<confidentiality value="N"/> <custodian> <reference value="urn:uuid:2316143f-b754-4326-a5ab-b95b3eea68de"/> </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">Acute appendicitis, appendectomy performed</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 your patient, a 40-year-old female, admitted on 20/08/1987 with acute right iliac fossa pain, nausea, and low-grade fever. Clinical examination revealed rebound tenderness at McBurney's point. Laboratory investigations confirmed leukocytosis, and abdominal ultrasound supported the diagnosis of acute appendicitis. The patient underwent an uncomplicated open appendectomy on 21/08/1987. Histopathological examination confirmed acute appendicitis. Postoperative recovery was uneventful. The patient received perioperative antibiotic prophylaxis and adequate analgesia. She was mobilised early and tolerated oral intake well. Wound healing was satisfactory at discharge on 23/08/1987. Please ensure appropriate wound care and suture removal in approximately 10 days. Return to normal activities expected within 4–6 weeks. Please do not hesitate to contact us should any concerns arise.</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>Unspecified appendicitis</td> <td> <span class="nb">23-Aug-1987</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:ca7e65d4-6238-410c-9613-87756ebc8b33"/> </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>Postoperative analgesia administration</td> <td> <span class="nb">21-Aug-1987</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:ed925378-7b6b-4b36-92e6-91ae6c84f194"/> </entry> <entry> <reference value="urn:uuid:c0d8d3d7-1bec-4615-8f53-7307dbd9104c"/> </entry> <entry> <reference value="urn:uuid:d026d69d-754d-420c-a0dd-659e90b2f89c"/> </entry> <entry> <reference value="urn:uuid:b4e431dd-06f2-4ec0-9eb2-72bba50a0478"/> </entry> <entry> <reference value="urn:uuid:7847c671-5ab6-4b7b-be34-3313666100f0"/> </entry> <entry> <reference value="urn:uuid:2e760a7c-b8f6-4c90-b20d-569517332531"/> </entry> <entry> <reference value="urn:uuid:6cbfb330-e563-4f0a-93e7-a2cdbbd165ff"/> </entry> <entry> <reference value="urn:uuid:4ac311b0-968c-43c2-9bd9-00087713da30"/> </entry> <entry> <reference value="urn:uuid:f955cb43-2fc9-4c8d-9a9c-edc9f23f3c7c"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/> <resource> <Patient> <id value="28f904d2-2041-484c-b306-fa68cc112e8b"/> <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>Mathilde Kraushaar</td> <td>female</td> <td>31-Dec-1984</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="DE"/> </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="1886-624637-6"/> </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="906499d7-f832-0f36-ee43-9b0362d80881"/> </identifier> <name> <text value="Mathilde Kraushaar"/> <family value="Kraushaar"/> <given value="Mathilde"/> </name> <telecom> <system value="phone"/> <value value="0478214724"/> </telecom> <gender value="female"/> <birthDate value="1984-12-31"/> <address> <use value="home"/> <type value="physical"/> <line value="Bolanderweg 4-5"/> <city value="Ingolstadt"/> <postalCode value="85049"/> <country value="Germany"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:f539a844-b8a7-4c4e-b287-cc3691fd3132"/> <resource> <Encounter> <id value="f539a844-b8a7-4c4e-b287-cc3691fd3132"/> <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>Heilpädagogisches Zentrum, Ingolstadt, Germany</td> <td>20-08-1987 - 23-08-1987</td> <td> <ul> <li>Appendicitis (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/28f904d2-2041-484c-b306-fa68cc112e8b"/> <display value="Mathilde Kraushaar"/> </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="1987-08-23"/> </period> <individual> <reference value="urn:uuid:5346e7c3-b295-4361-bd1f-7c669712b2e2"/> </individual> </participant> <period> <start value="1987-08-23"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="74400008"/> <display value="Appendicitis (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:2316143f-b754-4326-a5ab-b95b3eea68de"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:429a1127-77e1-48af-bb6e-d7614c94b1b5"/> <resource> <PractitionerRole> <id value="429a1127-77e1-48af-bb6e-d7614c94b1b5"/> <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: 429a1127-77e1-48af-bb6e-d7614c94b1b5</div> </text> <practitioner> <reference value="urn:uuid:5346e7c3-b295-4361-bd1f-7c669712b2e2"/> </practitioner> <organization> <reference value="urn:uuid:2316143f-b754-4326-a5ab-b95b3eea68de"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:2316143f-b754-4326-a5ab-b95b3eea68de"/> <resource> <Organization> <id value="2316143f-b754-4326-a5ab-b95b3eea68de"/> <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: Heilpädagogisches Zentrum, 85049 Ingolstadt, Germany</div> </text> <name value="Heilpädagogisches Zentrum"/> <address> <city value="Ingolstadt"/> <postalCode value="85049"/> <country value="Germany"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:5346e7c3-b295-4361-bd1f-7c669712b2e2"/> <resource> <Practitioner> <id value="5346e7c3-b295-4361-bd1f-7c669712b2e2"/> <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. Rudolf Dörschner</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="3187e563-b027-49b9-bbc1-3227ef04de76"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Dörschner"/> <given value="Rudolf"/> <prefix value="Dr."/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:ca7e65d4-6238-410c-9613-87756ebc8b33"/> <resource> <Condition> <id value="ca7e65d4-6238-410c-9613-87756ebc8b33"/> <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>Unspecified appendicitis</td> <td> <span class="nb">23-Aug-1987</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="K37"/> <display value="Unspecified appendicitis"/> </coding> <text value="Unspecified appendicitis"/> </code> <subject> <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/> <display value="Mathilde Kraushaar"/> </subject> <onsetDateTime value="1987-08-23"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:ed925378-7b6b-4b36-92e6-91ae6c84f194"/> <resource> <Procedure> <id value="ed925378-7b6b-4b36-92e6-91ae6c84f194"/> <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 including assessment of McBurney's point</td> <td> <span class="nb">20-Aug-1987</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:28f904d2-2041-484c-b306-fa68cc112e8b"/> <display value="Mathilde Kraushaar"/> </subject> <performedDateTime value="1987-08-20"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:c0d8d3d7-1bec-4615-8f53-7307dbd9104c"/> <resource> <Procedure> <id value="c0d8d3d7-1bec-4615-8f53-7307dbd9104c"/> <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 test - full blood count confirming leukocytosis</td> <td> <span class="nb">20-Aug-1987</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="26604007"/> <display value="Complete blood count (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/> <display value="Mathilde Kraushaar"/> </subject> <performedDateTime value="1987-08-20"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:d026d69d-754d-420c-a0dd-659e90b2f89c"/> <resource> <Procedure> <id value="d026d69d-754d-420c-a0dd-659e90b2f89c"/> <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>Abdominal ultrasound to assess appendix</td> <td> <span class="nb">20-Aug-1987</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="45036003"/> <display value="Ultrasonography of abdomen (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/> <display value="Mathilde Kraushaar"/> </subject> <performedDateTime value="1987-08-20"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b4e431dd-06f2-4ec0-9eb2-72bba50a0478"/> <resource> <Procedure> <id value="b4e431dd-06f2-4ec0-9eb2-72bba50a0478"/> <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>Body temperature measurement - low-grade fever noted</td> <td> <span class="nb">20-Aug-1987</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="56342008"/> <display value="Temperature taking (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/> <display value="Mathilde Kraushaar"/> </subject> <performedDateTime value="1987-08-20"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:7847c671-5ab6-4b7b-be34-3313666100f0"/> <resource> <Procedure> <id value="7847c671-5ab6-4b7b-be34-3313666100f0"/> <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>Histopathological examination of appendix specimen</td> <td> <span class="nb">21-Aug-1987</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="782902008"/> <display value="Implantation procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/> <display value="Mathilde Kraushaar"/> </subject> <performedDateTime value="1987-08-21"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:2e760a7c-b8f6-4c90-b20d-569517332531"/> <resource> <Procedure> <id value="2e760a7c-b8f6-4c90-b20d-569517332531"/> <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>Administration of perioperative antibiotic prophylaxis</td> <td> <span class="nb">20-Aug-1987</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="18629005"/> <display value="Administration of drug or medicament (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/> <display value="Mathilde Kraushaar"/> </subject> <performedDateTime value="1987-08-20"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:6cbfb330-e563-4f0a-93e7-a2cdbbd165ff"/> <resource> <Procedure> <id value="6cbfb330-e563-4f0a-93e7-a2cdbbd165ff"/> <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>Open appendectomy performed under general anaesthesia</td> <td> <span class="nb">21-Aug-1987</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="80146002"/> <display value="Excision of appendix (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/> <display value="Mathilde Kraushaar"/> </subject> <performedDateTime value="1987-08-21"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:4ac311b0-968c-43c2-9bd9-00087713da30"/> <resource> <Procedure> <id value="4ac311b0-968c-43c2-9bd9-00087713da30"/> <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>General anaesthesia administered for surgical procedure</td> <td> <span class="nb">21-Aug-1987</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="50697003"/> <display value="Administration of general anesthetic (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/> <display value="Mathilde Kraushaar"/> </subject> <performedDateTime value="1987-08-21"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:f955cb43-2fc9-4c8d-9a9c-edc9f23f3c7c"/> <resource> <Procedure> <id value="f955cb43-2fc9-4c8d-9a9c-edc9f23f3c7c"/> <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>Postoperative analgesia administration</td> <td> <span class="nb">21-Aug-1987</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182992009"/> <display value="Treatment completed (situation)"/> </coding> </code> <subject> <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/> <display value="Mathilde Kraushaar"/> </subject> <performedDateTime value="1987-08-21"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:9a03ad89-815b-4c52-9801-fbdf1724b860"/> <resource> <Device> <id value="9a03ad89-815b-4c52-9801-fbdf1724b860"/> <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:70c0e9be-a2d4-4b0f-8a8f-28a78327b6c0"/> <resource> <Provenance> <id value="70c0e9be-a2d4-4b0f-8a8f-28a78327b6c0"/> <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:28f904d2-2041-484c-b306-fa68cc112e8b"/> </target> <target> <reference value="urn:uuid:429a1127-77e1-48af-bb6e-d7614c94b1b5"/> </target> <target> <reference value="urn:uuid:5346e7c3-b295-4361-bd1f-7c669712b2e2"/> </target> <target> <reference value="urn:uuid:2316143f-b754-4326-a5ab-b95b3eea68de"/> </target> <recorded value="2026-03-20T18:20:35Z"/> <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:9a03ad89-815b-4c52-9801-fbdf1724b860"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>


               
                  
                  
               
               
                  
                  
                  
               
            
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:2316143f-b754-4326-a5ab-b95b3eea68de"/>
            </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">Acute appendicitis, appendectomy performed</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 your patient, a 40-year-old female, admitted on 20/08/1987 with acute right iliac fossa pain, nausea, and low-grade fever. Clinical examination revealed rebound tenderness at McBurney's point. Laboratory investigations confirmed leukocytosis, and abdominal ultrasound supported the diagnosis of acute appendicitis. The patient underwent an uncomplicated open appendectomy on 21/08/1987. Histopathological examination confirmed acute appendicitis. Postoperative recovery was uneventful. The patient received perioperative antibiotic prophylaxis and adequate analgesia. She was mobilised early and tolerated oral intake well. Wound healing was satisfactory at discharge on 23/08/1987. Please ensure appropriate wound care and suture removal in approximately 10 days. Return to normal activities expected within 4–6 weeks. Please do not hesitate to contact us should any concerns arise.</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>Unspecified appendicitis</td>
                           <td>
                              <span class="nb">23-Aug-1987</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:ca7e65d4-6238-410c-9613-87756ebc8b33"/>
               </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>Postoperative analgesia administration</td>
                           <td>
                              <span class="nb">21-Aug-1987</span>
                           </td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:ed925378-7b6b-4b36-92e6-91ae6c84f194"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:c0d8d3d7-1bec-4615-8f53-7307dbd9104c"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:d026d69d-754d-420c-a0dd-659e90b2f89c"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:b4e431dd-06f2-4ec0-9eb2-72bba50a0478"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:7847c671-5ab6-4b7b-be34-3313666100f0"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:2e760a7c-b8f6-4c90-b20d-569517332531"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:6cbfb330-e563-4f0a-93e7-a2cdbbd165ff"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:4ac311b0-968c-43c2-9bd9-00087713da30"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:f955cb43-2fc9-4c8d-9a9c-edc9f23f3c7c"/>
               </entry>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/>
      <resource>
         <Patient>
            <id value="28f904d2-2041-484c-b306-fa68cc112e8b"/>
            <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>Mathilde Kraushaar</td>
                        <td>female</td>
                        <td>31-Dec-1984</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="DE"/>
                     </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="1886-624637-6"/>
            </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="906499d7-f832-0f36-ee43-9b0362d80881"/>
            </identifier>
            <name>
               <text value="Mathilde Kraushaar"/>
               <family value="Kraushaar"/>
               <given value="Mathilde"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="0478214724"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1984-12-31"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Bolanderweg 4-5"/>
               <city value="Ingolstadt"/>
               <postalCode value="85049"/>
               <country value="Germany"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:f539a844-b8a7-4c4e-b287-cc3691fd3132"/>
      <resource>
         <Encounter>
            <id value="f539a844-b8a7-4c4e-b287-cc3691fd3132"/>
            <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>Heilpädagogisches Zentrum, Ingolstadt, Germany</td>
                        <td>20-08-1987 - 23-08-1987</td>
                        <td>
                           <ul>
                              <li>Appendicitis (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/28f904d2-2041-484c-b306-fa68cc112e8b"/>
               <display value="Mathilde Kraushaar"/>
            </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="1987-08-23"/>
               </period>
               <individual>
                  <reference value="urn:uuid:5346e7c3-b295-4361-bd1f-7c669712b2e2"/>
               </individual>
            </participant>
            <period>
               <start value="1987-08-23"/>
            </period>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="74400008"/>
                  <display value="Appendicitis (disorder)"/>
               </coding>
            </reasonCode>
            <serviceProvider>
               <reference value="urn:uuid:2316143f-b754-4326-a5ab-b95b3eea68de"/>
            </serviceProvider>
         </Encounter>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:429a1127-77e1-48af-bb6e-d7614c94b1b5"/>
      <resource>
         <PractitionerRole>
            <id value="429a1127-77e1-48af-bb6e-d7614c94b1b5"/>
            <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: 429a1127-77e1-48af-bb6e-d7614c94b1b5</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:5346e7c3-b295-4361-bd1f-7c669712b2e2"/>
            </practitioner>
            <organization>
               <reference value="urn:uuid:2316143f-b754-4326-a5ab-b95b3eea68de"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:2316143f-b754-4326-a5ab-b95b3eea68de"/>
      <resource>
         <Organization>
            <id value="2316143f-b754-4326-a5ab-b95b3eea68de"/>
            <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: Heilpädagogisches Zentrum, 85049 Ingolstadt, Germany</div>
            </text>
            <name value="Heilpädagogisches Zentrum"/>
            <address>
               <city value="Ingolstadt"/>
               <postalCode value="85049"/>
               <country value="Germany"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:5346e7c3-b295-4361-bd1f-7c669712b2e2"/>
      <resource>
         <Practitioner>
            <id value="5346e7c3-b295-4361-bd1f-7c669712b2e2"/>
            <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. Rudolf Dörschner</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="3187e563-b027-49b9-bbc1-3227ef04de76"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Dörschner"/>
               <given value="Rudolf"/>
               <prefix value="Dr."/>
            </name>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:ca7e65d4-6238-410c-9613-87756ebc8b33"/>
      <resource>
         <Condition>
            <id value="ca7e65d4-6238-410c-9613-87756ebc8b33"/>
            <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>Unspecified appendicitis</td>
                        <td>
                           <span class="nb">23-Aug-1987</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="K37"/>
                  <display value="Unspecified appendicitis"/>
               </coding>
               <text value="Unspecified appendicitis"/>
            </code>
            <subject>
               <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/>
               <display value="Mathilde Kraushaar"/>
            </subject>
            <onsetDateTime value="1987-08-23"/>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:ed925378-7b6b-4b36-92e6-91ae6c84f194"/>
      <resource>
         <Procedure>
            <id value="ed925378-7b6b-4b36-92e6-91ae6c84f194"/>
            <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 including assessment of McBurney's point</td>
                        <td>
                           <span class="nb">20-Aug-1987</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:28f904d2-2041-484c-b306-fa68cc112e8b"/>
               <display value="Mathilde Kraushaar"/>
            </subject>
            <performedDateTime value="1987-08-20"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:c0d8d3d7-1bec-4615-8f53-7307dbd9104c"/>
      <resource>
         <Procedure>
            <id value="c0d8d3d7-1bec-4615-8f53-7307dbd9104c"/>
            <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 test - full blood count confirming leukocytosis</td>
                        <td>
                           <span class="nb">20-Aug-1987</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26604007"/>
                  <display value="Complete blood count (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/>
               <display value="Mathilde Kraushaar"/>
            </subject>
            <performedDateTime value="1987-08-20"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d026d69d-754d-420c-a0dd-659e90b2f89c"/>
      <resource>
         <Procedure>
            <id value="d026d69d-754d-420c-a0dd-659e90b2f89c"/>
            <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>Abdominal ultrasound to assess appendix</td>
                        <td>
                           <span class="nb">20-Aug-1987</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="45036003"/>
                  <display value="Ultrasonography of abdomen (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/>
               <display value="Mathilde Kraushaar"/>
            </subject>
            <performedDateTime value="1987-08-20"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:b4e431dd-06f2-4ec0-9eb2-72bba50a0478"/>
      <resource>
         <Procedure>
            <id value="b4e431dd-06f2-4ec0-9eb2-72bba50a0478"/>
            <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>Body temperature measurement - low-grade fever noted</td>
                        <td>
                           <span class="nb">20-Aug-1987</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="56342008"/>
                  <display value="Temperature taking (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/>
               <display value="Mathilde Kraushaar"/>
            </subject>
            <performedDateTime value="1987-08-20"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:7847c671-5ab6-4b7b-be34-3313666100f0"/>
      <resource>
         <Procedure>
            <id value="7847c671-5ab6-4b7b-be34-3313666100f0"/>
            <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>Histopathological examination of appendix specimen</td>
                        <td>
                           <span class="nb">21-Aug-1987</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="782902008"/>
                  <display value="Implantation procedure (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/>
               <display value="Mathilde Kraushaar"/>
            </subject>
            <performedDateTime value="1987-08-21"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:2e760a7c-b8f6-4c90-b20d-569517332531"/>
      <resource>
         <Procedure>
            <id value="2e760a7c-b8f6-4c90-b20d-569517332531"/>
            <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>Administration of perioperative antibiotic prophylaxis</td>
                        <td>
                           <span class="nb">20-Aug-1987</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="18629005"/>
                  <display value="Administration of drug or medicament (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/>
               <display value="Mathilde Kraushaar"/>
            </subject>
            <performedDateTime value="1987-08-20"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:6cbfb330-e563-4f0a-93e7-a2cdbbd165ff"/>
      <resource>
         <Procedure>
            <id value="6cbfb330-e563-4f0a-93e7-a2cdbbd165ff"/>
            <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>Open appendectomy performed under general anaesthesia</td>
                        <td>
                           <span class="nb">21-Aug-1987</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="80146002"/>
                  <display value="Excision of appendix (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/>
               <display value="Mathilde Kraushaar"/>
            </subject>
            <performedDateTime value="1987-08-21"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:4ac311b0-968c-43c2-9bd9-00087713da30"/>
      <resource>
         <Procedure>
            <id value="4ac311b0-968c-43c2-9bd9-00087713da30"/>
            <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>General anaesthesia administered for surgical procedure</td>
                        <td>
                           <span class="nb">21-Aug-1987</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="50697003"/>
                  <display value="Administration of general anesthetic (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/>
               <display value="Mathilde Kraushaar"/>
            </subject>
            <performedDateTime value="1987-08-21"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:f955cb43-2fc9-4c8d-9a9c-edc9f23f3c7c"/>
      <resource>
         <Procedure>
            <id value="f955cb43-2fc9-4c8d-9a9c-edc9f23f3c7c"/>
            <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>Postoperative analgesia administration</td>
                        <td>
                           <span class="nb">21-Aug-1987</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="182992009"/>
                  <display value="Treatment completed (situation)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:28f904d2-2041-484c-b306-fa68cc112e8b"/>
               <display value="Mathilde Kraushaar"/>
            </subject>
            <performedDateTime value="1987-08-21"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:9a03ad89-815b-4c52-9801-fbdf1724b860"/>
      <resource>
         <Device>
            <id value="9a03ad89-815b-4c52-9801-fbdf1724b860"/>
            <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:70c0e9be-a2d4-4b0f-8a8f-28a78327b6c0"/>
      <resource>
         <Provenance>
            <id value="70c0e9be-a2d4-4b0f-8a8f-28a78327b6c0"/>
            <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:28f904d2-2041-484c-b306-fa68cc112e8b"/>
            </target>
            <target>
               <reference value="urn:uuid:429a1127-77e1-48af-bb6e-d7614c94b1b5"/>
            </target>
            <target>
               <reference value="urn:uuid:5346e7c3-b295-4361-bd1f-7c669712b2e2"/>
            </target>
            <target>
               <reference value="urn:uuid:2316143f-b754-4326-a5ab-b95b3eea68de"/>
            </target>
            <recorded value="2026-03-20T18:20:35Z"/>
            <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:9a03ad89-815b-4c52-9801-fbdf1724b860"/>
               </who>
            </agent>
         </Provenance>
      </resource>
   </entry>
</Bundle>