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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you regarding the discharge of your 34-year-old male patient, admitted on 15/10/2008 due to substance dependence disorder. Upon admission, a comprehensive psychiatric and somatic assessment was performed, including structured diagnostic interviews, urine toxicology screening, and laboratory investigations confirming polysubstance dependence. The patient underwent medically supervised detoxification with pharmacological support to manage withdrawal symptoms safely. During the inpatient stay, he participated in individual psychotherapy sessions and psychoeducational group therapy addressing substance use behaviours and relapse prevention strategies. Motivational interviewing techniques were employed to strengthen treatment engagement. The patient was stabilised without significant complications. At discharge, he is abstinent and motivated for continued outpatient treatment. We strongly recommend referral to an outpatient addiction programme and close follow-up. Prescription details and further recommendations are enclosed.</div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Relapse prevention counselling</td><td><span class=\"nb\">05-Nov-2008</span></td><td>-</td></tr></table></div>"
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            "title": "Significant procedures"
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        "title": "Hospital Discharge Report",
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          "reference": "urn:uuid:311dab77-0f58-4807-a1e9-c8a0348b7c7e",
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        "date": "2008-11-09T00:00:00Z",
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            "given": [
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        "address": [
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            "line": [
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            "city": "South Aaron",
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          "status": "generated",
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          "status": "generated",
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    {
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          "display": "Colin Kemp"
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      }
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Structured psychiatric diagnostic interview</td><td><span class=\"nb\">15-Oct-2008</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
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        "subject": {
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          "display": "Colin Kemp"
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          "status": "generated",
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        },
        "status": "completed",
        "performedDateTime": "2008-10-16",
        "subject": {
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          "display": "Colin Kemp"
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    {
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        "id": "129bb6ea-cb2c-46b8-b8d0-9aa74a76685e",
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        "code": {
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              "code": "26604007",
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              "display": "Complete blood count (procedure)"
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          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Complete blood count</td><td><span class=\"nb\">16-Oct-2008</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2008-10-16",
        "subject": {
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          "display": "Colin Kemp"
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    {
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        "id": "ffb273d1-b90e-4d77-a1b5-44b4366f6fde",
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        "code": {
          "coding": [
            {
              "code": "26958001",
              "system": "http://snomed.info/sct",
              "display": "Hepatic function panel (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Liver function tests</td><td><span class=\"nb\">16-Oct-2008</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2008-10-16",
        "subject": {
          "reference": "urn:uuid:311dab77-0f58-4807-a1e9-c8a0348b7c7e",
          "display": "Colin Kemp"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:4bebcf9b-4bf8-49cc-8527-ec172f8715a1",
      "resource": {
        "resourceType": "Procedure",
        "id": "4bebcf9b-4bf8-49cc-8527-ec172f8715a1",
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          "profile": [
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        },
        "code": {
          "coding": [
            {
              "code": "386807006",
              "system": "http://snomed.info/sct",
              "display": "Memory impairment (finding)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Assessment of mental health</td><td><span class=\"nb\">17-Oct-2008</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2008-10-17",
        "subject": {
          "reference": "urn:uuid:311dab77-0f58-4807-a1e9-c8a0348b7c7e",
          "display": "Colin Kemp"
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      }
    },
    {
      "fullUrl": "urn:uuid:07b27829-c363-4642-89b7-32a0fa495394",
      "resource": {
        "resourceType": "Procedure",
        "id": "07b27829-c363-4642-89b7-32a0fa495394",
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        "code": {
          "coding": [
            {
              "code": "182981008",
              "system": "http://snomed.info/sct",
              "display": "Cholesterol reduction program declined (situation)"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Medically supervised detoxification</td><td><span class=\"nb\">15-Oct-2008</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2008-10-15",
        "subject": {
          "reference": "urn:uuid:311dab77-0f58-4807-a1e9-c8a0348b7c7e",
          "display": "Colin Kemp"
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    {
      "fullUrl": "urn:uuid:f7de64f2-230c-4482-b37a-e9c4870b1a37",
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        "code": {
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              "code": "182964004",
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              "display": "Terminal care (regime/therapy)"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Pharmacological management of withdrawal symptoms</td><td><span class=\"nb\">17-Oct-2008</span></td><td>-</td></tr></table></div>"
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              "display": "Interactive group medical psychotherapy (regime/therapy)"
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          "reference": "urn:uuid:311dab77-0f58-4807-a1e9-c8a0348b7c7e",
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            {
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        "status": "completed",
        "performedDateTime": "2008-10-25",
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          "reference": "urn:uuid:311dab77-0f58-4807-a1e9-c8a0348b7c7e",
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            {
              "code": "313071005",
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    {
      "fullUrl": "urn:uuid:f92e93fd-b404-4bbc-98d8-2d1b782f2b2c",
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        "version": [
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
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              "code": "CREATE",
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          ],
          "text": "Synthetic Example Data Generation"
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        "agent": [
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              "text": "author"
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              "reference": "urn:uuid:f92e93fd-b404-4bbc-98d8-2d1b782f2b2c"
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            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
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            "text": "Interoperability Testing and Training (non-clinical use)"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2026-03-20T18:26:37Z"
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  ],
  "type": "document",
  "timestamp": "2008-11-09T00:00:00Z"
}