intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:1cf07843-a9fa-4142-95e9-4bc21e82d123"/> </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">Coronary artery disease confirmed on imaging, management plan established</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, 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> </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>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> </text> <entry> <reference value="urn:uuid:1e21722b-15ed-4cea-a870-7d50f08700f2"/> </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>Beta-blocker therapy initiated</td> <td> <span class="nb">02-Aug-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:0702acb1-7b24-430c-8833-bf67fe180680"/> </entry> <entry> <reference value="urn:uuid:8f4487af-67cf-4495-88e7-56b34db5f043"/> </entry> <entry> <reference value="urn:uuid:18e98e25-c7b9-4ba0-acd2-a293da3938b0"/> </entry> <entry> <reference value="urn:uuid:b0e57b3b-5182-4d81-8d5b-29c399426c7c"/> </entry> <entry> <reference value="urn:uuid:3d15e62b-3c5d-4278-a563-4df39702e20e"/> </entry> <entry> <reference value="urn:uuid:bf15b353-248c-4b2e-b46e-a85ce7e0beda"/> </entry> <entry> <reference value="urn:uuid:573a0d06-c6a6-4455-b0bf-a77d6b90781a"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870"/> <resource> <Patient> <id value="d6fb2849-abe1-48c7-860f-fcf07a881870"/> <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>Inga Zastawny</td> <td>female</td> <td>07-Dec-1943</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="PL"/> </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="2891-282463-9"/> </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="99134896-e4d7-1ed1-1925-8bbdd837f0c2"/> </identifier> <name> <text value="Inga Zastawny"/> <family value="Zastawny"/> <given value="Inga"/> </name> <telecom> <system value="phone"/> <value value="575 022 123"/> </telecom> <gender value="female"/> <birthDate value="1943-12-07"/> <address> <use value="home"/> <type value="physical"/> <line value="plac Solidarnosci 52"/> <city value="Dąbrowa Górnicza"/> <postalCode value="41-300"/> <country value="Poland"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:20bf80e8-d8af-4969-9708-7f0f6209abe0"/> <resource> <Encounter> <id value="20bf80e8-d8af-4969-9708-7f0f6209abe0"/> <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>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> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/d6fb2849-abe1-48c7-860f-fcf07a881870"/> <display value="Inga Zastawny"/> </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="2014-08-02"/> </period> <individual> <reference value="urn:uuid:44e9a718-b261-4249-ac02-cd47d6750a42"/> </individual> </participant> <period> <start value="2014-08-02"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="274531002"/> <display value="Abnormal findings diagnostic imaging heart+coronary circulat (finding)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:1cf07843-a9fa-4142-95e9-4bc21e82d123"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:3b8d0e36-05af-4c0d-9512-0c47eb1b2f79"/> <resource> <PractitionerRole> <id value="3b8d0e36-05af-4c0d-9512-0c47eb1b2f79"/> <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: 3b8d0e36-05af-4c0d-9512-0c47eb1b2f79</div> </text> <practitioner> <reference value="urn:uuid:44e9a718-b261-4249-ac02-cd47d6750a42"/> </practitioner> <organization> <reference value="urn:uuid:1cf07843-a9fa-4142-95e9-4bc21e82d123"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:1cf07843-a9fa-4142-95e9-4bc21e82d123"/> <resource> <Organization> <id value="1cf07843-a9fa-4142-95e9-4bc21e82d123"/> <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: Przychodnia Rejonowa, 41-300 Dąbrowa Górnicza, Poland</div> </text> <name value="Przychodnia Rejonowa"/> <address> <city value="Dąbrowa Górnicza"/> <postalCode value="41-300"/> <country value="Poland"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:44e9a718-b261-4249-ac02-cd47d6750a42"/> <resource> <Practitioner> <id value="44e9a718-b261-4249-ac02-cd47d6750a42"/> <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: Gustaw Jędraszek</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="8f045994-259a-4297-9cb4-c135dae53e93"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Jędraszek"/> <given value="Gustaw"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:1e21722b-15ed-4cea-a870-7d50f08700f2"/> <resource> <Condition> <id value="1e21722b-15ed-4cea-a870-7d50f08700f2"/> <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>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> </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="R93.1"/> <display value="Abnormal findings on diagnostic imaging of heart and coronary circulation"/> </coding> <text value="Abnormal findings on diagnostic imaging of heart and coronary circulation"/> </code> <subject> <reference value="urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870"/> <display value="Inga Zastawny"/> </subject> <onsetDateTime value="2014-08-02"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:0702acb1-7b24-430c-8833-bf67fe180680"/> <resource> <Procedure> <id value="0702acb1-7b24-430c-8833-bf67fe180680"/> <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>Resting ECG performed on admission</td> <td> <span class="nb">01-Aug-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="29303009"/> <display value="Electrocardiographic procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870"/> <display value="Inga Zastawny"/> </subject> <performedDateTime value="2014-08-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:8f4487af-67cf-4495-88e7-56b34db5f043"/> <resource> <Procedure> <id value="8f4487af-67cf-4495-88e7-56b34db5f043"/> <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>Cardiac biomarker blood sampling</td> <td> <span class="nb">01-Aug-2014</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:d6fb2849-abe1-48c7-860f-fcf07a881870"/> <display value="Inga Zastawny"/> </subject> <performedDateTime value="2014-08-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:18e98e25-c7b9-4ba0-acd2-a293da3938b0"/> <resource> <Procedure> <id value="18e98e25-c7b9-4ba0-acd2-a293da3938b0"/> <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>Echocardiography performed</td> <td> <span class="nb">01-Aug-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="40701008"/> <display value="Echocardiography (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870"/> <display value="Inga Zastawny"/> </subject> <performedDateTime value="2014-08-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b0e57b3b-5182-4d81-8d5b-29c399426c7c"/> <resource> <Procedure> <id value="b0e57b3b-5182-4d81-8d5b-29c399426c7c"/> <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>Coronary CT angiography</td> <td> <span class="nb">02-Aug-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="418285008"/> <display value="Percutaneous transluminal angioplasty of blood vessel using imaging guidance with contrast (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870"/> <display value="Inga Zastawny"/> </subject> <performedDateTime value="2014-08-02"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:3d15e62b-3c5d-4278-a563-4df39702e20e"/> <resource> <Procedure> <id value="3d15e62b-3c5d-4278-a563-4df39702e20e"/> <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>Antiplatelet therapy initiated</td> <td> <span class="nb">02-Aug-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182764009"/> <display value="Anticoagulant therapy (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870"/> <display value="Inga Zastawny"/> </subject> <performedDateTime value="2014-08-02"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:bf15b353-248c-4b2e-b46e-a85ce7e0beda"/> <resource> <Procedure> <id value="bf15b353-248c-4b2e-b46e-a85ce7e0beda"/> <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>Statin therapy commenced</td> <td> <span class="nb">02-Aug-2014</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="372912004"/> <display value="Substance with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitor mechanism of action (substance)"/> </coding> </code> <subject> <reference value="urn:uuid:d6fb2849-abe1-48c7-860f-fcf07a881870"/> <display value="Inga Zastawny"/> </subject> <performedDateTime value="2014-08-02"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:573a0d06-c6a6-4455-b0bf-a77d6b90781a"/> <resource> <Procedure> <id value="573a0d06-c6a6-4455-b0bf-a77d6b90781a"/> <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>Beta-blocker therapy initiated</td> <td> <span class="nb">02-Aug-2014</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:d6fb2849-abe1-48c7-860f-fcf07a881870"/> <display value="Inga Zastawny"/> </subject> <performedDateTime value="2014-08-02"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:810bbb1c-24a6-4019-a661-926030cc1b8e"/> <resource> <Device> <id value="810bbb1c-24a6-4019-a661-926030cc1b8e"/> <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:4262a08a-8558-4452-953f-d6bc890359d5"/> <resource> <Provenance> <id value="4262a08a-8558-4452-953f-d6bc890359d5"/> <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:d6fb2849-abe1-48c7-860f-fcf07a881870"/> </target> <target> <reference value="urn:uuid:3b8d0e36-05af-4c0d-9512-0c47eb1b2f79"/> </target> <target> <reference value="urn:uuid:44e9a718-b261-4249-ac02-cd47d6750a42"/> </target> <target> <reference value="urn:uuid:1cf07843-a9fa-4142-95e9-4bc21e82d123"/> </target> <recorded value="2026-03-20T18:23:56Z"/> <policy 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