intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:6e7ea6c1-19b8-49fc-aa06-f16c03af7277"/> </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 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> </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">07-Mar-1995</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:466109f0-dc61-4332-88d3-3cc4305b9d2b"/> </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>Wound dressing and care</td> <td> <span class="nb">06-Mar-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:79d290e7-0a05-4ff6-9265-d8c237b24b4c"/> </entry> <entry> <reference value="urn:uuid:e603047f-f0d1-4d9d-982f-b84dbef95c15"/> </entry> <entry> <reference value="urn:uuid:4d4df675-b0af-40b5-a829-82e18f71aba3"/> </entry> <entry> <reference value="urn:uuid:4613853c-d83a-4f49-8226-7d95dca3d9eb"/> </entry> <entry> <reference value="urn:uuid:041c04f4-6f20-4154-a71f-a40478fd161b"/> </entry> <entry> <reference value="urn:uuid:756d362a-fb9d-47ad-a518-e961c9f4cee5"/> </entry> <entry> <reference value="urn:uuid:d6b80391-5d72-455e-933e-12809d991512"/> </entry> <entry> <reference value="urn:uuid:b9755bdb-68c4-4049-8a0a-7af82d2955de"/> </entry> <entry> <reference value="urn:uuid:f96b40d3-25e1-40db-9274-9528ee8c0770"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861"/> <resource> <Patient> <id value="e9385fa8-ce3c-432f-9694-ca95ed560861"/> <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>Prokop Rusko</td> <td>male</td> <td>28-Sep-1952</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="SK"/> </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="1298-659206-6"/> </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="49132702-626e-ed2e-cc81-c7d8a795af89"/> </identifier> <name> <text value="Prokop Rusko"/> <family value="Rusko"/> <given value="Prokop"/> </name> <telecom> <system value="phone"/> <value value="+421 48 889 8230"/> </telecom> <gender value="male"/> <birthDate value="1952-09-28"/> <address> <use value="home"/> <type value="physical"/> <line value="Syslia 675"/> <city value="Gemerský Jablonec"/> <postalCode value="049 11"/> <country value="Slovakia"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:43860762-d80f-498b-b253-363ac648fb52"/> <resource> <Encounter> <id value="43860762-d80f-498b-b253-363ac648fb52"/> <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>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> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/e9385fa8-ce3c-432f-9694-ca95ed560861"/> <display value="Prokop Rusko"/> </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="1995-03-07"/> </period> <individual> <reference value="urn:uuid:f85eca92-2105-44fa-b06f-b15d3b993e7e"/> </individual> </participant> <period> <start value="1995-03-07"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="74400008"/> <display value="Appendicitis (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:6e7ea6c1-19b8-49fc-aa06-f16c03af7277"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:6e90a566-d059-4a4f-b280-26234e6c94ca"/> <resource> <PractitionerRole> <id value="6e90a566-d059-4a4f-b280-26234e6c94ca"/> <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: 6e90a566-d059-4a4f-b280-26234e6c94ca</div> </text> <practitioner> <reference value="urn:uuid:f85eca92-2105-44fa-b06f-b15d3b993e7e"/> </practitioner> <organization> <reference value="urn:uuid:6e7ea6c1-19b8-49fc-aa06-f16c03af7277"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:6e7ea6c1-19b8-49fc-aa06-f16c03af7277"/> <resource> <Organization> <id value="6e7ea6c1-19b8-49fc-aa06-f16c03af7277"/> <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: Poliklinika Janka Kráľa, 048 01 Rožňava, Slovakia</div> </text> <name value="Poliklinika Janka Kráľa"/> <address> <city value="Rožňava"/> <postalCode value="048 01"/> <country value="Slovakia"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:f85eca92-2105-44fa-b06f-b15d3b993e7e"/> <resource> <Practitioner> <id value="f85eca92-2105-44fa-b06f-b15d3b993e7e"/> <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: András Tóth</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="7de40ccf-64f4-4121-be7e-5a76ed617eb8"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Tóth"/> <given value="András"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:466109f0-dc61-4332-88d3-3cc4305b9d2b"/> <resource> <Condition> <id value="466109f0-dc61-4332-88d3-3cc4305b9d2b"/> <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">07-Mar-1995</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:e9385fa8-ce3c-432f-9694-ca95ed560861"/> <display value="Prokop Rusko"/> </subject> <onsetDateTime value="1995-03-07"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:79d290e7-0a05-4ff6-9265-d8c237b24b4c"/> <resource> <Procedure> <id value="79d290e7-0a05-4ff6-9265-d8c237b24b4c"/> <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 count and CRP laboratory analysis</td> <td> <span class="nb">04-Mar-1995</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:e9385fa8-ce3c-432f-9694-ca95ed560861"/> <display value="Prokop Rusko"/> </subject> <performedDateTime value="1995-03-04"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e603047f-f0d1-4d9d-982f-b84dbef95c15"/> <resource> <Procedure> <id value="e603047f-f0d1-4d9d-982f-b84dbef95c15"/> <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</td> <td> <span class="nb">04-Mar-1995</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:e9385fa8-ce3c-432f-9694-ca95ed560861"/> <display value="Prokop Rusko"/> </subject> <performedDateTime value="1995-03-04"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:4d4df675-b0af-40b5-a829-82e18f71aba3"/> <resource> <Procedure> <id value="4d4df675-b0af-40b5-a829-82e18f71aba3"/> <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>CT scan of abdomen</td> <td> <span class="nb">04-Mar-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="169070004"/> <display value="Computed tomography of abdomen (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861"/> <display value="Prokop Rusko"/> </subject> <performedDateTime value="1995-03-04"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:4613853c-d83a-4f49-8226-7d95dca3d9eb"/> <resource> <Procedure> <id value="4613853c-d83a-4f49-8226-7d95dca3d9eb"/> <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 (fever assessment)</td> <td> <span class="nb">04-Mar-1995</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:e9385fa8-ce3c-432f-9694-ca95ed560861"/> <display value="Prokop Rusko"/> </subject> <performedDateTime value="1995-03-04"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:041c04f4-6f20-4154-a71f-a40478fd161b"/> <resource> <Procedure> <id value="041c04f4-6f20-4154-a71f-a40478fd161b"/> <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 (pre-operative assessment)</td> <td> <span class="nb">05-Mar-1995</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:e9385fa8-ce3c-432f-9694-ca95ed560861"/> <display value="Prokop Rusko"/> </subject> <performedDateTime value="1995-03-05"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:756d362a-fb9d-47ad-a518-e961c9f4cee5"/> <resource> <Procedure> <id value="756d362a-fb9d-47ad-a518-e961c9f4cee5"/> <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 for appendectomy</td> <td> <span class="nb">05-Mar-1995</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:e9385fa8-ce3c-432f-9694-ca95ed560861"/> <display value="Prokop Rusko"/> </subject> <performedDateTime value="1995-03-05"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:d6b80391-5d72-455e-933e-12809d991512"/> <resource> <Procedure> <id value="d6b80391-5d72-455e-933e-12809d991512"/> <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</td> <td> <span class="nb">05-Mar-1995</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:e9385fa8-ce3c-432f-9694-ca95ed560861"/> <display value="Prokop Rusko"/> </subject> <performedDateTime value="1995-03-05"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b9755bdb-68c4-4049-8a0a-7af82d2955de"/> <resource> <Procedure> <id value="b9755bdb-68c4-4049-8a0a-7af82d2955de"/> <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">05-Mar-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="229070002"/> <display value="Stretching exercises (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861"/> <display value="Prokop Rusko"/> </subject> <performedDateTime value="1995-03-05"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:f96b40d3-25e1-40db-9274-9528ee8c0770"/> <resource> <Procedure> <id value="f96b40d3-25e1-40db-9274-9528ee8c0770"/> <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>Wound dressing and care</td> <td> <span class="nb">06-Mar-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182531007"/> <display value="Dressing of wound (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:e9385fa8-ce3c-432f-9694-ca95ed560861"/> <display value="Prokop Rusko"/> </subject> <performedDateTime value="1995-03-06"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b4b73936-888a-4dad-86ec-66b3b4dcd659"/> <resource> <Device> <id value="b4b73936-888a-4dad-86ec-66b3b4dcd659"/> <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:2fd287ce-ab94-4c91-ae46-d48cb52fe535"/> <resource> <Provenance> <id value="2fd287ce-ab94-4c91-ae46-d48cb52fe535"/> <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:e9385fa8-ce3c-432f-9694-ca95ed560861"/> </target> <target> <reference value="urn:uuid:6e90a566-d059-4a4f-b280-26234e6c94ca"/> </target> <target> <reference value="urn:uuid:f85eca92-2105-44fa-b06f-b15d3b993e7e"/> </target> <target> <reference value="urn:uuid:6e7ea6c1-19b8-49fc-aa06-f16c03af7277"/> </target> <recorded value="2026-03-20T18:25:04Z"/> <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:b4b73936-888a-4dad-86ec-66b3b4dcd659"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>