<confidentiality value="N"/> <custodian> <reference value="urn:uuid:1b5c0dc0-095c-4830-b5cb-8fca62f1bd23"/> </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">Substance dependence, treated and stabilised</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 regarding the discharge of your 35-year-old male patient, admitted on 10th June 2009 due to substance dependence. Upon admission, comprehensive psychiatric and somatic assessment confirmed polysubstance dependence syndrome. Urine toxicology screening was positive for opioids, cannabis, and benzodiazepines. Liver function tests revealed mild hepatic impairment. During his inpatient stay, the patient underwent structured detoxification with monitored pharmacological substitution and symptomatic withdrawal management. Psychological assessment and motivational counselling sessions were conducted. The patient was stabilised without major complications and discharged on 8th July 2009 in a clinically stable condition. We strongly recommend continued outpatient addiction counselling and regular follow-up appointments. Referral to a community drug treatment programme has been arranged. Please monitor liver function and mental health status closely. Yours sincerely, Dr. [Treating Physician]</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>Mental and behavioural disorders due to multiple drug use – dependence syndrome</td> <td> <span class="nb">08-Jul-2009</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:5a9f0d4e-d557-4514-b623-8513ff1639d6"/> </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>Discharge planning and social support coordination</td> <td> <span class="nb">05-Jul-2009</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:5feb3107-0267-4fb9-a322-78bb69f99ad1"/> </entry> <entry> <reference value="urn:uuid:79ee594c-9075-4751-b55d-2d99bf60ed5f"/> </entry> <entry> <reference value="urn:uuid:750244da-909a-4ea8-8354-003b715716d3"/> </entry> <entry> <reference value="urn:uuid:336d4e54-0669-4d74-a33b-c0b3f60ab297"/> </entry> <entry> <reference value="urn:uuid:389b4fdc-a74d-4611-aae3-1e194c9cf872"/> </entry> <entry> <reference value="urn:uuid:e8b82ea7-8434-4f9d-909a-8e2d55e2e2fe"/> </entry> <entry> <reference value="urn:uuid:6819e7a8-a382-4cb7-a6d1-6c92d928107b"/> </entry> <entry> <reference value="urn:uuid:4c70c7ad-e46a-4ebb-b2cf-9360d96d5cc7"/> </entry> <entry> <reference value="urn:uuid:e4c27b06-8bbc-458f-a824-524786e1d091"/> </entry> <entry> <reference value="urn:uuid:b4d4450a-eb6e-4129-8a31-e26b4395373d"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <resource> <Patient> <id value="31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <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>Franco Civaschi</td> <td>male</td> <td>11-Nov-1989</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="IT"/> </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="4316-877899-1"/> </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="c8691b16-bfd5-6d46-002b-f9330cf612fd"/> </identifier> <name> <text value="Franco Civaschi"/> <family value="Civaschi"/> <given value="Franco"/> </name> <telecom> <system value="phone"/> <value value="+39 34600733510"/> </telecom> <gender value="male"/> <birthDate value="1989-11-11"/> <address> <use value="home"/> <type value="physical"/> <line value="Stretto Eleanora, 7"/> <city value="Malles Venosta"/> <postalCode value="39024"/> <country value="Italy"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:adfd13ca-f348-4149-8142-686294754f43"/> <resource> <Encounter> <id value="adfd13ca-f348-4149-8142-686294754f43"/> <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>Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, Silandro, Italy</td> <td>10-06-2009 - 08-07-2009</td> <td> <ul> <li>Substance dependence (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/31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </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="2009-07-08"/> </period> <individual> <reference value="urn:uuid:c083a171-58c5-4bf3-a051-3c9c9df123d0"/> </individual> </participant> <period> <start value="2009-07-08"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:1b5c0dc0-095c-4830-b5cb-8fca62f1bd23"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:ea17fa0c-788e-4b4f-b4d4-92c4199d983c"/> <resource> <PractitionerRole> <id value="ea17fa0c-788e-4b4f-b4d4-92c4199d983c"/> <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: ea17fa0c-788e-4b4f-b4d4-92c4199d983c</div> </text> <practitioner> <reference value="urn:uuid:c083a171-58c5-4bf3-a051-3c9c9df123d0"/> </practitioner> <organization> <reference value="urn:uuid:1b5c0dc0-095c-4830-b5cb-8fca62f1bd23"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:1b5c0dc0-095c-4830-b5cb-8fca62f1bd23"/> <resource> <Organization> <id value="1b5c0dc0-095c-4830-b5cb-8fca62f1bd23"/> <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: Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, 39028 Silandro, Italy</div> </text> <name value="Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro"/> <address> <city value="Silandro"/> <postalCode value="39028"/> <country value="Italy"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:c083a171-58c5-4bf3-a051-3c9c9df123d0"/> <resource> <Practitioner> <id value="c083a171-58c5-4bf3-a051-3c9c9df123d0"/> <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 Dina Tognazzi</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="19ed15c9-93da-4a9f-8803-93de10999ac6"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Tognazzi"/> <given value="Dina"/> <prefix value="dr"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:5a9f0d4e-d557-4514-b623-8513ff1639d6"/> <resource> <Condition> <id value="5a9f0d4e-d557-4514-b623-8513ff1639d6"/> <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>Mental and behavioural disorders due to multiple drug use – dependence syndrome</td> <td> <span class="nb">08-Jul-2009</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="F19.2"/> <display value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/> </coding> <text value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/> </code> <subject> <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </subject> <onsetDateTime value="2009-07-08"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:5feb3107-0267-4fb9-a322-78bb69f99ad1"/> <resource> <Procedure> <id value="5feb3107-0267-4fb9-a322-78bb69f99ad1"/> <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>Liver function blood test</td> <td> <span class="nb">11-Jun-2009</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="26958001"/> <display value="Hepatic function panel (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2009-06-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:79ee594c-9075-4751-b55d-2d99bf60ed5f"/> <resource> <Procedure> <id value="79ee594c-9075-4751-b55d-2d99bf60ed5f"/> <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</td> <td> <span class="nb">11-Jun-2009</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:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2009-06-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:750244da-909a-4ea8-8354-003b715716d3"/> <resource> <Procedure> <id value="750244da-909a-4ea8-8354-003b715716d3"/> <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>Psychological assessment</td> <td> <span class="nb">12-Jun-2009</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="386807006"/> <display value="Memory impairment (finding)"/> </coding> </code> <subject> <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2009-06-12"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:336d4e54-0669-4d74-a33b-c0b3f60ab297"/> <resource> <Procedure> <id value="336d4e54-0669-4d74-a33b-c0b3f60ab297"/> <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</td> <td> <span class="nb">13-Jun-2009</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:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2009-06-13"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:389b4fdc-a74d-4611-aae3-1e194c9cf872"/> <resource> <Procedure> <id value="389b4fdc-a74d-4611-aae3-1e194c9cf872"/> <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>Supervised detoxification programme</td> <td> <span class="nb">11-Jun-2009</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="309557009"/> <display value="Numbness of face (finding)"/> </coding> </code> <subject> <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2009-06-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e8b82ea7-8434-4f9d-909a-8e2d55e2e2fe"/> <resource> <Procedure> <id value="e8b82ea7-8434-4f9d-909a-8e2d55e2e2fe"/> <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>Pharmacological substitution therapy</td> <td> <span class="nb">12-Jun-2009</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:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2009-06-12"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:6819e7a8-a382-4cb7-a6d1-6c92d928107b"/> <resource> <Procedure> <id value="6819e7a8-a382-4cb7-a6d1-6c92d928107b"/> <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>Motivational interviewing counselling</td> <td> <span class="nb">14-Jun-2009</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="410265008"/> <display value="Medication administration education, guidance, and counseling (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2009-06-14"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:4c70c7ad-e46a-4ebb-b2cf-9360d96d5cc7"/> <resource> <Procedure> <id value="4c70c7ad-e46a-4ebb-b2cf-9360d96d5cc7"/> <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>Individual psychotherapy session</td> <td> <span class="nb">18-Jun-2009</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="75516001"/> <display value="Psychotherapy (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2009-06-18"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e4c27b06-8bbc-458f-a824-524786e1d091"/> <resource> <Procedure> <id value="e4c27b06-8bbc-458f-a824-524786e1d091"/> <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>Group therapy session</td> <td> <span class="nb">25-Jun-2009</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="76168009"/> <display value="Group psychotherapy (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2009-06-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b4d4450a-eb6e-4129-8a31-e26b4395373d"/> <resource> <Procedure> <id value="b4d4450a-eb6e-4129-8a31-e26b4395373d"/> <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>Discharge planning and social support coordination</td> <td> <span class="nb">05-Jul-2009</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:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> <display value="Franco Civaschi"/> </subject> <performedDateTime value="2009-07-05"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:d3991deb-ca3a-44ba-a221-d7e13c774160"/> <resource> <Device> <id value="d3991deb-ca3a-44ba-a221-d7e13c774160"/> <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:4eaf9301-2eaa-4cbf-84be-fa66c5e22bff"/> <resource> <Provenance> <id value="4eaf9301-2eaa-4cbf-84be-fa66c5e22bff"/> <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:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/> </target> <target> <reference value="urn:uuid:ea17fa0c-788e-4b4f-b4d4-92c4199d983c"/> </target> <target> <reference value="urn:uuid:c083a171-58c5-4bf3-a051-3c9c9df123d0"/> </target> <target> <reference value="urn:uuid:1b5c0dc0-095c-4830-b5cb-8fca62f1bd23"/> </target> <recorded value="2026-03-20T18:22:47Z"/> <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:d3991deb-ca3a-44ba-a221-d7e13c774160"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>


               
                  
                  
               
               
                  
                  
                  
               
            
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:1b5c0dc0-095c-4830-b5cb-8fca62f1bd23"/>
            </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">Substance dependence, treated and stabilised</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 regarding the discharge of your 35-year-old male patient, admitted on 10th June 2009 due to substance dependence. Upon admission, comprehensive psychiatric and somatic assessment confirmed polysubstance dependence syndrome. Urine toxicology screening was positive for opioids, cannabis, and benzodiazepines. Liver function tests revealed mild hepatic impairment. During his inpatient stay, the patient underwent structured detoxification with monitored pharmacological substitution and symptomatic withdrawal management. Psychological assessment and motivational counselling sessions were conducted. The patient was stabilised without major complications and discharged on 8th July 2009 in a clinically stable condition. We strongly recommend continued outpatient addiction counselling and regular follow-up appointments. Referral to a community drug treatment programme has been arranged. Please monitor liver function and mental health status closely. Yours sincerely, Dr. [Treating Physician]</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>Mental and behavioural disorders due to multiple drug use – dependence syndrome</td>
                           <td>
                              <span class="nb">08-Jul-2009</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:5a9f0d4e-d557-4514-b623-8513ff1639d6"/>
               </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>Discharge planning and social support coordination</td>
                           <td>
                              <span class="nb">05-Jul-2009</span>
                           </td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:5feb3107-0267-4fb9-a322-78bb69f99ad1"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:79ee594c-9075-4751-b55d-2d99bf60ed5f"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:750244da-909a-4ea8-8354-003b715716d3"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:336d4e54-0669-4d74-a33b-c0b3f60ab297"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:389b4fdc-a74d-4611-aae3-1e194c9cf872"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e8b82ea7-8434-4f9d-909a-8e2d55e2e2fe"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:6819e7a8-a382-4cb7-a6d1-6c92d928107b"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:4c70c7ad-e46a-4ebb-b2cf-9360d96d5cc7"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e4c27b06-8bbc-458f-a824-524786e1d091"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:b4d4450a-eb6e-4129-8a31-e26b4395373d"/>
               </entry>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
      <resource>
         <Patient>
            <id value="31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
            <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>Franco Civaschi</td>
                        <td>male</td>
                        <td>11-Nov-1989</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="IT"/>
                     </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="4316-877899-1"/>
            </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="c8691b16-bfd5-6d46-002b-f9330cf612fd"/>
            </identifier>
            <name>
               <text value="Franco Civaschi"/>
               <family value="Civaschi"/>
               <given value="Franco"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+39 34600733510"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1989-11-11"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Stretto Eleanora, 7"/>
               <city value="Malles Venosta"/>
               <postalCode value="39024"/>
               <country value="Italy"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:adfd13ca-f348-4149-8142-686294754f43"/>
      <resource>
         <Encounter>
            <id value="adfd13ca-f348-4149-8142-686294754f43"/>
            <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>Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, Silandro, Italy</td>
                        <td>10-06-2009 - 08-07-2009</td>
                        <td>
                           <ul>
                              <li>Substance dependence (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/31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
               <display value="Franco Civaschi"/>
            </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="2009-07-08"/>
               </period>
               <individual>
                  <reference value="urn:uuid:c083a171-58c5-4bf3-a051-3c9c9df123d0"/>
               </individual>
            </participant>
            <period>
               <start value="2009-07-08"/>
            </period>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="6525002"/>
                  <display value="Substance dependence (disorder)"/>
               </coding>
            </reasonCode>
            <serviceProvider>
               <reference value="urn:uuid:1b5c0dc0-095c-4830-b5cb-8fca62f1bd23"/>
            </serviceProvider>
         </Encounter>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:ea17fa0c-788e-4b4f-b4d4-92c4199d983c"/>
      <resource>
         <PractitionerRole>
            <id value="ea17fa0c-788e-4b4f-b4d4-92c4199d983c"/>
            <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: ea17fa0c-788e-4b4f-b4d4-92c4199d983c</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:c083a171-58c5-4bf3-a051-3c9c9df123d0"/>
            </practitioner>
            <organization>
               <reference value="urn:uuid:1b5c0dc0-095c-4830-b5cb-8fca62f1bd23"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:1b5c0dc0-095c-4830-b5cb-8fca62f1bd23"/>
      <resource>
         <Organization>
            <id value="1b5c0dc0-095c-4830-b5cb-8fca62f1bd23"/>
            <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: Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro, 39028 Silandro, Italy</div>
            </text>
            <name value="Bezirkskrankenhaus Schlanders - Ospedale di distretto Silandro"/>
            <address>
               <city value="Silandro"/>
               <postalCode value="39028"/>
               <country value="Italy"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:c083a171-58c5-4bf3-a051-3c9c9df123d0"/>
      <resource>
         <Practitioner>
            <id value="c083a171-58c5-4bf3-a051-3c9c9df123d0"/>
            <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 Dina Tognazzi</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="19ed15c9-93da-4a9f-8803-93de10999ac6"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Tognazzi"/>
               <given value="Dina"/>
               <prefix value="dr"/>
            </name>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:5a9f0d4e-d557-4514-b623-8513ff1639d6"/>
      <resource>
         <Condition>
            <id value="5a9f0d4e-d557-4514-b623-8513ff1639d6"/>
            <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>Mental and behavioural disorders due to multiple drug use – dependence syndrome</td>
                        <td>
                           <span class="nb">08-Jul-2009</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="F19.2"/>
                  <display value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/>
               </coding>
               <text value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/>
            </code>
            <subject>
               <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
               <display value="Franco Civaschi"/>
            </subject>
            <onsetDateTime value="2009-07-08"/>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:5feb3107-0267-4fb9-a322-78bb69f99ad1"/>
      <resource>
         <Procedure>
            <id value="5feb3107-0267-4fb9-a322-78bb69f99ad1"/>
            <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>Liver function blood test</td>
                        <td>
                           <span class="nb">11-Jun-2009</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26958001"/>
                  <display value="Hepatic function panel (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2009-06-11"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:79ee594c-9075-4751-b55d-2d99bf60ed5f"/>
      <resource>
         <Procedure>
            <id value="79ee594c-9075-4751-b55d-2d99bf60ed5f"/>
            <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</td>
                        <td>
                           <span class="nb">11-Jun-2009</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:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2009-06-11"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:750244da-909a-4ea8-8354-003b715716d3"/>
      <resource>
         <Procedure>
            <id value="750244da-909a-4ea8-8354-003b715716d3"/>
            <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>Psychological assessment</td>
                        <td>
                           <span class="nb">12-Jun-2009</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="386807006"/>
                  <display value="Memory impairment (finding)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2009-06-12"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:336d4e54-0669-4d74-a33b-c0b3f60ab297"/>
      <resource>
         <Procedure>
            <id value="336d4e54-0669-4d74-a33b-c0b3f60ab297"/>
            <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</td>
                        <td>
                           <span class="nb">13-Jun-2009</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:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2009-06-13"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:389b4fdc-a74d-4611-aae3-1e194c9cf872"/>
      <resource>
         <Procedure>
            <id value="389b4fdc-a74d-4611-aae3-1e194c9cf872"/>
            <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>Supervised detoxification programme</td>
                        <td>
                           <span class="nb">11-Jun-2009</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="309557009"/>
                  <display value="Numbness of face (finding)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2009-06-11"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e8b82ea7-8434-4f9d-909a-8e2d55e2e2fe"/>
      <resource>
         <Procedure>
            <id value="e8b82ea7-8434-4f9d-909a-8e2d55e2e2fe"/>
            <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>Pharmacological substitution therapy</td>
                        <td>
                           <span class="nb">12-Jun-2009</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:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2009-06-12"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:6819e7a8-a382-4cb7-a6d1-6c92d928107b"/>
      <resource>
         <Procedure>
            <id value="6819e7a8-a382-4cb7-a6d1-6c92d928107b"/>
            <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>Motivational interviewing counselling</td>
                        <td>
                           <span class="nb">14-Jun-2009</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="410265008"/>
                  <display value="Medication administration education, guidance, and counseling (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2009-06-14"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:4c70c7ad-e46a-4ebb-b2cf-9360d96d5cc7"/>
      <resource>
         <Procedure>
            <id value="4c70c7ad-e46a-4ebb-b2cf-9360d96d5cc7"/>
            <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>Individual psychotherapy session</td>
                        <td>
                           <span class="nb">18-Jun-2009</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="75516001"/>
                  <display value="Psychotherapy (regime/therapy)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2009-06-18"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e4c27b06-8bbc-458f-a824-524786e1d091"/>
      <resource>
         <Procedure>
            <id value="e4c27b06-8bbc-458f-a824-524786e1d091"/>
            <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>Group therapy session</td>
                        <td>
                           <span class="nb">25-Jun-2009</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="76168009"/>
                  <display value="Group psychotherapy (regime/therapy)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:31d5c7d9-f198-44ef-b7ae-5ca951b6b30b"/>
               <display value="Franco Civaschi"/>
            </subject>
            <performedDateTime value="2009-06-25"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:b4d4450a-eb6e-4129-8a31-e26b4395373d"/>
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