intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:ceaa3301-58c3-49b3-9f6a-043e0f7f825c"/> </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 75-year-old male patient, admitted on 11/01/2023 due to substance dependence. Upon admission, a comprehensive psychiatric and somatic assessment was performed, including structured addiction history, laboratory screening, and physical examination, confirming multiple substance dependence syndrome (ICD-10: F19.2). During the brief inpatient stay, the patient underwent medically supervised detoxification with pharmacological support to manage withdrawal symptoms safely. Vital signs were closely monitored throughout. Psychoeducational counseling was initiated, and the patient was motivated toward ongoing outpatient addiction treatment. At discharge on 13/01/2023, the patient was medically stable with no acute withdrawal complications. I strongly recommend referral to an outpatient addiction specialist and close follow-up of his general medical condition. Prescription details and further recommendations are enclosed. Please do not hesitate to contact me should you require further information.</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">13-Jan-2023</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:cbcb4bd2-bf13-4a93-b92c-947327dd2868"/> </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>Psychoeducational counseling</td> <td> <span class="nb">13-Jan-2023</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:0116dd03-1704-45c1-9ccd-0876627bd18a"/> </entry> <entry> <reference value="urn:uuid:a25c0946-2f66-4634-a0de-95af9321c265"/> </entry> <entry> <reference value="urn:uuid:c44cc09a-dce9-4d5a-97e0-69ca98c0d488"/> </entry> <entry> <reference value="urn:uuid:f38a12b0-f505-4005-838f-22a3ce90bf05"/> </entry> <entry> <reference value="urn:uuid:b1a16cf5-9b2c-4458-88ac-aaa8641fc53b"/> </entry> <entry> <reference value="urn:uuid:f1bebb0a-7064-404d-8ba0-1cf8b7f65ca8"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:f8a0e5b7-a450-471f-baa4-03feacd7df94"/> <resource> <Patient> <id value="f8a0e5b7-a450-471f-baa4-03feacd7df94"/> <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>Trinidad Ledesma</td> <td>male</td> <td>16-Apr-1950</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="ES"/> </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="2966-560528-2"/> </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="0c23254c-16b4-d987-19c5-f7fe1236c828"/> </identifier> <name> <text value="Trinidad Ledesma"/> <family value="Ledesma"/> <given value="Trinidad"/> </name> <telecom> <system value="phone"/> <value value="+34948 80 85 42"/> </telecom> <gender value="male"/> <birthDate value="1950-04-16"/> <address> <use value="home"/> <type value="physical"/> <line value="Calle de Ainara Méndez 2 Apt. 70 "/> <city value="Teruel"/> <postalCode value="44001"/> <country value="Spain"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:92939573-aa82-46cb-bbf5-76bdd0112b7e"/> <resource> <Encounter> <id value="92939573-aa82-46cb-bbf5-76bdd0112b7e"/> <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>Centro de Rehabilitación San Juan de Dios, Teruel, Spain</td> <td>11-01-2023 - 13-01-2023</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/f8a0e5b7-a450-471f-baa4-03feacd7df94"/> <display value="Trinidad Ledesma"/> </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="2023-01-13"/> </period> <individual> <reference value="urn:uuid:04c4e5c2-bceb-4131-a941-1aedb4ebbc38"/> </individual> </participant> <period> <start value="2023-01-13"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:ceaa3301-58c3-49b3-9f6a-043e0f7f825c"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:dd5387c3-dc18-4aae-b4be-ae7cf85c83f6"/> <resource> <PractitionerRole> <id value="dd5387c3-dc18-4aae-b4be-ae7cf85c83f6"/> <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: dd5387c3-dc18-4aae-b4be-ae7cf85c83f6</div> </text> <practitioner> <reference value="urn:uuid:04c4e5c2-bceb-4131-a941-1aedb4ebbc38"/> </practitioner> <organization> <reference value="urn:uuid:ceaa3301-58c3-49b3-9f6a-043e0f7f825c"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:ceaa3301-58c3-49b3-9f6a-043e0f7f825c"/> <resource> <Organization> <id value="ceaa3301-58c3-49b3-9f6a-043e0f7f825c"/> <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: Centro de Rehabilitación San Juan de Dios, 44001 Teruel, Spain</div> </text> <name value="Centro de Rehabilitación San Juan de Dios"/> <address> <city value="Teruel"/> <postalCode value="44001"/> <country value="Spain"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:04c4e5c2-bceb-4131-a941-1aedb4ebbc38"/> <resource> <Practitioner> <id value="04c4e5c2-bceb-4131-a941-1aedb4ebbc38"/> <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: Nélida Grau</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="99cb5aed-cb75-4369-bec6-0017f2b1e5e6"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Grau"/> <given value="Nélida"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:cbcb4bd2-bf13-4a93-b92c-947327dd2868"/> <resource> <Condition> <id value="cbcb4bd2-bf13-4a93-b92c-947327dd2868"/> <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">13-Jan-2023</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:f8a0e5b7-a450-471f-baa4-03feacd7df94"/> <display value="Trinidad Ledesma"/> </subject> <onsetDateTime value="2023-01-13"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:0116dd03-1704-45c1-9ccd-0876627bd18a"/> <resource> <Procedure> <id value="0116dd03-1704-45c1-9ccd-0876627bd18a"/> <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>Structured addiction and psychiatric history taking</td> <td> <span class="nb">11-Jan-2023</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="84100007"/> <display value="History taking (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:f8a0e5b7-a450-471f-baa4-03feacd7df94"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2023-01-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:a25c0946-2f66-4634-a0de-95af9321c265"/> <resource> <Procedure> <id value="a25c0946-2f66-4634-a0de-95af9321c265"/> <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</td> <td> <span class="nb">11-Jan-2023</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:f8a0e5b7-a450-471f-baa4-03feacd7df94"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2023-01-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:c44cc09a-dce9-4d5a-97e0-69ca98c0d488"/> <resource> <Procedure> <id value="c44cc09a-dce9-4d5a-97e0-69ca98c0d488"/> <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>Laboratory blood screening</td> <td> <span class="nb">11-Jan-2023</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="396550006"/> <display value="Blood test (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:f8a0e5b7-a450-471f-baa4-03feacd7df94"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2023-01-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:f38a12b0-f505-4005-838f-22a3ce90bf05"/> <resource> <Procedure> <id value="f38a12b0-f505-4005-838f-22a3ce90bf05"/> <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>Vital signs monitoring</td> <td> <span class="nb">11-Jan-2023</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="61746007"/> <display value="Taking patient vital signs (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:f8a0e5b7-a450-471f-baa4-03feacd7df94"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2023-01-11"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b1a16cf5-9b2c-4458-88ac-aaa8641fc53b"/> <resource> <Procedure> <id value="b1a16cf5-9b2c-4458-88ac-aaa8641fc53b"/> <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 management of withdrawal symptoms</td> <td> <span class="nb">12-Jan-2023</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182832007"/> <display value="Procedure related to management of drug administration (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:f8a0e5b7-a450-471f-baa4-03feacd7df94"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2023-01-12"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:f1bebb0a-7064-404d-8ba0-1cf8b7f65ca8"/> <resource> <Procedure> <id value="f1bebb0a-7064-404d-8ba0-1cf8b7f65ca8"/> <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>Psychoeducational counseling</td> <td> <span class="nb">13-Jan-2023</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="409063005"/> <display value="Counseling (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:f8a0e5b7-a450-471f-baa4-03feacd7df94"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2023-01-13"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:5edb36eb-8104-49a3-b4fa-13d55cedc4df"/> <resource> <Device> <id value="5edb36eb-8104-49a3-b4fa-13d55cedc4df"/> <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:b2dde829-0fc8-4f2f-829c-d5710f33b06d"/> <resource> <Provenance> <id value="b2dde829-0fc8-4f2f-829c-d5710f33b06d"/> <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:f8a0e5b7-a450-471f-baa4-03feacd7df94"/> </target> <target> <reference value="urn:uuid:dd5387c3-dc18-4aae-b4be-ae7cf85c83f6"/> </target> <target> <reference value="urn:uuid:04c4e5c2-bceb-4131-a941-1aedb4ebbc38"/> </target> <target> <reference value="urn:uuid:ceaa3301-58c3-49b3-9f6a-043e0f7f825c"/> </target> <recorded value="2026-03-20T18:25:52Z"/> <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:5edb36eb-8104-49a3-b4fa-13d55cedc4df"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>