc-a429-6e9c33ad0e86"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div>
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            <status value="active"/>
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            <id value="3eb532e2-31e9-47c4-92ce-5e6edb966d26"/>
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               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div>
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               <reference value="urn:uuid:0faf67aa-4942-49cc-97dc-c36cd8918752"/>
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                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
                  <display value="training"/>
               </coding>
               <text value="Interoperability Testing and Training (non-clinical use)"/>
            </reason>
            <activity>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
                  <code value="CREATE"/>
                  <display value="create"/>
               </coding>
               <text value="Synthetic Example Data Generation"/>
            </activity>
            <agent>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
                     <code value="author"/>
                     <display value="Author"/>
                  </coding>
                  <text value="author"/>
               </type>
               <who>
                  <reference value="urn:uuid:f5d50ca2-4c3a-45fc-a429-6e9c33ad0e86"/>
               </who>
            </agent>
         </Provenance>
      </resource>
   </entry>
</Bundle>