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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Acute appendicitis, appendectomy performed</div>"
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              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you about the hospital course of your 73-year-old male patient, admitted on 04/03/1995 with acute right lower quadrant abdominal pain, nausea, and low-grade fever, clinically suspicious for appendicitis. Diagnostic workup including laboratory analysis revealing leukocytosis and CRP elevation, alongside abdominal ultrasound and CT imaging, confirmed acute appendicitis without perforation. The patient underwent an uncomplicated open appendectomy under general anaesthesia on 05/03/1995. Postoperative recovery was uneventful. Wound healing was satisfactory, inflammatory markers normalised, and the patient was mobilised successfully. He was discharged home on 07/03/1995 in stable condition with oral analgesia and wound care instructions. Histopathology of the appendix specimen is pending; results will be forwarded upon receipt. Please arrange follow-up in approximately two weeks.</div>"
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                  "system": "http://loinc.org",
                  "code": "8648-8",
                  "display": "Hospital course note"
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            "title": "Diagnosis at Discharge"
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          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Wound dressing and care</td><td><span class=\"nb\">06-Mar-1995</span></td><td>-</td></tr></table></div>"
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            },
            "title": "Significant procedures"
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        ],
        "title": "Hospital Discharge Report",
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          "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861",
          "display": "Prokop Rusko"
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        "date": "1995-03-07T00:00:00Z",
        "confidentiality": "N"
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            "system": "http://ec.europa.eu/identifier/eci",
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                  "code": "MR",
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            "system": "http://local.setting.eu/identifier",
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        "name": [
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              "Prokop"
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        ],
        "address": [
          {
            "line": [
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            "city": "Gemerský Jablonec",
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        ],
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            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Prokop Rusko</td><td>male</td><td>28-Sep-1952</td></tr></table></div>"
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                    "display": "primary performer"
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                "code": "74400008",
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            ]
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Poliklinika Janka Kráľa, Rožňava, Slovakia</td><td>04-03-1995 - 07-03-1995</td><td><ul><li>Appendicitis (disorder)</li></ul></td></tr></table></div>"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: 6e90a566-d059-4a4f-b280-26234e6c94ca</div>"
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            "city": "Rožňava",
            "postalCode": "048 01",
            "country": "Slovakia"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Poliklinika Janka Kráľa, 048 01 Rožňava, Slovakia</div>"
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        "name": [
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            "given": [
              "András"
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            "family": "Tóth"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: András Tóth</div>"
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    {
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      "resource": {
        "resourceType": "Condition",
        "id": "466109f0-dc61-4332-88d3-3cc4305b9d2b",
        "meta": {
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        },
        "category": [
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            "coding": [
              {
                "code": "encounter-diagnosis",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Encounter Diagnosis"
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "K37",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Unspecified appendicitis"
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          ],
          "text": "Unspecified appendicitis"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Unspecified appendicitis</td><td><span class=\"nb\">07-Mar-1995</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "1995-03-07",
        "subject": {
          "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861",
          "display": "Prokop Rusko"
        }
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    },
    {
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      "resource": {
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        "id": "79d290e7-0a05-4ff6-9265-d8c237b24b4c",
        "meta": {
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        },
        "code": {
          "coding": [
            {
              "code": "396550006",
              "system": "http://snomed.info/sct",
              "display": "Blood test (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Blood count and CRP laboratory analysis</td><td><span class=\"nb\">04-Mar-1995</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1995-03-04",
        "subject": {
          "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861",
          "display": "Prokop Rusko"
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    {
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        "id": "e603047f-f0d1-4d9d-982f-b84dbef95c15",
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              "display": "Ultrasonography of abdomen (procedure)"
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        },
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Abdominal ultrasound</td><td><span class=\"nb\">04-Mar-1995</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1995-03-04",
        "subject": {
          "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861",
          "display": "Prokop Rusko"
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    },
    {
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      "resource": {
        "resourceType": "Procedure",
        "id": "4d4df675-b0af-40b5-a829-82e18f71aba3",
        "meta": {
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        },
        "code": {
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            {
              "code": "169070004",
              "system": "http://snomed.info/sct",
              "display": "Computed tomography of abdomen (procedure)"
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          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>CT scan of abdomen</td><td><span class=\"nb\">04-Mar-1995</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1995-03-04",
        "subject": {
          "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861",
          "display": "Prokop Rusko"
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    },
    {
      "fullUrl": "urn:uuid:4613853c-d83a-4f49-8226-7d95dca3d9eb",
      "resource": {
        "resourceType": "Procedure",
        "id": "4613853c-d83a-4f49-8226-7d95dca3d9eb",
        "meta": {
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        },
        "code": {
          "coding": [
            {
              "code": "56342008",
              "system": "http://snomed.info/sct",
              "display": "Temperature taking (procedure)"
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          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Body temperature measurement (fever assessment)</td><td><span class=\"nb\">04-Mar-1995</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1995-03-04",
        "subject": {
          "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861",
          "display": "Prokop Rusko"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:041c04f4-6f20-4154-a71f-a40478fd161b",
      "resource": {
        "resourceType": "Procedure",
        "id": "041c04f4-6f20-4154-a71f-a40478fd161b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "29303009",
              "system": "http://snomed.info/sct",
              "display": "Electrocardiographic procedure (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Electrocardiogram (pre-operative assessment)</td><td><span class=\"nb\">05-Mar-1995</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1995-03-05",
        "subject": {
          "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861",
          "display": "Prokop Rusko"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:756d362a-fb9d-47ad-a518-e961c9f4cee5",
      "resource": {
        "resourceType": "Procedure",
        "id": "756d362a-fb9d-47ad-a518-e961c9f4cee5",
        "meta": {
          "profile": [
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        },
        "code": {
          "coding": [
            {
              "code": "50697003",
              "system": "http://snomed.info/sct",
              "display": "Administration of general anesthetic (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>General anaesthesia for appendectomy</td><td><span class=\"nb\">05-Mar-1995</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1995-03-05",
        "subject": {
          "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861",
          "display": "Prokop Rusko"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:d6b80391-5d72-455e-933e-12809d991512",
      "resource": {
        "resourceType": "Procedure",
        "id": "d6b80391-5d72-455e-933e-12809d991512",
        "meta": {
          "profile": [
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        },
        "code": {
          "coding": [
            {
              "code": "80146002",
              "system": "http://snomed.info/sct",
              "display": "Excision of appendix (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Open appendectomy</td><td><span class=\"nb\">05-Mar-1995</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1995-03-05",
        "subject": {
          "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861",
          "display": "Prokop Rusko"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b9755bdb-68c4-4049-8a0a-7af82d2955de",
      "resource": {
        "resourceType": "Procedure",
        "id": "b9755bdb-68c4-4049-8a0a-7af82d2955de",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "229070002",
              "system": "http://snomed.info/sct",
              "display": "Stretching exercises (regime/therapy)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Postoperative analgesia administration</td><td><span class=\"nb\">05-Mar-1995</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1995-03-05",
        "subject": {
          "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861",
          "display": "Prokop Rusko"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:f96b40d3-25e1-40db-9274-9528ee8c0770",
      "resource": {
        "resourceType": "Procedure",
        "id": "f96b40d3-25e1-40db-9274-9528ee8c0770",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "182531007",
              "system": "http://snomed.info/sct",
              "display": "Dressing of wound (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Wound dressing and care</td><td><span class=\"nb\">06-Mar-1995</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1995-03-06",
        "subject": {
          "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861",
          "display": "Prokop Rusko"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b4b73936-888a-4dad-86ec-66b3b4dcd659",
      "resource": {
        "resourceType": "Device",
        "id": "b4b73936-888a-4dad-86ec-66b3b4dcd659",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
    },
    {
      "fullUrl": "urn:uuid:2fd287ce-ab94-4c91-ae46-d48cb52fe535",
      "resource": {
        "resourceType": "Provenance",
        "id": "2fd287ce-ab94-4c91-ae46-d48cb52fe535",
        "target": [
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            "reference": "urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861"
          },
          {
            "reference": "urn:uuid:6e90a566-d059-4a4f-b280-26234e6c94ca"
          },
          {
            "reference": "urn:uuid:f85eca92-2105-44fa-b06f-b15d3b993e7e"
          },
          {
            "reference": "urn:uuid:6e7ea6c1-19b8-49fc-aa06-f16c03af7277"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:b4b73936-888a-4dad-86ec-66b3b4dcd659"
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          }
        ],
        "reason": [
          {
            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2026-03-20T18:25:04Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "1995-03-07T00:00:00Z"
}