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          {
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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 56-year-old male patient admitted on 13.12.2012 for evaluation of sleep disorder. During his brief inpatient stay, we conducted a comprehensive sleep assessment including detailed sleep history, Epworth Sleepiness Scale scoring, and overnight polysomnography to objectively characterize his sleep disturbance. Investigations revealed findings consistent with unspecified sleep disorder (ICD-10: G47.9), without evidence of significant obstructive sleep apnoea requiring immediate intervention. We initiated sleep hygiene counselling and provided structured relaxation guidance. A short-term low-dose pharmacological support was prescribed to stabilize sleep pattern. We recommend outpatient follow-up with sleep specialist review of polysomnography results. Please find enclosed the full investigation reports. Should you have any queries, do not hesitate to contact our department directly.</div>"
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                  "code": "8648-8",
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            "title": "Diagnosis at Discharge"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Pharmacological therapy - hypnotic medication administration</td><td><span class=\"nb\">14-Dec-2012</span></td><td>-</td></tr></table></div>"
            },
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              {
                "reference": "urn:uuid:059a9a49-044f-468a-920b-b055f13d8d4d"
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              {
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              {
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              {
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              {
                "reference": "urn:uuid:a1970862-2f22-46a2-8cf7-3dc3b87a1b8b"
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            "code": {
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            "title": "Significant procedures"
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        "status": "final",
        "subject": {
          "reference": "urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028",
          "display": "Philippe Étienne"
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        "date": "2012-12-14T00:00:00Z",
        "confidentiality": "N"
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            "system": "http://local.setting.eu/identifier",
            "value": "d53bc6c4-cb37-a8f5-f0ac-5e64e2edb4ec"
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        ],
        "name": [
          {
            "given": [
              "Philippe"
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            "family": "Étienne",
            "text": "Philippe Étienne"
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        ],
        "address": [
          {
            "line": [
              "9, boulevard de Rémy"
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            "use": "home",
            "type": "physical",
            "postalCode": "01250",
            "city": "GrégoireBourg",
            "country": "France"
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        ],
        "telecom": [
          {
            "system": "phone",
            "value": "05 34 18 24 49"
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        ],
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          {
            "extension": [
              {
                "url": "code",
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                  "coding": [
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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>Philippe Étienne</td><td>male</td><td>13-Aug-1969</td></tr></table></div>"
        },
        "gender": "male",
        "birthDate": "1969-08-13"
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                    "display": "primary performer"
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            ],
            "period": {
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            "individual": {
              "reference": "urn:uuid:8ef3ff07-521b-4b68-9a82-f7e7996d1059"
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        ],
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                "code": "39898005",
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            ]
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Centre Psychothérapique de l'Ain, Viriat, France</td><td>13-12-2012 - 14-12-2012</td><td><ul><li>Sleep disorder (disorder)</li></ul></td></tr></table></div>"
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        "status": "completed",
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        "serviceProvider": {
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          "reference": "Patient/eacd278a-bbf5-47a6-9bfe-05186d3e1028",
          "display": "Philippe Étienne"
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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: cfcf3598-4ed0-4cd8-bd37-fcc1b8dd8019</div>"
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        "practitioner": {
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    {
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        "address": [
          {
            "city": "Viriat",
            "postalCode": "01440",
            "country": "France"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Centre Psychothérapique de l&amp;#039;Ain, 01440 Viriat, France</div>"
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        "name": "Centre Psychothérapique de l&amp;#039;Ain"
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    {
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        "name": [
          {
            "prefix": [
              "dr"
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            "given": [
              "Colette"
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            "family": "Mathieu"
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        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: dr Colette Mathieu</div>"
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    },
    {
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      "resource": {
        "resourceType": "Condition",
        "id": "ce7464df-d638-446b-a98a-75e0b9bf19ae",
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        },
        "category": [
          {
            "coding": [
              {
                "code": "encounter-diagnosis",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Encounter Diagnosis"
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            ]
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        ],
        "code": {
          "coding": [
            {
              "code": "G47.9",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Sleep disorder, unspecified"
            }
          ],
          "text": "Sleep disorder, unspecified"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Sleep disorder, unspecified</td><td><span class=\"nb\">14-Dec-2012</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "2012-12-14",
        "subject": {
          "reference": "urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028",
          "display": "Philippe Étienne"
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      }
    },
    {
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      "resource": {
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            {
              "code": "386053000",
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Sleep history taking and clinical assessment</td><td><span class=\"nb\">13-Dec-2012</span></td><td>-</td></tr></table></div>"
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          "display": "Philippe Étienne"
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              "display": "Spielberger state-trait anxiety inventory (assessment scale)"
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        "subject": {
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          "display": "Philippe Étienne"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Overnight polysomnography</td><td><span class=\"nb\">13-Dec-2012</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2012-12-13",
        "subject": {
          "reference": "urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028",
          "display": "Philippe Étienne"
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      }
    },
    {
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        "id": "c2908e12-ce5e-4fb2-a565-95587931cf33",
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        "code": {
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            {
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              "display": "Education (procedure)"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Sleep hygiene education and counselling</td><td><span class=\"nb\">14-Dec-2012</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2012-12-14",
        "subject": {
          "reference": "urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028",
          "display": "Philippe Étienne"
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    },
    {
      "fullUrl": "urn:uuid:0b5d9a1b-9b2c-4b33-addc-a429796b6774",
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        "code": {
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              "code": "228557008",
              "system": "http://snomed.info/sct",
              "display": "Cognitive and behavioral therapy (regime/therapy)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Relaxation therapy guidance</td><td><span class=\"nb\">14-Dec-2012</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2012-12-14",
        "subject": {
          "reference": "urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028",
          "display": "Philippe Étienne"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a1970862-2f22-46a2-8cf7-3dc3b87a1b8b",
      "resource": {
        "resourceType": "Procedure",
        "id": "a1970862-2f22-46a2-8cf7-3dc3b87a1b8b",
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              "code": "18629005",
              "system": "http://snomed.info/sct",
              "display": "Administration of drug or medicament (procedure)"
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        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Pharmacological therapy - hypnotic medication administration</td><td><span class=\"nb\">14-Dec-2012</span></td><td>-</td></tr></table></div>"
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        "subject": {
          "reference": "urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028",
          "display": "Philippe Étienne"
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    {
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      "resource": {
        "resourceType": "Device",
        "id": "d9cca5e9-27a1-4880-98fa-ca63deaec282",
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            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
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        ],
        "version": [
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        ],
        "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"
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          "text": "Synthetic Example Data Generation"
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        "policy": [
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        ],
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            "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": "2026-03-20T18:17:05Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2012-12-14T00:00:00Z"
}