intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:31852264-c776-4aab-902b-a05859ba39f0"/> </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">Substance dependence, treated and stabilised</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 your patient, a 34-year-old male, admitted on 25/01/2016 following presentation with substance dependence disorder. On admission, a comprehensive psychiatric and somatic assessment was performed, including toxicological screening, which confirmed poly-substance dependence. During his brief inpatient stay, the patient underwent medically supervised detoxification with symptomatic pharmacological support to manage withdrawal symptoms. Psychological counselling and motivational interviewing were initiated. The patient was stabilised without major complications and discharged on 26/01/2016 with a diagnosis of ICD-10 F19.2. We strongly recommend outpatient follow-up with addiction medicine services, continuation of psychosocial support, and referral to a structured rehabilitation programme. Please do not hesitate to contact our department should further information be required. Yours sincerely, Dr. [Treating Physician], Department of Psychiatry and Addiction Medicine</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>Mental and behavioural disorders due to multiple drug use – dependence syndrome</td> <td> <span class="nb">26-Jan-2016</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:82a0cb75-3674-4a95-b762-f27e44d34327"/> </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>Referral to outpatient addiction rehabilitation</td> <td> <span class="nb">26-Jan-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:656a3762-405d-48be-9249-1f4431adf96d"/> </entry> <entry> <reference value="urn:uuid:fd56e8cf-a282-4d68-8651-6d42a27d007b"/> </entry> <entry> <reference value="urn:uuid:12e8abc5-d3f5-4566-a90d-01d5a364af87"/> </entry> <entry> <reference value="urn:uuid:4f609524-eeac-4b2b-823d-de105bf0681f"/> </entry> <entry> <reference value="urn:uuid:6cd847ea-0863-4f56-97fa-7cfeb98b5f32"/> </entry> <entry> <reference value="urn:uuid:f8b7f6b8-2fac-45d0-82d2-de581057133d"/> </entry> <entry> <reference value="urn:uuid:6cf4ffc3-2454-4838-9655-3d6e87dd92c8"/> </entry> <entry> <reference value="urn:uuid:d5a4fcab-0271-4d8d-a36e-a204b3a90490"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:0e981378-4daa-4c80-9349-36e505040afc"/> <resource> <Patient> <id value="0e981378-4daa-4c80-9349-36e505040afc"/> <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>Colin Kemp</td> <td>male</td> <td>07-Nov-1990</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="GB"/> </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="2070-143180-9"/> </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="9fd7b6cb-1ed4-7b83-56aa-8dadc54e53ee"/> </identifier> <name> <text value="Colin Kemp"/> <family value="Kemp"/> <given value="Colin"/> </name> <telecom> <system value="phone"/> <value value="+4420 74960675"/> </telecom> <gender value="male"/> <birthDate value="1990-11-07"/> <address> <use value="home"/> <type value="physical"/> <line value="54 Martyn glens"/> <city value="South Aaron"/> <postalCode value="SW1A"/> <country value="United Kingdom"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:8f763c25-026e-4103-9714-9eda32cc6377"/> <resource> <Encounter> <id value="8f763c25-026e-4103-9714-9eda32cc6377"/> <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>Evelina Children's Hospital, London, United Kingdom</td> <td>25-01-2016 - 26-01-2016</td> <td> <ul> <li>Substance dependence (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/0e981378-4daa-4c80-9349-36e505040afc"/> <display value="Colin Kemp"/> </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="2016-01-26"/> </period> <individual> <reference value="urn:uuid:3133ba25-4602-4376-92e9-3433e5d69f4a"/> </individual> </participant> <period> <start value="2016-01-26"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:31852264-c776-4aab-902b-a05859ba39f0"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:c353502a-c461-4250-8088-d20e037c9a53"/> <resource> <PractitionerRole> <id value="c353502a-c461-4250-8088-d20e037c9a53"/> <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: c353502a-c461-4250-8088-d20e037c9a53</div> </text> <practitioner> <reference value="urn:uuid:3133ba25-4602-4376-92e9-3433e5d69f4a"/> </practitioner> <organization> <reference value="urn:uuid:31852264-c776-4aab-902b-a05859ba39f0"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:31852264-c776-4aab-902b-a05859ba39f0"/> <resource> <Organization> <id value="31852264-c776-4aab-902b-a05859ba39f0"/> <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: Evelina Children&#039;s Hospital, SE1 7 London, United Kingdom</div> </text> <name value="Evelina Children&amp;#039;s Hospital"/> <address> <city value="London"/> <postalCode value="SE1 7"/> <country value="United Kingdom"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:3133ba25-4602-4376-92e9-3433e5d69f4a"/> <resource> <Practitioner> <id value="3133ba25-4602-4376-92e9-3433e5d69f4a"/> <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: Adrian Gray</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="3e8a54ba-38ec-410c-879a-9acab8e762d0"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Gray"/> <given value="Adrian"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:82a0cb75-3674-4a95-b762-f27e44d34327"/> <resource> <Condition> <id value="82a0cb75-3674-4a95-b762-f27e44d34327"/> <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>Mental and behavioural disorders due to multiple drug use – dependence syndrome</td> <td> <span class="nb">26-Jan-2016</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="F19.2"/> <display value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/> </coding> <text value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/> </code> <subject> <reference value="urn:uuid:0e981378-4daa-4c80-9349-36e505040afc"/> <display value="Colin Kemp"/> </subject> <onsetDateTime value="2016-01-26"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:656a3762-405d-48be-9249-1f4431adf96d"/> <resource> <Procedure> <id value="656a3762-405d-48be-9249-1f4431adf96d"/> <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>Toxicological screening on admission</td> <td> <span class="nb">25-Jan-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="269911007"/> <display value="Sputum examination (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:0e981378-4daa-4c80-9349-36e505040afc"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2016-01-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:fd56e8cf-a282-4d68-8651-6d42a27d007b"/> <resource> <Procedure> <id value="fd56e8cf-a282-4d68-8651-6d42a27d007b"/> <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>Physical examination on admission</td> <td> <span class="nb">25-Jan-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="5880005"/> <display value="Physical examination procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:0e981378-4daa-4c80-9349-36e505040afc"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2016-01-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:12e8abc5-d3f5-4566-a90d-01d5a364af87"/> <resource> <Procedure> <id value="12e8abc5-d3f5-4566-a90d-01d5a364af87"/> <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>Blood sample collection for laboratory analysis</td> <td> <span class="nb">25-Jan-2016</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:0e981378-4daa-4c80-9349-36e505040afc"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2016-01-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:4f609524-eeac-4b2b-823d-de105bf0681f"/> <resource> <Procedure> <id value="4f609524-eeac-4b2b-823d-de105bf0681f"/> <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>Medically supervised detoxification</td> <td> <span class="nb">25-Jan-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182964004"/> <display value="Terminal care (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:0e981378-4daa-4c80-9349-36e505040afc"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2016-01-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:6cd847ea-0863-4f56-97fa-7cfeb98b5f32"/> <resource> <Procedure> <id value="6cd847ea-0863-4f56-97fa-7cfeb98b5f32"/> <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 management of withdrawal symptoms</td> <td> <span class="nb">25-Jan-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182836005"/> <display value="Review of medication (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:0e981378-4daa-4c80-9349-36e505040afc"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2016-01-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:f8b7f6b8-2fac-45d0-82d2-de581057133d"/> <resource> <Procedure> <id value="f8b7f6b8-2fac-45d0-82d2-de581057133d"/> <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>Psychological counselling</td> <td> <span class="nb">25-Jan-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="75516001"/> <display value="Psychotherapy (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:0e981378-4daa-4c80-9349-36e505040afc"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2016-01-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:6cf4ffc3-2454-4838-9655-3d6e87dd92c8"/> <resource> <Procedure> <id value="6cf4ffc3-2454-4838-9655-3d6e87dd92c8"/> <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>Motivational interviewing</td> <td> <span class="nb">26-Jan-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="445536008"/> <display value="Assessment using assessment scale (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:0e981378-4daa-4c80-9349-36e505040afc"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2016-01-26"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:d5a4fcab-0271-4d8d-a36e-a204b3a90490"/> <resource> <Procedure> <id value="d5a4fcab-0271-4d8d-a36e-a204b3a90490"/> <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>Referral to outpatient addiction rehabilitation</td> <td> <span class="nb">26-Jan-2016</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="306206005"/> <display value="Referral to service (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:0e981378-4daa-4c80-9349-36e505040afc"/> <display value="Colin Kemp"/> </subject> <performedDateTime value="2016-01-26"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b84351ad-1489-4673-9e84-9b06e06ea0a1"/> <resource> <Device> <id value="b84351ad-1489-4673-9e84-9b06e06ea0a1"/> <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:849ce2c7-87c7-4923-8c91-dca9a6a557eb"/> <resource> <Provenance> <id value="849ce2c7-87c7-4923-8c91-dca9a6a557eb"/> <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:0e981378-4daa-4c80-9349-36e505040afc"/> </target> <target> <reference value="urn:uuid:c353502a-c461-4250-8088-d20e037c9a53"/> </target> <target> <reference value="urn:uuid:3133ba25-4602-4376-92e9-3433e5d69f4a"/> </target> <target> <reference value="urn:uuid:31852264-c776-4aab-902b-a05859ba39f0"/> </target> <recorded value="2026-03-20T18:26:37Z"/> <policy value="https://synderai.net/synderai-synthetic-data-policy"/> <reason> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> <display value="training"/> </coding> <text value="Interoperability Testing and Training (non-clinical use)"/> </reason> <activity> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/> <code value="CREATE"/> <display value="create"/> </coding> <text value="Synthetic Example Data Generation"/> </activity> <agent> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/> <code value="author"/> <display value="Author"/> </coding> <text value="author"/> </type> <who> <reference value="urn:uuid:b84351ad-1489-4673-9e84-9b06e06ea0a1"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>