{
  "resourceType": "Bundle",
  "id": "73ed7f90-adfb-4fd1-9eeb-2cf993e0c708",
  "meta": {
    "profile": [
      "http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr"
    ]
  },
  "identifier": {
    "assigner": {
      "display": "HL7 Europe"
    },
    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "6369106b-b51f-4c6d-9fc4-cfd456800444"
  },
  "entry": [
    {
      "fullUrl": "urn:uuid:9181ee87-82d8-46a5-967d-1a9233adf12f",
      "resource": {
        "resourceType": "Composition",
        "id": "9181ee87-82d8-46a5-967d-1a9233adf12f",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"
          ]
        },
        "identifier": {
          "assigner": {
            "display": "HL7 Europe"
          },
          "system": "urn:oid:2.16.840.1.113883.2.51.999",
          "value": "1a6adfd8-7df9-400a-8997-f106a14a35a1"
        },
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "34105-7",
              "display": "Hospital Discharge summary"
            }
          ],
          "text": "Hospital Discharge Report"
        },
        "author": [
          {
            "reference": "urn:uuid:cc2a7fd2-1300-4cd3-bce7-e87b281d616e"
          }
        ],
        "text": {
          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
        },
        "section": [
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pre-renal transplant workup completed, patient listed</div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "67781-5",
                  "display": "Summarization of encounter note"
                }
              ]
            },
            "title": "Synthesis"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, we are writing to inform you about the inpatient stay of your 69-year-old male patient, admitted for pre-transplant kidney evaluation. During his stay, we completed a comprehensive pre-renal transplant workup including renal function assessment, cardiac evaluation, serological and immunological screening, imaging studies, and dialysis access planning. Cross-match and HLA typing were performed and submitted to the transplant registry. Infectious disease clearance was obtained. Nutritional and anesthesiological risk assessment were completed without contraindications to transplantation. The patient has been formally listed for deceased-donor kidney transplantation. Dialysis preparatory care planning (Z49.0) has been initiated accordingly. We recommend continued close monitoring of renal function and blood pressure in your practice. Please do not hesitate to contact us should any questions arise.</div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8648-8",
                  "display": "Hospital course note"
                }
              ]
            },
            "title": "Hospital course note"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Preparatory care for dialysis</td><td><span class=\"nb\">21-Aug-2016</span></td><td>active</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:03c6ecf0-bb79-406a-97d9-0bd0f45b40c3"
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11535-2",
                  "display": "Hospital discharge diagnosis note"
                }
              ]
            },
            "title": "Diagnosis at Discharge"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Pretransplant evaluation of kidney recipient (procedure)</td><td><span class=\"nb\">18-Aug-2016</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:841bdab1-c8fa-453d-b536-9e1cb33fa7cb"
              },
              {
                "reference": "urn:uuid:b8966eea-b64c-4867-b3b3-e1e7271d5df3"
              },
              {
                "reference": "urn:uuid:67565eb5-06d2-488a-9d36-6941c9d31bae"
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10185-7",
                  "display": "Hospital discharge procedure note"
                }
              ]
            },
            "title": "Significant procedures"
          }
        ],
        "title": "Hospital Discharge Report",
        "status": "final",
        "subject": {
          "reference": "urn:uuid:9cf76b20-ab92-44f9-9abf-13795f5dba0e",
          "display": "Kamil Banek"
        },
        "custodian": {
          "reference": "urn:uuid:286da6d1-131b-4bf3-b2b6-89e7f5a5f97e"
        },
        "date": "2016-08-21T00:00:00Z",
        "confidentiality": "N"
      }
    },
    {
      "fullUrl": "urn:uuid:9cf76b20-ab92-44f9-9abf-13795f5dba0e",
      "resource": {
        "resourceType": "Patient",
        "id": "9cf76b20-ab92-44f9-9abf-13795f5dba0e",
        "meta": {
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "7118-203757-3"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "82d90800-3c8c-b94e-d424-a1cdbabeebac"
          }
        ],
        "name": [
          {
            "given": [
              "Kamil"
            ],
            "family": "Banek",
            "text": "Kamil Banek"
          }
        ],
        "address": [
          {
            "line": [
              "ul. Wiązowa 27"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "43-600",
            "city": "Jaworzno",
            "country": "Poland"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "507 090 388"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "PL",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Kamil Banek</td><td>male</td><td>03-Jul-1956</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1956-07-03"
      }
    },
    {
      "fullUrl": "urn:uuid:b702bae5-12a6-41d4-abd3-90268cbdf40b",
      "resource": {
        "resourceType": "Encounter",
        "id": "b702bae5-12a6-41d4-abd3-90268cbdf40b",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"
          ]
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "code": "PPRF",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "display": "primary performer"
                  }
                ]
              }
            ],
            "period": {
              "end": "2016-08-21"
            },
            "individual": {
              "reference": "urn:uuid:9270c2eb-677d-433b-a8f7-8d25a61ca3bd"
            }
          }
        ],
        "period": {
          "start": "2016-08-21"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "code": "698306007",
                "system": "http://snomed.info/sct",
                "display": "Awaiting transplantation of kidney (situation)"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Szpital Wielospecjalistyczny w Jaworznie, Jaworzno, Poland</td><td>18-08-2016 - 21-08-2016</td><td><ul><li>Awaiting transplantation of kidney (situation)</li></ul></td></tr></table></div>"
        },
        "status": "completed",
        "class": {
          "code": "IMP",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
        },
        "serviceProvider": {
          "reference": "urn:uuid:286da6d1-131b-4bf3-b2b6-89e7f5a5f97e"
        },
        "subject": {
          "reference": "Patient/9cf76b20-ab92-44f9-9abf-13795f5dba0e",
          "display": "Kamil Banek"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:cc2a7fd2-1300-4cd3-bce7-e87b281d616e",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "cc2a7fd2-1300-4cd3-bce7-e87b281d616e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: cc2a7fd2-1300-4cd3-bce7-e87b281d616e</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:9270c2eb-677d-433b-a8f7-8d25a61ca3bd"
        },
        "organization": {
          "reference": "urn:uuid:286da6d1-131b-4bf3-b2b6-89e7f5a5f97e"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:286da6d1-131b-4bf3-b2b6-89e7f5a5f97e",
      "resource": {
        "resourceType": "Organization",
        "id": "286da6d1-131b-4bf3-b2b6-89e7f5a5f97e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"
          ]
        },
        "address": [
          {
            "city": "Jaworzno",
            "postalCode": "43-602",
            "country": "Poland"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Szpital Wielospecjalistyczny w Jaworznie, 43-602 Jaworzno, Poland</div>"
        },
        "name": "Szpital Wielospecjalistyczny w Jaworznie"
      }
    },
    {
      "fullUrl": "urn:uuid:9270c2eb-677d-433b-a8f7-8d25a61ca3bd",
      "resource": {
        "resourceType": "Practitioner",
        "id": "9270c2eb-677d-433b-a8f7-8d25a61ca3bd",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"
          ]
        },
        "identifier": [
          {
            "assigner": {
              "display": "HL7 Europe"
            },
            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "cb712349-60dc-4467-ad30-48014cf91c79"
          }
        ],
        "name": [
          {
            "given": [
              "Gustaw"
            ],
            "family": "Jędraszek"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: Gustaw Jędraszek</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:03c6ecf0-bb79-406a-97d9-0bd0f45b40c3",
      "resource": {
        "resourceType": "Condition",
        "id": "03c6ecf0-bb79-406a-97d9-0bd0f45b40c3",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "encounter-diagnosis",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "Z49.0",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Preparatory care for dialysis"
            }
          ],
          "text": "Preparatory care for dialysis"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Preparatory care for dialysis</td><td><span class=\"nb\">21-Aug-2016</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "2016-08-21",
        "subject": {
          "reference": "urn:uuid:9cf76b20-ab92-44f9-9abf-13795f5dba0e",
          "display": "Kamil Banek"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:841bdab1-c8fa-453d-b536-9e1cb33fa7cb",
      "resource": {
        "resourceType": "Procedure",
        "id": "841bdab1-c8fa-453d-b536-9e1cb33fa7cb",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "711446003",
              "system": "http://snomed.info/sct",
              "display": "Transplantation of kidney regime"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Transplantation of kidney regime (regime/therapy)</td><td><span class=\"nb\">21-Aug-2016</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2016-08-21",
        "subject": {
          "reference": "urn:uuid:9cf76b20-ab92-44f9-9abf-13795f5dba0e",
          "display": "Kamil Banek"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b8966eea-b64c-4867-b3b3-e1e7271d5df3",
      "resource": {
        "resourceType": "Procedure",
        "id": "b8966eea-b64c-4867-b3b3-e1e7271d5df3",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "70536003",
              "system": "http://snomed.info/sct",
              "display": "Transplant of kidney"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Transplant of kidney (procedure)</td><td><span class=\"nb\">18-Aug-2016</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2016-08-18",
        "subject": {
          "reference": "urn:uuid:9cf76b20-ab92-44f9-9abf-13795f5dba0e",
          "display": "Kamil Banek"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:67565eb5-06d2-488a-9d36-6941c9d31bae",
      "resource": {
        "resourceType": "Procedure",
        "id": "67565eb5-06d2-488a-9d36-6941c9d31bae",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "428830000",
              "system": "http://snomed.info/sct",
              "display": "Pretransplant evaluation of kidney recipient"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Pretransplant evaluation of kidney recipient (procedure)</td><td><span class=\"nb\">18-Aug-2016</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2016-08-18",
        "subject": {
          "reference": "urn:uuid:9cf76b20-ab92-44f9-9abf-13795f5dba0e",
          "display": "Kamil Banek"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:687bc40f-d368-4bbe-ad59-b037fa55cafa",
      "resource": {
        "resourceType": "Device",
        "id": "687bc40f-d368-4bbe-ad59-b037fa55cafa",
        "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:a2ba1c48-e9a1-4168-b2b0-3be02eba3cd0",
      "resource": {
        "resourceType": "Provenance",
        "id": "a2ba1c48-e9a1-4168-b2b0-3be02eba3cd0",
        "target": [
          {
            "reference": "urn:uuid:9cf76b20-ab92-44f9-9abf-13795f5dba0e"
          },
          {
            "reference": "urn:uuid:cc2a7fd2-1300-4cd3-bce7-e87b281d616e"
          },
          {
            "reference": "urn:uuid:9270c2eb-677d-433b-a8f7-8d25a61ca3bd"
          },
          {
            "reference": "urn:uuid:286da6d1-131b-4bf3-b2b6-89e7f5a5f97e"
          }
        ],
        "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:687bc40f-d368-4bbe-ad59-b037fa55cafa"
            }
          }
        ],
        "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": "2026-03-20T18:24:43Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2016-08-21T00:00:00Z"
}