intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:7bf64eef-8a07-472e-9bda-2d158de17229"/> </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">Sleep disorder, investigated and managed</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 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> </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>Sleep disorder, unspecified</td> <td> <span class="nb">14-Dec-2012</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:ce7464df-d638-446b-a98a-75e0b9bf19ae"/> </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>Pharmacological therapy - hypnotic medication administration</td> <td> <span class="nb">14-Dec-2012</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:059a9a49-044f-468a-920b-b055f13d8d4d"/> </entry> <entry> <reference value="urn:uuid:2f5761e9-8381-4298-a26f-645c37a88b6c"/> </entry> <entry> <reference value="urn:uuid:0bb238fe-137d-40e5-b81c-7ffb92f8f660"/> </entry> <entry> <reference value="urn:uuid:c2908e12-ce5e-4fb2-a565-95587931cf33"/> </entry> <entry> <reference value="urn:uuid:0b5d9a1b-9b2c-4b33-addc-a429796b6774"/> </entry> <entry> <reference value="urn:uuid:a1970862-2f22-46a2-8cf7-3dc3b87a1b8b"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028"/> <resource> <Patient> <id value="eacd278a-bbf5-47a6-9bfe-05186d3e1028"/> <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>Philippe Étienne</td> <td>male</td> <td>13-Aug-1969</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="FR"/> </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="5954-675858-8"/> </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="d53bc6c4-cb37-a8f5-f0ac-5e64e2edb4ec"/> </identifier> <name> <text value="Philippe Étienne"/> <family value="Étienne"/> <given value="Philippe"/> </name> <telecom> <system value="phone"/> <value value="05 34 18 24 49"/> </telecom> <gender value="male"/> <birthDate value="1969-08-13"/> <address> <use value="home"/> <type value="physical"/> <line value="9, boulevard de Rémy"/> <city value="GrégoireBourg"/> <postalCode value="01250"/> <country value="France"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:b380a6b6-4591-4af8-b36c-5b005c665584"/> <resource> <Encounter> <id value="b380a6b6-4591-4af8-b36c-5b005c665584"/> <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>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> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/eacd278a-bbf5-47a6-9bfe-05186d3e1028"/> <display value="Philippe Étienne"/> </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="2012-12-14"/> </period> <individual> <reference value="urn:uuid:8ef3ff07-521b-4b68-9a82-f7e7996d1059"/> </individual> </participant> <period> <start value="2012-12-14"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="39898005"/> <display value="Sleep disorder (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:7bf64eef-8a07-472e-9bda-2d158de17229"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:cfcf3598-4ed0-4cd8-bd37-fcc1b8dd8019"/> <resource> <PractitionerRole> <id value="cfcf3598-4ed0-4cd8-bd37-fcc1b8dd8019"/> <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: cfcf3598-4ed0-4cd8-bd37-fcc1b8dd8019</div> </text> <practitioner> <reference value="urn:uuid:8ef3ff07-521b-4b68-9a82-f7e7996d1059"/> </practitioner> <organization> <reference value="urn:uuid:7bf64eef-8a07-472e-9bda-2d158de17229"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:7bf64eef-8a07-472e-9bda-2d158de17229"/> <resource> <Organization> <id value="7bf64eef-8a07-472e-9bda-2d158de17229"/> <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: Centre Psychothérapique de l&#039;Ain, 01440 Viriat, France</div> </text> <name value="Centre Psychothérapique de l&amp;#039;Ain"/> <address> <city value="Viriat"/> <postalCode value="01440"/> <country value="France"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:8ef3ff07-521b-4b68-9a82-f7e7996d1059"/> <resource> <Practitioner> <id value="8ef3ff07-521b-4b68-9a82-f7e7996d1059"/> <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: dr Colette Mathieu</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="5a267f20-ade0-4cff-8234-b0ef54bfd289"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Mathieu"/> <given value="Colette"/> <prefix value="dr"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:ce7464df-d638-446b-a98a-75e0b9bf19ae"/> <resource> <Condition> <id value="ce7464df-d638-446b-a98a-75e0b9bf19ae"/> <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>Sleep disorder, unspecified</td> <td> <span class="nb">14-Dec-2012</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="G47.9"/> <display value="Sleep disorder, unspecified"/> </coding> <text value="Sleep disorder, unspecified"/> </code> <subject> <reference value="urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028"/> <display value="Philippe Étienne"/> </subject> <onsetDateTime value="2012-12-14"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:059a9a49-044f-468a-920b-b055f13d8d4d"/> <resource> <Procedure> <id value="059a9a49-044f-468a-920b-b055f13d8d4d"/> <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>Sleep history taking and clinical assessment</td> <td> <span class="nb">13-Dec-2012</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="386053000"/> <display value="Evaluation procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028"/> <display value="Philippe Étienne"/> </subject> <performedDateTime value="2012-12-13"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:2f5761e9-8381-4298-a26f-645c37a88b6c"/> <resource> <Procedure> <id value="2f5761e9-8381-4298-a26f-645c37a88b6c"/> <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>Epworth Sleepiness Scale administration</td> <td> <span class="nb">13-Dec-2012</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="273830002"/> <display value="Spielberger state-trait anxiety inventory (assessment scale)"/> </coding> </code> <subject> <reference value="urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028"/> <display value="Philippe Étienne"/> </subject> <performedDateTime value="2012-12-13"/> </Procedure> </resource> </entry> <entry> <fullUrl 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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>Sleep hygiene education and counselling</td> <td> <span class="nb">14-Dec-2012</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="409073007"/> <display value="Education (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028"/> <display value="Philippe Étienne"/> </subject> <performedDateTime value="2012-12-14"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:0b5d9a1b-9b2c-4b33-addc-a429796b6774"/> <resource> <Procedure> <id value="0b5d9a1b-9b2c-4b33-addc-a429796b6774"/> <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>Relaxation therapy guidance</td> <td> <span class="nb">14-Dec-2012</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="228557008"/> <display value="Cognitive and behavioral therapy (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:eacd278a-bbf5-47a6-9bfe-05186d3e1028"/> <display value="Philippe Étienne"/> </subject> <performedDateTime value="2012-12-14"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:a1970862-2f22-46a2-8cf7-3dc3b87a1b8b"/> <resource> <Procedure> <id value="a1970862-2f22-46a2-8cf7-3dc3b87a1b8b"/> <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>Pharmacological therapy - hypnotic medication 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