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              "system": "http://loinc.org",
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              "display": "Hospital Discharge summary"
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          ],
          "text": "Hospital Discharge Report"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Coronary artery disease confirmed on imaging, management plan established</div>"
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              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, thank you for referring this 81-year-old female patient who was admitted on 2014-08-01 for evaluation of abnormal findings on cardiac imaging. Following admission, she underwent comprehensive cardiac assessment including resting ECG, echocardiography, and coronary CT angiography, which confirmed the presence of significant coronary artery disease with evidence of atherosclerotic changes in multiple vessels. Cardiac biomarkers were measured and remained within normal limits, excluding acute myocardial infarction. A structured management plan was established in consultation with our cardiology team, including initiation of optimised medical therapy comprising antiplatelet therapy, statin, and beta-blocker. The patient remained haemodynamically stable throughout her stay. She is discharged home in a satisfactory condition with outpatient cardiology follow-up arranged. Please ensure medication adherence and cardiovascular risk factor monitoring at your earliest convenience.</div>"
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              "coding": [
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            "title": "Diagnosis at Discharge"
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          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Beta-blocker therapy initiated</td><td><span class=\"nb\">02-Aug-2014</span></td><td>-</td></tr></table></div>"
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                "reference": "urn:uuid:0702acb1-7b24-430c-8833-bf67fe180680"
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                "reference": "urn:uuid:573a0d06-c6a6-4455-b0bf-a77d6b90781a"
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              "coding": [
                {
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            },
            "title": "Significant procedures"
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        "title": "Hospital Discharge Report",
        "status": "final",
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          "reference": "urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870",
          "display": "Inga Zastawny"
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        "custodian": {
          "reference": "urn:uuid:1cf07843-a9fa-4142-95e9-4bc21e82d123"
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        "date": "2014-08-02T00:00:00Z",
        "confidentiality": "N"
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              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
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              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
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            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
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                  "code": "JHN",
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            "system": "http://ec.europa.eu/identifier/eci",
            "value": "2891-282463-9"
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                  "code": "MR",
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            "system": "http://local.setting.eu/identifier",
            "value": "99134896-e4d7-1ed1-1925-8bbdd837f0c2"
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        ],
        "name": [
          {
            "given": [
              "Inga"
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            "family": "Zastawny",
            "text": "Inga Zastawny"
          }
        ],
        "address": [
          {
            "line": [
              "plac Solidarnosci 52"
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            "use": "home",
            "type": "physical",
            "postalCode": "41-300",
            "city": "Dąbrowa Górnicza",
            "country": "Poland"
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        ],
        "telecom": [
          {
            "system": "phone",
            "value": "575 022 123"
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            "extension": [
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                "url": "code",
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                  "coding": [
                    {
                      "code": "PL",
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                  ]
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              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Inga Zastawny</td><td>female</td><td>07-Dec-1943</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1943-12-07"
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                "coding": [
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                    "code": "PPRF",
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                    "display": "primary performer"
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            ],
            "period": {
              "end": "2014-08-02"
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              "reference": "urn:uuid:44e9a718-b261-4249-ac02-cd47d6750a42"
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                "code": "274531002",
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Przychodnia Rejonowa, Dąbrowa Górnicza, Poland</td><td>01-08-2014 - 02-08-2014</td><td><ul><li>Abnormal findings diagnostic imaging heart+coronary circulat (finding)</li></ul></td></tr></table></div>"
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        "status": "completed",
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          "code": "IMP",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
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        "serviceProvider": {
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        "subject": {
          "reference": "Patient/d6fb2849-abe1-48c7-860f-fcf07a881870",
          "display": "Inga Zastawny"
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    {
      "fullUrl": "urn:uuid:3b8d0e36-05af-4c0d-9512-0c47eb1b2f79",
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        "resourceType": "PractitionerRole",
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        "meta": {
          "profile": [
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: 3b8d0e36-05af-4c0d-9512-0c47eb1b2f79</div>"
        },
        "practitioner": {
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    {
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        "address": [
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            "city": "Dąbrowa Górnicza",
            "postalCode": "41-300",
            "country": "Poland"
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        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Przychodnia Rejonowa, 41-300 Dąbrowa Górnicza, Poland</div>"
        },
        "name": "Przychodnia Rejonowa"
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    {
      "fullUrl": "urn:uuid:44e9a718-b261-4249-ac02-cd47d6750a42",
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        "resourceType": "Practitioner",
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        },
        "identifier": [
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        ],
        "name": [
          {
            "given": [
              "Gustaw"
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            "family": "Jędraszek"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: Gustaw Jędraszek</div>"
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      }
    },
    {
      "fullUrl": "urn:uuid:1e21722b-15ed-4cea-a870-7d50f08700f2",
      "resource": {
        "resourceType": "Condition",
        "id": "1e21722b-15ed-4cea-a870-7d50f08700f2",
        "meta": {
          "profile": [
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        },
        "category": [
          {
            "coding": [
              {
                "code": "encounter-diagnosis",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Encounter Diagnosis"
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "R93.1",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Abnormal findings on diagnostic imaging of heart and coronary circulation"
            }
          ],
          "text": "Abnormal findings on diagnostic imaging of heart and coronary circulation"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Abnormal findings on diagnostic imaging of heart and coronary circulation</td><td><span class=\"nb\">02-Aug-2014</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "2014-08-02",
        "subject": {
          "reference": "urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870",
          "display": "Inga Zastawny"
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      }
    },
    {
      "fullUrl": "urn:uuid:0702acb1-7b24-430c-8833-bf67fe180680",
      "resource": {
        "resourceType": "Procedure",
        "id": "0702acb1-7b24-430c-8833-bf67fe180680",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "29303009",
              "system": "http://snomed.info/sct",
              "display": "Electrocardiographic procedure (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Resting ECG performed on admission</td><td><span class=\"nb\">01-Aug-2014</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2014-08-01",
        "subject": {
          "reference": "urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870",
          "display": "Inga Zastawny"
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      }
    },
    {
      "fullUrl": "urn:uuid:8f4487af-67cf-4495-88e7-56b34db5f043",
      "resource": {
        "resourceType": "Procedure",
        "id": "8f4487af-67cf-4495-88e7-56b34db5f043",
        "meta": {
          "profile": [
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        "code": {
          "coding": [
            {
              "code": "396550006",
              "system": "http://snomed.info/sct",
              "display": "Blood test (procedure)"
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          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Cardiac biomarker blood sampling</td><td><span class=\"nb\">01-Aug-2014</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2014-08-01",
        "subject": {
          "reference": "urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870",
          "display": "Inga Zastawny"
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      }
    },
    {
      "fullUrl": "urn:uuid:18e98e25-c7b9-4ba0-acd2-a293da3938b0",
      "resource": {
        "resourceType": "Procedure",
        "id": "18e98e25-c7b9-4ba0-acd2-a293da3938b0",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "40701008",
              "system": "http://snomed.info/sct",
              "display": "Echocardiography (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Echocardiography performed</td><td><span class=\"nb\">01-Aug-2014</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2014-08-01",
        "subject": {
          "reference": "urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870",
          "display": "Inga Zastawny"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:b0e57b3b-5182-4d81-8d5b-29c399426c7c",
      "resource": {
        "resourceType": "Procedure",
        "id": "b0e57b3b-5182-4d81-8d5b-29c399426c7c",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "418285008",
              "system": "http://snomed.info/sct",
              "display": "Percutaneous transluminal angioplasty of blood vessel using imaging guidance with contrast (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Coronary CT angiography</td><td><span class=\"nb\">02-Aug-2014</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2014-08-02",
        "subject": {
          "reference": "urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870",
          "display": "Inga Zastawny"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:3d15e62b-3c5d-4278-a563-4df39702e20e",
      "resource": {
        "resourceType": "Procedure",
        "id": "3d15e62b-3c5d-4278-a563-4df39702e20e",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
          ]
        },
        "code": {
          "coding": [
            {
              "code": "182764009",
              "system": "http://snomed.info/sct",
              "display": "Anticoagulant therapy (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Antiplatelet therapy initiated</td><td><span class=\"nb\">02-Aug-2014</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2014-08-02",
        "subject": {
          "reference": "urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870",
          "display": "Inga Zastawny"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:bf15b353-248c-4b2e-b46e-a85ce7e0beda",
      "resource": {
        "resourceType": "Procedure",
        "id": "bf15b353-248c-4b2e-b46e-a85ce7e0beda",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "372912004",
              "system": "http://snomed.info/sct",
              "display": "Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Statin therapy commenced</td><td><span class=\"nb\">02-Aug-2014</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2014-08-02",
        "subject": {
          "reference": "urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870",
          "display": "Inga Zastawny"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:573a0d06-c6a6-4455-b0bf-a77d6b90781a",
      "resource": {
        "resourceType": "Procedure",
        "id": "573a0d06-c6a6-4455-b0bf-a77d6b90781a",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "229070002",
              "system": "http://snomed.info/sct",
              "display": "Stretching exercises (regime/therapy)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Beta-blocker therapy initiated</td><td><span class=\"nb\">02-Aug-2014</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2014-08-02",
        "subject": {
          "reference": "urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870",
          "display": "Inga Zastawny"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:810bbb1c-24a6-4019-a661-926030cc1b8e",
      "resource": {
        "resourceType": "Device",
        "id": "810bbb1c-24a6-4019-a661-926030cc1b8e",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
    },
    {
      "fullUrl": "urn:uuid:4262a08a-8558-4452-953f-d6bc890359d5",
      "resource": {
        "resourceType": "Provenance",
        "id": "4262a08a-8558-4452-953f-d6bc890359d5",
        "target": [
          {
            "reference": "urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870"
          },
          {
            "reference": "urn:uuid:3b8d0e36-05af-4c0d-9512-0c47eb1b2f79"
          },
          {
            "reference": "urn:uuid:44e9a718-b261-4249-ac02-cd47d6750a42"
          },
          {
            "reference": "urn:uuid:1cf07843-a9fa-4142-95e9-4bc21e82d123"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:810bbb1c-24a6-4019-a661-926030cc1b8e"
            }
          }
        ],
        "reason": [
          {
            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2026-03-20T18:23:56Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2014-08-02T00:00:00Z"
}