intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:c917ac1b-e188-4d3e-a56a-a4adb7b9c6d8"/> </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">ACL reconstruction performed, post-operative recovery uneventful</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 31-year-old female, who was admitted to our department on 13/11/2017 following confirmed injury of the anterior cruciate ligament of the right knee. Upon admission, clinical examination revealed significant joint instability. Diagnostic workup including MRI confirmed complete ACL rupture. Following multidisciplinary assessment and patient consent, she underwent arthroscopic ACL reconstruction on 13/11/2017 using autologous graft. The post-operative course was uneventful. Physiotherapy was initiated prior to discharge. She was discharged home on 14/11/2017 with analgesia, thromboprophylaxis, and a structured rehabilitation programme. We recommend close follow-up in your practice, with specialist orthopaedic review in six weeks. Please do not hesitate to contact us should you have any queries regarding her ongoing management.</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>Sprain and strain of anterior cruciate ligament of knee</td> <td> <span class="nb">14-Nov-2017</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:9051bc89-6b57-43bc-8f26-9389bfee73da"/> </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>Surgical manipulation of joint of knee (procedure)</td> <td> <span class="nb">13-Nov-2017</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:c495c863-a04d-4724-b400-3b67a1f8db78"/> </entry> <entry> <reference value="urn:uuid:42271f5c-3169-4778-9bf7-63bcdac3fb4c"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:ee55be13-3f6d-4610-93a2-a676897e6325"/> <resource> <Patient> <id value="ee55be13-3f6d-4610-93a2-a676897e6325"/> <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>Jasmina Fritsch</td> <td>female</td> <td>30-Dec-1993</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="DE"/> </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="1690-358891-7"/> </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="4d06719f-e570-7dbf-742e-4edc4312e5f6"/> </identifier> <name> <text value="Jasmina Fritsch"/> <family value="Fritsch"/> <given value="Jasmina"/> </name> <telecom> <system value="phone"/> <value value="+49(0)2540 673444"/> </telecom> <gender value="female"/> <birthDate value="1993-12-30"/> <address> <use value="home"/> <type value="physical"/> <line value="Atzlerstr. 3-2"/> <city value="Saulgau"/> <postalCode value="88348"/> <country value="Germany"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:50585538-b0bb-4a66-ab3e-a83c30c5aff1"/> <resource> <Encounter> <id value="50585538-b0bb-4a66-ab3e-a83c30c5aff1"/> <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>Klinik am schönen Moos, Bad Saulgau, Germany</td> <td>13-11-2017 - 14-11-2017</td> <td> <ul> <li>Injury of anterior cruciate ligament (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/ee55be13-3f6d-4610-93a2-a676897e6325"/> <display value="Jasmina Fritsch"/> </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="2017-11-14"/> </period> <individual> <reference value="urn:uuid:3694715e-f33e-46ac-9603-6f59dc75c2b8"/> </individual> </participant> <period> <start value="2017-11-14"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="444470001"/> <display value="Injury of anterior cruciate ligament (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:c917ac1b-e188-4d3e-a56a-a4adb7b9c6d8"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:ba4d3d3d-ac69-415f-b956-6aeb0fd0b904"/> <resource> <PractitionerRole> <id value="ba4d3d3d-ac69-415f-b956-6aeb0fd0b904"/> <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: ba4d3d3d-ac69-415f-b956-6aeb0fd0b904</div> </text> <practitioner> <reference value="urn:uuid:3694715e-f33e-46ac-9603-6f59dc75c2b8"/> </practitioner> <organization> <reference value="urn:uuid:c917ac1b-e188-4d3e-a56a-a4adb7b9c6d8"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:c917ac1b-e188-4d3e-a56a-a4adb7b9c6d8"/> <resource> <Organization> <id value="c917ac1b-e188-4d3e-a56a-a4adb7b9c6d8"/> <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: Klinik am schönen Moos, 88348 Bad Saulgau, Germany</div> </text> <name value="Klinik am schönen Moos"/> <address> <city value="Bad Saulgau"/> <postalCode value="88348"/> <country value="Germany"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:3694715e-f33e-46ac-9603-6f59dc75c2b8"/> <resource> <Practitioner> <id value="3694715e-f33e-46ac-9603-6f59dc75c2b8"/> <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: Vera Müller</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="51feddd3-63ec-45cc-8a48-f2e59577cd1c"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Müller"/> <given value="Vera"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:9051bc89-6b57-43bc-8f26-9389bfee73da"/> <resource> <Condition> <id value="9051bc89-6b57-43bc-8f26-9389bfee73da"/> <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>Sprain and strain of anterior cruciate ligament of knee</td> <td> <span class="nb">14-Nov-2017</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="S83.5"/> <display value="Sprain and strain of anterior cruciate ligament of knee"/> </coding> <text value="Sprain and strain of anterior cruciate ligament of knee"/> </code> <subject> <reference value="urn:uuid:ee55be13-3f6d-4610-93a2-a676897e6325"/> <display value="Jasmina Fritsch"/> </subject> <onsetDateTime value="2017-11-14"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:c495c863-a04d-4724-b400-3b67a1f8db78"/> <resource> <Procedure> <id value="c495c863-a04d-4724-b400-3b67a1f8db78"/> <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 care (regime/therapy)</td> <td> <span class="nb">14-Nov-2017</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="133899007"/> <display value="Postoperative care"/> </coding> </code> <subject> <reference value="urn:uuid:ee55be13-3f6d-4610-93a2-a676897e6325"/> <display value="Jasmina Fritsch"/> </subject> <performedDateTime value="2017-11-14"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:42271f5c-3169-4778-9bf7-63bcdac3fb4c"/> <resource> <Procedure> <id value="42271f5c-3169-4778-9bf7-63bcdac3fb4c"/> <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>Surgical manipulation of joint of knee (procedure)</td> <td> <span class="nb">13-Nov-2017</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="699253003"/> <display value="Surgical manipulation of joint of knee"/> </coding> </code> <subject> <reference value="urn:uuid:ee55be13-3f6d-4610-93a2-a676897e6325"/> <display value="Jasmina Fritsch"/> </subject> <performedDateTime value="2017-11-13"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:35552442-95f8-4679-8540-0b64a26ef863"/> <resource> <Device> <id value="35552442-95f8-4679-8540-0b64a26ef863"/> <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:ade34ee9-f643-4a52-a9fc-7a0c85923409"/> <resource> <Provenance> <id value="ade34ee9-f643-4a52-a9fc-7a0c85923409"/> <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:ee55be13-3f6d-4610-93a2-a676897e6325"/> </target> <target> <reference value="urn:uuid:ba4d3d3d-ac69-415f-b956-6aeb0fd0b904"/> </target> <target> <reference value="urn:uuid:3694715e-f33e-46ac-9603-6f59dc75c2b8"/> </target> <target> <reference value="urn:uuid:c917ac1b-e188-4d3e-a56a-a4adb7b9c6d8"/> </target> <recorded value="2026-03-20T18:18:20Z"/> <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:35552442-95f8-4679-8540-0b64a26ef863"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>