<confidentiality value="N"/> <custodian> <reference value="urn:uuid:31cd39b4-309c-4891-90b1-10bed4889127"/> </custodian> <section> <title value="Synthesis"/> <code> <coding> <system value="http://loinc.org"/> <code value="67781-5"/> <display value="Summarization of encounter note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Acute appendicitis, appendectomy performed</div> </text> </section> <section> <title value="Hospital course note"/> <code> <coding> <system value="http://loinc.org"/> <code value="8648-8"/> <display value="Hospital course note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Dear colleague, I am writing to inform you regarding your patient, a 40-year-old male, admitted on 27th February 1995 with acute right iliac fossa pain, nausea, and low-grade fever. Clinical examination revealed rebound tenderness at McBurney's point. Laboratory investigations confirmed elevated white cell count and CRP consistent with acute appendicitis. Abdominal ultrasound supported the diagnosis. The patient underwent an uncomplicated open appendectomy on 27th February 1995 under general anaesthesia. Histopathological examination confirmed acute appendicitis. Postoperative recovery was uneventful. Analgesia and intravenous antibiotics were administered perioperatively. The patient was discharged home on 28th February 1995 in good condition. Please arrange wound review in approximately one week and ensure appropriate analgesia is prescribed. Should any concerns arise, please do not hesitate to contact our surgical department.</div> </text> </section> <section> <title value="Diagnosis at Discharge"/> <code> <coding> <system value="http://loinc.org"/> <code value="11535-2"/> <display value="Hospital discharge diagnosis note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__hdr"> <tr> <td>Unspecified appendicitis</td> <td> <span class="nb">28-Feb-1995</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:f73a920e-768b-4fd1-8d9d-9fd395c0bc39"/> </entry> </section> <section> <title value="Significant procedures"/> <code> <coding> <system value="http://loinc.org"/> <code value="10185-7"/> <display value="Hospital discharge procedure note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__hdr"> <tr> <td>Wound care and dressing</td> <td> <span class="nb">28-Feb-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:ca433c1d-d2ac-4b51-961b-6686f9270c2a"/> </entry> <entry> <reference value="urn:uuid:c8371d73-3465-4b56-8a6a-d54cc896d13c"/> </entry> <entry> <reference value="urn:uuid:12ae662e-9785-403b-81e5-a2be2979a04d"/> </entry> <entry> <reference value="urn:uuid:f4aa95f4-5279-40f0-86f5-3af4f47df1f3"/> </entry> <entry> <reference value="urn:uuid:37020bc8-f023-4884-aa24-cc1612b90795"/> </entry> <entry> <reference value="urn:uuid:5428b370-f7a9-48e0-96c3-3aad458d0122"/> </entry> <entry> <reference value="urn:uuid:fdbd1977-a049-4c8a-a16b-bc82fcf8568f"/> </entry> <entry> <reference value="urn:uuid:a2a2f729-98fd-4502-a05b-d38b38514afa"/> </entry> <entry> <reference value="urn:uuid:a0e5ef22-a523-45c5-9e82-061465150570"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <resource> <Patient> <id value="e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <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>David Lacombe</td> <td>male</td> <td>14-Jun-1985</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="FR"/> </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="4948-900427-2"/> </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="4181d993-2aca-7d1b-aae7-eae8eb38b428"/> </identifier> <name> <text value="David Lacombe"/> <family value="Lacombe"/> <given value="David"/> </name> <telecom> <system value="phone"/> <value value="04 66 16 64 94"/> </telecom> <gender value="male"/> <birthDate value="1985-06-14"/> <address> <use value="home"/> <type value="physical"/> <line value="168, rue Diane François"/> <city value="Saint Michelle-la-Forêt"/> <postalCode value="77320"/> <country value="France"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:4ea5fa88-1a21-4b64-870f-6c66a02d3f69"/> <resource> <Encounter> <id value="4ea5fa88-1a21-4b64-870f-6c66a02d3f69"/> <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>Hôtel-Dieu, Paris, France</td> <td>27-02-1995 - 28-02-1995</td> <td> <ul> <li>Appendicitis (disorder)</li> </ul> </td> </tr> </table> </div> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <display value="David Lacombe"/> </subject> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="PPRF"/> <display value="primary performer"/> </coding> </type> <period> <end value="1995-02-28"/> </period> <individual> <reference value="urn:uuid:d0bcc2e1-88e5-4c62-9192-3e9e49030ec4"/> </individual> </participant> <period> <start value="1995-02-28"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="74400008"/> <display value="Appendicitis (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:31cd39b4-309c-4891-90b1-10bed4889127"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:64da76c9-df05-40c8-8322-5772a5b8542e"/> <resource> <PractitionerRole> <id value="64da76c9-df05-40c8-8322-5772a5b8542e"/> <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: 64da76c9-df05-40c8-8322-5772a5b8542e</div> </text> <practitioner> <reference value="urn:uuid:d0bcc2e1-88e5-4c62-9192-3e9e49030ec4"/> </practitioner> <organization> <reference value="urn:uuid:31cd39b4-309c-4891-90b1-10bed4889127"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:31cd39b4-309c-4891-90b1-10bed4889127"/> <resource> <Organization> <id value="31cd39b4-309c-4891-90b1-10bed4889127"/> <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: Hôtel-Dieu, 75001 Paris, France</div> </text> <name value="Hôtel-Dieu"/> <address> <city value="Paris"/> <postalCode value="75001"/> <country value="France"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:d0bcc2e1-88e5-4c62-9192-3e9e49030ec4"/> <resource> <Practitioner> <id value="d0bcc2e1-88e5-4c62-9192-3e9e49030ec4"/> <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 Tristan Gilbert</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="e3951914-3559-45fe-b6a4-34b1d6dc53f0"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Gilbert"/> <given value="Tristan"/> <prefix value="dr"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:f73a920e-768b-4fd1-8d9d-9fd395c0bc39"/> <resource> <Condition> <id value="f73a920e-768b-4fd1-8d9d-9fd395c0bc39"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Unspecified appendicitis</td> <td> <span class="nb">28-Feb-1995</span> </td> <td>active</td> </tr> </table> </div> </text> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="encounter-diagnosis"/> <display value="Encounter Diagnosis"/> </coding> </category> <code> <coding> <system value="http://hl7.org/fhir/sid/icd-10"/> <code value="K37"/> <display value="Unspecified appendicitis"/> </coding> <text value="Unspecified appendicitis"/> </code> <subject> <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <display value="David Lacombe"/> </subject> <onsetDateTime value="1995-02-28"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:ca433c1d-d2ac-4b51-961b-6686f9270c2a"/> <resource> <Procedure> <id value="ca433c1d-d2ac-4b51-961b-6686f9270c2a"/> <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>Physical examination including assessment of McBurney's point</td> <td> <span class="nb">27-Feb-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="5880005"/> <display value="Physical examination procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <display value="David Lacombe"/> </subject> <performedDateTime value="1995-02-27"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:c8371d73-3465-4b56-8a6a-d54cc896d13c"/> <resource> <Procedure> <id value="c8371d73-3465-4b56-8a6a-d54cc896d13c"/> <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>White blood cell count measurement</td> <td> <span class="nb">27-Feb-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="767002"/> <display value="White blood cell count (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <display value="David Lacombe"/> </subject> <performedDateTime value="1995-02-27"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:12ae662e-9785-403b-81e5-a2be2979a04d"/> <resource> <Procedure> <id value="12ae662e-9785-403b-81e5-a2be2979a04d"/> <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>C-reactive protein measurement</td> <td> <span class="nb">27-Feb-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="55235003"/> <display value="C-reactive protein measurement (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <display value="David Lacombe"/> </subject> <performedDateTime value="1995-02-27"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:f4aa95f4-5279-40f0-86f5-3af4f47df1f3"/> <resource> <Procedure> <id value="f4aa95f4-5279-40f0-86f5-3af4f47df1f3"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Abdominal ultrasound</td> <td> <span class="nb">27-Feb-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="45036003"/> <display value="Ultrasonography of abdomen (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <display value="David Lacombe"/> </subject> <performedDateTime value="1995-02-27"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:37020bc8-f023-4884-aa24-cc1612b90795"/> <resource> <Procedure> <id value="37020bc8-f023-4884-aa24-cc1612b90795"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Body temperature measurement</td> <td> <span class="nb">27-Feb-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="56342008"/> <display value="Temperature taking (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <display value="David Lacombe"/> </subject> <performedDateTime value="1995-02-27"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:5428b370-f7a9-48e0-96c3-3aad458d0122"/> <resource> <Procedure> <id value="5428b370-f7a9-48e0-96c3-3aad458d0122"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>General anaesthesia</td> <td> <span class="nb">27-Feb-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="50697003"/> <display value="Administration of general anesthetic (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <display value="David Lacombe"/> </subject> <performedDateTime value="1995-02-27"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:fdbd1977-a049-4c8a-a16b-bc82fcf8568f"/> <resource> <Procedure> <id value="fdbd1977-a049-4c8a-a16b-bc82fcf8568f"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Open appendectomy performed</td> <td> <span class="nb">27-Feb-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="80146002"/> <display value="Excision of appendix (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <display value="David Lacombe"/> </subject> <performedDateTime value="1995-02-27"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:a2a2f729-98fd-4502-a05b-d38b38514afa"/> <resource> <Procedure> <id value="a2a2f729-98fd-4502-a05b-d38b38514afa"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Postoperative analgesia administration</td> <td> <span class="nb">27-Feb-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="229070002"/> <display value="Stretching exercises (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <display value="David Lacombe"/> </subject> <performedDateTime value="1995-02-27"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:a0e5ef22-a523-45c5-9e82-061465150570"/> <resource> <Procedure> <id value="a0e5ef22-a523-45c5-9e82-061465150570"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Wound care and dressing</td> <td> <span class="nb">28-Feb-1995</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182531007"/> <display value="Dressing of wound (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> <display value="David Lacombe"/> </subject> <performedDateTime value="1995-02-28"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:9b41407b-e759-4398-b845-b267175212cd"/> <resource> <Device> <id value="9b41407b-e759-4398-b845-b267175212cd"/> <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:91069d2e-dcbb-4dde-a763-b84c3da92de1"/> <resource> <Provenance> <id value="91069d2e-dcbb-4dde-a763-b84c3da92de1"/> <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:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/> </target> <target> <reference value="urn:uuid:64da76c9-df05-40c8-8322-5772a5b8542e"/> </target> <target> <reference value="urn:uuid:d0bcc2e1-88e5-4c62-9192-3e9e49030ec4"/> </target> <target> <reference value="urn:uuid:31cd39b4-309c-4891-90b1-10bed4889127"/> </target> <recorded value="2026-03-20T18:15:21Z"/> <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:9b41407b-e759-4398-b845-b267175212cd"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>


               
                  
                  
               
               
                  
                  
                  
               
            
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:31cd39b4-309c-4891-90b1-10bed4889127"/>
            </custodian>
            <section>
               <title value="Synthesis"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="67781-5"/>
                     <display value="Summarization of encounter note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">Acute appendicitis, appendectomy performed</div>
               </text>
            </section>
            <section>
               <title value="Hospital course note"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8648-8"/>
                     <display value="Hospital course note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">Dear colleague, I am writing to inform you regarding your patient, a 40-year-old male, admitted on 27th February 1995 with acute right iliac fossa pain, nausea, and low-grade fever. Clinical examination revealed rebound tenderness at McBurney's point. Laboratory investigations confirmed elevated white cell count and CRP consistent with acute appendicitis. Abdominal ultrasound supported the diagnosis. The patient underwent an uncomplicated open appendectomy on 27th February 1995 under general anaesthesia. Histopathological examination confirmed acute appendicitis. Postoperative recovery was uneventful. Analgesia and intravenous antibiotics were administered perioperatively. The patient was discharged home on 28th February 1995 in good condition. Please arrange wound review in approximately one week and ensure appropriate analgesia is prescribed. Should any concerns arise, please do not hesitate to contact our surgical department.</div>
               </text>
            </section>
            <section>
               <title value="Diagnosis at Discharge"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="11535-2"/>
                     <display value="Hospital discharge diagnosis note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td>Unspecified appendicitis</td>
                           <td>
                              <span class="nb">28-Feb-1995</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:f73a920e-768b-4fd1-8d9d-9fd395c0bc39"/>
               </entry>
            </section>
            <section>
               <title value="Significant procedures"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="10185-7"/>
                     <display value="Hospital discharge procedure note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td>Wound care and dressing</td>
                           <td>
                              <span class="nb">28-Feb-1995</span>
                           </td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:ca433c1d-d2ac-4b51-961b-6686f9270c2a"/>
               </entry>
               <entry>
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                  <reference value="urn:uuid:f4aa95f4-5279-40f0-86f5-3af4f47df1f3"/>
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               <entry>
                  <reference value="urn:uuid:37020bc8-f023-4884-aa24-cc1612b90795"/>
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               <entry>
                  <reference value="urn:uuid:5428b370-f7a9-48e0-96c3-3aad458d0122"/>
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               <entry>
                  <reference value="urn:uuid:fdbd1977-a049-4c8a-a16b-bc82fcf8568f"/>
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               <entry>
                  <reference value="urn:uuid:a2a2f729-98fd-4502-a05b-d38b38514afa"/>
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               <entry>
                  <reference value="urn:uuid:a0e5ef22-a523-45c5-9e82-061465150570"/>
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            </section>
         </Composition>
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   <entry>
      <fullUrl value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
      <resource>
         <Patient>
            <id value="e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
            <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"/>
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               <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>David Lacombe</td>
                        <td>male</td>
                        <td>14-Jun-1985</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="FR"/>
                     </coding>
                  </valueCodeableConcept>
               </extension>
            </extension>
            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="4948-900427-2"/>
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            <identifier>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="4181d993-2aca-7d1b-aae7-eae8eb38b428"/>
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            <name>
               <text value="David Lacombe"/>
               <family value="Lacombe"/>
               <given value="David"/>
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            <telecom>
               <system value="phone"/>
               <value value="04 66 16 64 94"/>
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            <gender value="male"/>
            <birthDate value="1985-06-14"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="168, rue Diane François"/>
               <city value="Saint Michelle-la-Forêt"/>
               <postalCode value="77320"/>
               <country value="France"/>
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   <entry>
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         <Encounter>
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            <meta>
               <profile value="http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Hôtel-Dieu, Paris, France</td>
                        <td>27-02-1995 - 28-02-1995</td>
                        <td>
                           <ul>
                              <li>Appendicitis (disorder)</li>
                           </ul>
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            <status value="completed"/>
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               <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
               <code value="IMP"/>
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            <subject>
               <reference value="Patient/e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
               <display value="David Lacombe"/>
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                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                     <code value="PPRF"/>
                     <display value="primary performer"/>
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               <period>
                  <end value="1995-02-28"/>
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               <individual>
                  <reference value="urn:uuid:d0bcc2e1-88e5-4c62-9192-3e9e49030ec4"/>
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            <period>
               <start value="1995-02-28"/>
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            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="74400008"/>
                  <display value="Appendicitis (disorder)"/>
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            <serviceProvider>
               <reference value="urn:uuid:31cd39b4-309c-4891-90b1-10bed4889127"/>
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   <entry>
      <fullUrl value="urn:uuid:64da76c9-df05-40c8-8322-5772a5b8542e"/>
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         <PractitionerRole>
            <id value="64da76c9-df05-40c8-8322-5772a5b8542e"/>
            <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: 64da76c9-df05-40c8-8322-5772a5b8542e</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:d0bcc2e1-88e5-4c62-9192-3e9e49030ec4"/>
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            <organization>
               <reference value="urn:uuid:31cd39b4-309c-4891-90b1-10bed4889127"/>
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         </PractitionerRole>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:31cd39b4-309c-4891-90b1-10bed4889127"/>
      <resource>
         <Organization>
            <id value="31cd39b4-309c-4891-90b1-10bed4889127"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Hospital: Hôtel-Dieu, 75001 Paris, France</div>
            </text>
            <name value="Hôtel-Dieu"/>
            <address>
               <city value="Paris"/>
               <postalCode value="75001"/>
               <country value="France"/>
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         </Organization>
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   <entry>
      <fullUrl value="urn:uuid:d0bcc2e1-88e5-4c62-9192-3e9e49030ec4"/>
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         <Practitioner>
            <id value="d0bcc2e1-88e5-4c62-9192-3e9e49030ec4"/>
            <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 Tristan Gilbert</div>
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            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="e3951914-3559-45fe-b6a4-34b1d6dc53f0"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            <name>
               <family value="Gilbert"/>
               <given value="Tristan"/>
               <prefix value="dr"/>
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   <entry>
      <fullUrl value="urn:uuid:f73a920e-768b-4fd1-8d9d-9fd395c0bc39"/>
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         <Condition>
            <id value="f73a920e-768b-4fd1-8d9d-9fd395c0bc39"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Unspecified appendicitis</td>
                        <td>
                           <span class="nb">28-Feb-1995</span>
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                        <td>active</td>
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            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="encounter-diagnosis"/>
                  <display value="Encounter Diagnosis"/>
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            </category>
            <code>
               <coding>
                  <system value="http://hl7.org/fhir/sid/icd-10"/>
                  <code value="K37"/>
                  <display value="Unspecified appendicitis"/>
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               <text value="Unspecified appendicitis"/>
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            <subject>
               <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
               <display value="David Lacombe"/>
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            <onsetDateTime value="1995-02-28"/>
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   <entry>
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         <Procedure>
            <id value="ca433c1d-d2ac-4b51-961b-6686f9270c2a"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Physical examination including assessment of McBurney's point</td>
                        <td>
                           <span class="nb">27-Feb-1995</span>
                        </td>
                        <td>-</td>
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                  </table>
               </div>
            </text>
            <status value="completed"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="5880005"/>
                  <display value="Physical examination procedure (procedure)"/>
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            <subject>
               <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
               <display value="David Lacombe"/>
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   <entry>
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         <Procedure>
            <id value="c8371d73-3465-4b56-8a6a-d54cc896d13c"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>White blood cell count measurement</td>
                        <td>
                           <span class="nb">27-Feb-1995</span>
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                        <td>-</td>
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                  </table>
               </div>
            </text>
            <status value="completed"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="767002"/>
                  <display value="White blood cell count (procedure)"/>
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            <subject>
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               <display value="David Lacombe"/>
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   <entry>
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         <Procedure>
            <id value="12ae662e-9785-403b-81e5-a2be2979a04d"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>C-reactive protein measurement</td>
                        <td>
                           <span class="nb">27-Feb-1995</span>
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                        <td>-</td>
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                  </table>
               </div>
            </text>
            <status value="completed"/>
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               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="55235003"/>
                  <display value="C-reactive protein measurement (procedure)"/>
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            <subject>
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               <display value="David Lacombe"/>
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   <entry>
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         <Procedure>
            <id value="f4aa95f4-5279-40f0-86f5-3af4f47df1f3"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Abdominal ultrasound</td>
                        <td>
                           <span class="nb">27-Feb-1995</span>
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                        <td>-</td>
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                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="45036003"/>
                  <display value="Ultrasonography of abdomen (procedure)"/>
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            <subject>
               <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
               <display value="David Lacombe"/>
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   <entry>
      <fullUrl value="urn:uuid:37020bc8-f023-4884-aa24-cc1612b90795"/>
      <resource>
         <Procedure>
            <id value="37020bc8-f023-4884-aa24-cc1612b90795"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Body temperature measurement</td>
                        <td>
                           <span class="nb">27-Feb-1995</span>
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                        <td>-</td>
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                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="56342008"/>
                  <display value="Temperature taking (procedure)"/>
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            <subject>
               <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
               <display value="David Lacombe"/>
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            <performedDateTime value="1995-02-27"/>
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   <entry>
      <fullUrl value="urn:uuid:5428b370-f7a9-48e0-96c3-3aad458d0122"/>
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         <Procedure>
            <id value="5428b370-f7a9-48e0-96c3-3aad458d0122"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>General anaesthesia</td>
                        <td>
                           <span class="nb">27-Feb-1995</span>
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                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="50697003"/>
                  <display value="Administration of general anesthetic (procedure)"/>
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            </code>
            <subject>
               <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
               <display value="David Lacombe"/>
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            <performedDateTime value="1995-02-27"/>
         </Procedure>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:fdbd1977-a049-4c8a-a16b-bc82fcf8568f"/>
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         <Procedure>
            <id value="fdbd1977-a049-4c8a-a16b-bc82fcf8568f"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Open appendectomy performed</td>
                        <td>
                           <span class="nb">27-Feb-1995</span>
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                        <td>-</td>
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                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="80146002"/>
                  <display value="Excision of appendix (procedure)"/>
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            </code>
            <subject>
               <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
               <display value="David Lacombe"/>
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            <performedDateTime value="1995-02-27"/>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:a2a2f729-98fd-4502-a05b-d38b38514afa"/>
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         <Procedure>
            <id value="a2a2f729-98fd-4502-a05b-d38b38514afa"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Postoperative analgesia administration</td>
                        <td>
                           <span class="nb">27-Feb-1995</span>
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                  </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:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
               <display value="David Lacombe"/>
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            <performedDateTime value="1995-02-27"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:a0e5ef22-a523-45c5-9e82-061465150570"/>
      <resource>
         <Procedure>
            <id value="a0e5ef22-a523-45c5-9e82-061465150570"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Wound care and dressing</td>
                        <td>
                           <span class="nb">28-Feb-1995</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="182531007"/>
                  <display value="Dressing of wound (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
               <display value="David Lacombe"/>
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            <performedDateTime value="1995-02-28"/>
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   <entry>
      <fullUrl value="urn:uuid:9b41407b-e759-4398-b845-b267175212cd"/>
      <resource>
         <Device>
            <id value="9b41407b-e759-4398-b845-b267175212cd"/>
            <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"/>
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               <value value="5.0"/>
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   <entry>
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      <resource>
         <Provenance>
            <id value="91069d2e-dcbb-4dde-a763-b84c3da92de1"/>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Provenance for SYNDERAI Synthetic Example Data Resource</div>
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            <target>
               <reference value="urn:uuid:e39827e8-5d8e-44ed-bd71-37f0e59898ab"/>
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            <recorded value="2026-03-20T18:15:21Z"/>
            <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"/>
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               <text value="Interoperability Testing and Training (non-clinical use)"/>
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            <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:9b41407b-e759-4398-b845-b267175212cd"/>
               </who>
            </agent>
         </Provenance>
      </resource>
   </entry>
</Bundle>