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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you about the hospital course of your patient, a 40-year-old female, admitted on 02.12.2021 with acute lower abdominal pain and a positive pregnancy test. Clinical examination, transvaginal ultrasound, and serial serum beta-hCG measurements confirmed a right-sided tubal ectopic pregnancy without signs of rupture on admission. Due to the clinical findings and patient's hemodynamic stability, she was counselled and consented for surgical management. She underwent laparoscopic right salpingectomy on 02.12.2021 without intraoperative complications. Postoperative recovery was uneventful, and she was discharged home on 04.12.2021 in good general condition. Histopathology specimens have been submitted. Please ensure follow-up of beta-hCG levels until negativity and provide appropriate psychological support regarding future fertility counselling.</div>"
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              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Excision of fallopian tube and surgical removal of ectopic pregnancy (procedure)</td><td><span class=\"nb\">02-Dec-2021</span></td><td>-</td></tr></table></div>"
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          "reference": "urn:uuid:e93848bb-227c-4672-8086-acb4f9550d3c",
          "display": "Mary Kambs"
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        "identifier": [
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            "given": [
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            "text": "Mary Kambs"
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        "address": [
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            "line": [
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            "use": "home",
            "type": "physical",
            "postalCode": "72379",
            "city": "Hechingen",
            "country": "Germany"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "06423969391"
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                "url": "code",
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                  "coding": [
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            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Mary Kambs</td><td>female</td><td>07-Dec-1984</td></tr></table></div>"
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        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Dr. Christine Stegmann-Scharf, Mössingen, Germany</td><td>02-12-2021 - 04-12-2021</td><td><ul><li>Tubal pregnancy (disorder)</li></ul></td></tr></table></div>"
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        "status": "completed",
        "class": {
          "code": "IMP",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
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        "serviceProvider": {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: 32cf3512-19bb-4de0-90fc-46f25f84303d</div>"
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        "practitioner": {
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        "organization": {
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        "address": [
          {
            "city": "Mössingen",
            "postalCode": "72116",
            "country": "Germany"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Dr. Christine Stegmann-Scharf, 72116 Mössingen, Germany</div>"
        },
        "name": "Dr. Christine Stegmann-Scharf"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: Dr. Evangelos Gute</div>"
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              "code": "O00.1",
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              "display": "Tubal pregnancy"
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          ],
          "text": "Tubal pregnancy"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Tubal pregnancy</td><td><span class=\"nb\">04-Dec-2021</span></td><td>active</td></tr></table></div>"
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        "onsetDateTime": "2021-12-04",
        "subject": {
          "reference": "urn:uuid:e93848bb-227c-4672-8086-acb4f9550d3c",
          "display": "Mary Kambs"
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            {
              "code": "133899007",
              "system": "http://snomed.info/sct",
              "display": "Postoperative care"
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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>Postoperative care (regime/therapy)</td><td><span class=\"nb\">04-Dec-2021</span></td><td>-</td></tr></table></div>"
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        "status": "completed",
        "performedDateTime": "2021-12-04",
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          "display": "Mary Kambs"
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    {
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        "distinctIdentifier": "synderai-generator-50",
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              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
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          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
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        "agent": [
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            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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        "recorded": "2026-03-20T18:20:18Z"
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  "timestamp": "2021-12-04T00:00:00Z"
}
