<confidentiality value="N"/> <custodian> <reference value="urn:uuid:7a0d13b9-633c-49ec-934e-de9227ce3d2c"/> </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">NSTEMI, treated with PCI</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 patient, a 68-year-old female, admitted on 24/02/2015 with acute chest pain and dyspnoea. On admission, ECG showed ST-depression in leads V4-V6, and serial troponin measurements were significantly elevated, confirming the diagnosis of Non-ST-Elevation Myocardial Infarction (NSTEMI). Echocardiography revealed mildly reduced left ventricular function. The patient was commenced on dual antiplatelet therapy, anticoagulation, and a statin. Urgent coronary angiography demonstrated a significant stenosis of the left anterior descending artery, which was successfully treated by percutaneous coronary intervention (PCI) with drug-eluting stent implantation on 25/02/2015. Post-procedural course was uneventful. The patient was discharged on aspirin, ticagrelor, ramipril, bisoprolol, and atorvastatin. Please ensure close follow-up within two weeks.</div> </text> </section> <section> <title value="Medications"/> <code> <coding> <system value="http://loinc.org"/> <code value="87232-5"/> <display value="Medication administration.brief"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__hdr"> <tr> <td/> <td> <span class="nb">2015-02-24</span> </td> <td>-</td> <td>-</td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:eec2e6af-c5c4-48fb-8ccb-77768eab576c"/> </entry> <entry> <reference value="urn:uuid:597105c6-20f5-428b-afee-2c656f15ca66"/> </entry> <entry> <reference value="urn:uuid:be2018a3-e166-4015-a5a4-3aba02cccd62"/> </entry> <entry> <reference value="urn:uuid:4cfed84f-a0aa-4e09-bca7-decd8070a6b4"/> </entry> </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>Acute subendocardial myocardial infarction</td> <td> <span class="nb">25-Feb-2015</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:ba8784e5-37f8-4c41-8063-a5638a866b11"/> </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>Administration of anticoagulation therapy</td> <td> <span class="nb">24-Feb-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:3a8f227b-8f71-40f4-8ea6-944594124333"/> </entry> <entry> <reference value="urn:uuid:f2efcf94-538d-4026-b8bd-ec3c37636623"/> </entry> <entry> <reference value="urn:uuid:23eac143-a74b-42b3-9873-8e15eb54e35b"/> </entry> <entry> <reference value="urn:uuid:14bb5477-e113-4379-b272-c12f8e084aef"/> </entry> <entry> <reference value="urn:uuid:34f81a9e-dae4-4a48-8621-73c5acd09e8c"/> </entry> <entry> <reference value="urn:uuid:c4d33346-5a92-43ab-a0b9-2ff95570128d"/> </entry> <entry> <reference value="urn:uuid:5b039d96-dcac-4f0d-ac32-92f0928c0223"/> </entry> <entry> <reference value="urn:uuid:f603ed88-908b-492c-bba9-8d511120f7ee"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <resource> <Patient> <id value="7e92071e-33de-4656-bd66-50128f375343"/> <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>Zofia Ring</td> <td>female</td> <td>18-Jun-1957</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="4078-057080-6"/> </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="05b0cec0-7914-d38d-535e-aab329297415"/> </identifier> <name> <text value="Zofia Ring"/> <family value="Ring"/> <given value="Zofia"/> </name> <telecom> <system value="phone"/> <value value="06428 365982"/> </telecom> <gender value="female"/> <birthDate value="1957-06-18"/> <address> <use value="home"/> <type value="physical"/> <line value="Pölitzplatz 19"/> <city value="Ebern"/> <postalCode value="96106"/> <country value="Germany"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:e5301b8c-ff0a-467e-98d1-9c17209759ee"/> <resource> <Encounter> <id value="e5301b8c-ff0a-467e-98d1-9c17209759ee"/> <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>Haßberg-Kliniken Haus Ebern, Ebern, Germany</td> <td>24-02-2015 - 25-02-2015</td> <td> <ul> <li>Acute non-ST segment elevation myocardial infarction (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/7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </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="2015-02-25"/> </period> <individual> <reference value="urn:uuid:d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e"/> </individual> </participant> <period> <start value="2015-02-25"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="401314000"/> <display value="Acute non-ST segment elevation myocardial infarction (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:7a0d13b9-633c-49ec-934e-de9227ce3d2c"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:3db808ef-e5ba-47d2-b955-b22b1fd9c742"/> <resource> <PractitionerRole> <id value="3db808ef-e5ba-47d2-b955-b22b1fd9c742"/> <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: 3db808ef-e5ba-47d2-b955-b22b1fd9c742</div> </text> <practitioner> <reference value="urn:uuid:d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e"/> </practitioner> <organization> <reference value="urn:uuid:7a0d13b9-633c-49ec-934e-de9227ce3d2c"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:7a0d13b9-633c-49ec-934e-de9227ce3d2c"/> <resource> <Organization> <id value="7a0d13b9-633c-49ec-934e-de9227ce3d2c"/> <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: Haßberg-Kliniken Haus Ebern, 96106 Ebern, Germany</div> </text> <name value="Haßberg-Kliniken Haus Ebern"/> <address> <city value="Ebern"/> <postalCode value="96106"/> <country value="Germany"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e"/> <resource> <Practitioner> <id value="d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e"/> <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. Kurt Hendriks</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="6e592f19-8ba5-4fe7-95ca-a4ed7ab8b06f"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Hendriks"/> <given value="Kurt"/> <prefix value="Dr."/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:eec2e6af-c5c4-48fb-8ccb-77768eab576c"/> <resource> <MedicationStatement> <id value="eec2e6af-c5c4-48fb-8ccb-77768eab576c"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips first25"> <tr> <th>Medication</th> <th>Since</th> <th>Form</th> <th>Dosage</th> <th>Reason</th> </tr> <tr> <td/> <td> <span class="nb">2015-02-24</span> </td> <td>-</td> <td>-</td> <td>-</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:290e2dd0-9a74-47d6-b698-c7118403cb83"/> </medicationReference> <subject> <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <effectivePeriod> <start value="2015-02-24"/> </effectivePeriod> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:597105c6-20f5-428b-afee-2c656f15ca66"/> <resource> <MedicationStatement> <id value="597105c6-20f5-428b-afee-2c656f15ca66"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips first25"> <tr> <th>Medication</th> <th>Since</th> <th>Form</th> <th>Dosage</th> <th>Reason</th> </tr> <tr> <td/> <td> <span class="nb">2015-02-24</span> </td> <td>-</td> <td>-</td> <td>-</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:7d652a76-d2e6-4715-9e76-0a84fd62ebae"/> </medicationReference> <subject> <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <effectivePeriod> <start value="2015-02-24"/> </effectivePeriod> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:be2018a3-e166-4015-a5a4-3aba02cccd62"/> <resource> <MedicationStatement> <id value="be2018a3-e166-4015-a5a4-3aba02cccd62"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips first25"> <tr> <th>Medication</th> <th>Since</th> <th>Form</th> <th>Dosage</th> <th>Reason</th> </tr> <tr> <td/> <td> <span class="nb">2015-02-24</span> </td> <td>-</td> <td>-</td> <td>-</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:eb9f50fa-1b78-4821-8a10-af2e3954c79b"/> </medicationReference> <subject> <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <effectivePeriod> <start value="2015-02-24"/> </effectivePeriod> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:4cfed84f-a0aa-4e09-bca7-decd8070a6b4"/> <resource> <MedicationStatement> <id value="4cfed84f-a0aa-4e09-bca7-decd8070a6b4"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips first25"> <tr> <th>Medication</th> <th>Since</th> <th>Form</th> <th>Dosage</th> <th>Reason</th> </tr> <tr> <td/> <td> <span class="nb">2015-02-24</span> </td> <td>-</td> <td>-</td> <td>-</td> </tr> </table> </div> </text> <status value="active"/> <medicationReference> <reference value="urn:uuid:0ded2b51-f7db-4d55-a931-2841914674b2"/> </medicationReference> <subject> <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <effectivePeriod> <start value="2015-02-24"/> </effectivePeriod> </MedicationStatement> </resource> </entry> <entry> <fullUrl value="urn:uuid:ba8784e5-37f8-4c41-8063-a5638a866b11"/> <resource> <Condition> <id value="ba8784e5-37f8-4c41-8063-a5638a866b11"/> <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>Acute subendocardial myocardial infarction</td> <td> <span class="nb">25-Feb-2015</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="I21.4"/> <display value="Acute subendocardial myocardial infarction"/> </coding> <text value="Acute subendocardial myocardial infarction"/> </code> <subject> <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <onsetDateTime value="2015-02-25"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:3a8f227b-8f71-40f4-8ea6-944594124333"/> <resource> <Procedure> <id value="3a8f227b-8f71-40f4-8ea6-944594124333"/> <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>12-lead ECG on admission</td> <td> <span class="nb">24-Feb-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="164861001"/> <display value="Electrocardiographic myocardial ischemia (finding)"/> </coding> </code> <subject> <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <performedDateTime value="2015-02-24"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:f2efcf94-538d-4026-b8bd-ec3c37636623"/> <resource> <Procedure> <id value="f2efcf94-538d-4026-b8bd-ec3c37636623"/> <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>Full blood count and metabolic panel</td> <td> <span class="nb">24-Feb-2015</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:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <performedDateTime value="2015-02-24"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:23eac143-a74b-42b3-9873-8e15eb54e35b"/> <resource> <Procedure> <id value="23eac143-a74b-42b3-9873-8e15eb54e35b"/> <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>Chest X-ray</td> <td> <span class="nb">24-Feb-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="399208008"/> <display value="Plain X-ray of chest (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <performedDateTime value="2015-02-24"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:14bb5477-e113-4379-b272-c12f8e084aef"/> <resource> <Procedure> <id value="14bb5477-e113-4379-b272-c12f8e084aef"/> <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>Echocardiography</td> <td> <span class="nb">24-Feb-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="40701008"/> <display value="Echocardiography (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <performedDateTime value="2015-02-24"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:34f81a9e-dae4-4a48-8621-73c5acd09e8c"/> <resource> <Procedure> <id value="34f81a9e-dae4-4a48-8621-73c5acd09e8c"/> <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>Coronary angiography</td> <td> <span class="nb">25-Feb-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="33367005"/> <display value="Angiography of coronary artery (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <performedDateTime value="2015-02-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:c4d33346-5a92-43ab-a0b9-2ff95570128d"/> <resource> <Procedure> <id value="c4d33346-5a92-43ab-a0b9-2ff95570128d"/> <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>Percutaneous coronary intervention with drug-eluting stent to LAD</td> <td> <span class="nb">25-Feb-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="415070008"/> <display value="Percutaneous transluminal coronary intervention using imaging guidance with contrast (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <performedDateTime value="2015-02-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:5b039d96-dcac-4f0d-ac32-92f0928c0223"/> <resource> <Procedure> <id value="5b039d96-dcac-4f0d-ac32-92f0928c0223"/> <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 dual antiplatelet therapy (aspirin and ticagrelor)</td> <td> <span class="nb">24-Feb-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182764009"/> <display value="Anticoagulant therapy (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <performedDateTime value="2015-02-24"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:f603ed88-908b-492c-bba9-8d511120f7ee"/> <resource> <Procedure> <id value="f603ed88-908b-492c-bba9-8d511120f7ee"/> <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 anticoagulation therapy</td> <td> <span class="nb">24-Feb-2015</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:7e92071e-33de-4656-bd66-50128f375343"/> <display value="Zofia Ring"/> </subject> <performedDateTime value="2015-02-24"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:c81f3faa-b5e0-4108-95f1-64ed626ac3f7"/> <resource> <Device> <id value="c81f3faa-b5e0-4108-95f1-64ed626ac3f7"/> <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:3de06c14-a1a1-4796-9692-1f83474a07b4"/> <resource> <Provenance> <id value="3de06c14-a1a1-4796-9692-1f83474a07b4"/> <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:7e92071e-33de-4656-bd66-50128f375343"/> </target> <target> <reference value="urn:uuid:3db808ef-e5ba-47d2-b955-b22b1fd9c742"/> </target> <target> <reference value="urn:uuid:d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e"/> </target> <target> <reference value="urn:uuid:7a0d13b9-633c-49ec-934e-de9227ce3d2c"/> </target> <recorded value="2026-03-20T18:19:44Z"/> <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:c81f3faa-b5e0-4108-95f1-64ed626ac3f7"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>


               
                  
                  
               
               
                  
                  
                  
               
            
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:7a0d13b9-633c-49ec-934e-de9227ce3d2c"/>
            </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">NSTEMI, treated with PCI</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 patient, a 68-year-old female, admitted on 24/02/2015 with acute chest pain and dyspnoea. On admission, ECG showed ST-depression in leads V4-V6, and serial troponin measurements were significantly elevated, confirming the diagnosis of Non-ST-Elevation Myocardial Infarction (NSTEMI). Echocardiography revealed mildly reduced left ventricular function. The patient was commenced on dual antiplatelet therapy, anticoagulation, and a statin. Urgent coronary angiography demonstrated a significant stenosis of the left anterior descending artery, which was successfully treated by percutaneous coronary intervention (PCI) with drug-eluting stent implantation on 25/02/2015. Post-procedural course was uneventful. The patient was discharged on aspirin, ticagrelor, ramipril, bisoprolol, and atorvastatin. Please ensure close follow-up within two weeks.</div>
               </text>
            </section>
            <section>
               <title value="Medications"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="87232-5"/>
                     <display value="Medication administration.brief"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td/>
                           <td>
                              <span class="nb">2015-02-24</span>
                           </td>
                           <td>-</td>
                           <td>-</td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:eec2e6af-c5c4-48fb-8ccb-77768eab576c"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:597105c6-20f5-428b-afee-2c656f15ca66"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:be2018a3-e166-4015-a5a4-3aba02cccd62"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:4cfed84f-a0aa-4e09-bca7-decd8070a6b4"/>
               </entry>
            </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>Acute subendocardial myocardial infarction</td>
                           <td>
                              <span class="nb">25-Feb-2015</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:ba8784e5-37f8-4c41-8063-a5638a866b11"/>
               </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>Administration of anticoagulation therapy</td>
                           <td>
                              <span class="nb">24-Feb-2015</span>
                           </td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:3a8f227b-8f71-40f4-8ea6-944594124333"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:f2efcf94-538d-4026-b8bd-ec3c37636623"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:23eac143-a74b-42b3-9873-8e15eb54e35b"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:14bb5477-e113-4379-b272-c12f8e084aef"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:34f81a9e-dae4-4a48-8621-73c5acd09e8c"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:c4d33346-5a92-43ab-a0b9-2ff95570128d"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:5b039d96-dcac-4f0d-ac32-92f0928c0223"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:f603ed88-908b-492c-bba9-8d511120f7ee"/>
               </entry>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/>
      <resource>
         <Patient>
            <id value="7e92071e-33de-4656-bd66-50128f375343"/>
            <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>Zofia Ring</td>
                        <td>female</td>
                        <td>18-Jun-1957</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="4078-057080-6"/>
            </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="05b0cec0-7914-d38d-535e-aab329297415"/>
            </identifier>
            <name>
               <text value="Zofia Ring"/>
               <family value="Ring"/>
               <given value="Zofia"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="06428 365982"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1957-06-18"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Pölitzplatz 19"/>
               <city value="Ebern"/>
               <postalCode value="96106"/>
               <country value="Germany"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e5301b8c-ff0a-467e-98d1-9c17209759ee"/>
      <resource>
         <Encounter>
            <id value="e5301b8c-ff0a-467e-98d1-9c17209759ee"/>
            <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>Haßberg-Kliniken Haus Ebern, Ebern, Germany</td>
                        <td>24-02-2015 - 25-02-2015</td>
                        <td>
                           <ul>
                              <li>Acute non-ST segment elevation myocardial infarction (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/7e92071e-33de-4656-bd66-50128f375343"/>
               <display value="Zofia Ring"/>
            </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="2015-02-25"/>
               </period>
               <individual>
                  <reference value="urn:uuid:d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e"/>
               </individual>
            </participant>
            <period>
               <start value="2015-02-25"/>
            </period>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="401314000"/>
                  <display value="Acute non-ST segment elevation myocardial infarction (disorder)"/>
               </coding>
            </reasonCode>
            <serviceProvider>
               <reference value="urn:uuid:7a0d13b9-633c-49ec-934e-de9227ce3d2c"/>
            </serviceProvider>
         </Encounter>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:3db808ef-e5ba-47d2-b955-b22b1fd9c742"/>
      <resource>
         <PractitionerRole>
            <id value="3db808ef-e5ba-47d2-b955-b22b1fd9c742"/>
            <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: 3db808ef-e5ba-47d2-b955-b22b1fd9c742</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e"/>
            </practitioner>
            <organization>
               <reference value="urn:uuid:7a0d13b9-633c-49ec-934e-de9227ce3d2c"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:7a0d13b9-633c-49ec-934e-de9227ce3d2c"/>
      <resource>
         <Organization>
            <id value="7a0d13b9-633c-49ec-934e-de9227ce3d2c"/>
            <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: Haßberg-Kliniken Haus Ebern, 96106 Ebern, Germany</div>
            </text>
            <name value="Haßberg-Kliniken Haus Ebern"/>
            <address>
               <city value="Ebern"/>
               <postalCode value="96106"/>
               <country value="Germany"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e"/>
      <resource>
         <Practitioner>
            <id value="d2f08c7e-d7ed-4395-9c30-e316aa7ffe4e"/>
            <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. Kurt Hendriks</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="6e592f19-8ba5-4fe7-95ca-a4ed7ab8b06f"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Hendriks"/>
               <given value="Kurt"/>
               <prefix value="Dr."/>
            </name>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:eec2e6af-c5c4-48fb-8ccb-77768eab576c"/>
      <resource>
         <MedicationStatement>
            <id value="eec2e6af-c5c4-48fb-8ccb-77768eab576c"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips first25">
                     <tr>
                        <th>Medication</th>
                        <th>Since</th>
                        <th>Form</th>
                        <th>Dosage</th>
                        <th>Reason</th>
                     </tr>
                     <tr>
                        <td/>
                        <td>
                           <span class="nb">2015-02-24</span>
                        </td>
                        <td>-</td>
                        <td>-</td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:290e2dd0-9a74-47d6-b698-c7118403cb83"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/>
               <display value="Zofia Ring"/>
            </subject>
            <effectivePeriod>
               <start value="2015-02-24"/>
            </effectivePeriod>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:597105c6-20f5-428b-afee-2c656f15ca66"/>
      <resource>
         <MedicationStatement>
            <id value="597105c6-20f5-428b-afee-2c656f15ca66"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips first25">
                     <tr>
                        <th>Medication</th>
                        <th>Since</th>
                        <th>Form</th>
                        <th>Dosage</th>
                        <th>Reason</th>
                     </tr>
                     <tr>
                        <td/>
                        <td>
                           <span class="nb">2015-02-24</span>
                        </td>
                        <td>-</td>
                        <td>-</td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:7d652a76-d2e6-4715-9e76-0a84fd62ebae"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/>
               <display value="Zofia Ring"/>
            </subject>
            <effectivePeriod>
               <start value="2015-02-24"/>
            </effectivePeriod>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:be2018a3-e166-4015-a5a4-3aba02cccd62"/>
      <resource>
         <MedicationStatement>
            <id value="be2018a3-e166-4015-a5a4-3aba02cccd62"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips first25">
                     <tr>
                        <th>Medication</th>
                        <th>Since</th>
                        <th>Form</th>
                        <th>Dosage</th>
                        <th>Reason</th>
                     </tr>
                     <tr>
                        <td/>
                        <td>
                           <span class="nb">2015-02-24</span>
                        </td>
                        <td>-</td>
                        <td>-</td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:eb9f50fa-1b78-4821-8a10-af2e3954c79b"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/>
               <display value="Zofia Ring"/>
            </subject>
            <effectivePeriod>
               <start value="2015-02-24"/>
            </effectivePeriod>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:4cfed84f-a0aa-4e09-bca7-decd8070a6b4"/>
      <resource>
         <MedicationStatement>
            <id value="4cfed84f-a0aa-4e09-bca7-decd8070a6b4"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/medicationStatement-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips first25">
                     <tr>
                        <th>Medication</th>
                        <th>Since</th>
                        <th>Form</th>
                        <th>Dosage</th>
                        <th>Reason</th>
                     </tr>
                     <tr>
                        <td/>
                        <td>
                           <span class="nb">2015-02-24</span>
                        </td>
                        <td>-</td>
                        <td>-</td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="active"/>
            <medicationReference>
               <reference value="urn:uuid:0ded2b51-f7db-4d55-a931-2841914674b2"/>
            </medicationReference>
            <subject>
               <reference value="urn:uuid:7e92071e-33de-4656-bd66-50128f375343"/>
               <display value="Zofia Ring"/>
            </subject>
            <effectivePeriod>
               <start value="2015-02-24"/>
            </effectivePeriod>
         </MedicationStatement>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:ba8784e5-37f8-4c41-8063-a5638a866b11"/>
      <resource>
         <Condition>
            <id value="ba8784e5-37f8-4c41-8063-a5638a866b11"/>
            <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>Acute subendocardial myocardial infarction</td>
                        <td>
                           <span class="nb">25-Feb-2015</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="I21.4"/>
                  <display value="Acute subendocardial myocardial infarction"/>
               </coding>
               <text value="Acute subendocardial myocardial infarction"/>
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            <subject>
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