{
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    "system": "urn:oid:2.16.840.1.113883.2.51.999",
    "value": "89aa9749-f44d-4713-a5e8-c263ae7c3e22"
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      "fullUrl": "urn:uuid:984d6721-3818-4f03-b942-9b8270b2f631",
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        "resourceType": "Composition",
        "id": "984d6721-3818-4f03-b942-9b8270b2f631",
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          ],
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            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
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          ],
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        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "34105-7",
              "display": "Hospital Discharge summary"
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          ],
          "text": "Hospital Discharge Report"
        },
        "author": [
          {
            "reference": "urn:uuid:c79ce534-c2e1-4c96-9c44-9c2b7ad1cb3d"
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          "status": "empty",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">intentionally left empty / not meaningful</div>"
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        "section": [
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Voluntary surgical sterilization, procedure completed</div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "67781-5",
                  "display": "Summarization of encounter note"
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              ]
            },
            "title": "Synthesis"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you regarding our mutual patient, an 85-year-old female, who was admitted on 09/03/1972 at her own explicit request for voluntary surgical sterilization. Prior to the procedure, a thorough preoperative assessment was conducted, including clinical examination, routine laboratory workup, and anaesthetic evaluation, all of which confirmed her fitness for surgery. The patient was counselled extensively regarding the permanent and irreversible nature of the procedure, and informed consent was duly obtained. Bilateral tubal ligation was performed without intraoperative or postoperative complications. Recovery was uneventful, and the patient was discharged home on 10/03/1972 in good general condition. No further gynaecological follow-up is specifically indicated, though routine primary care monitoring remains appropriate given her age. Please do not hesitate to contact me should you require any further information.</div>"
            },
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "8648-8",
                  "display": "Hospital course note"
                }
              ]
            },
            "title": "Hospital course note"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Sterilization admitted</td><td><span class=\"nb\">10-Mar-1972</span></td><td>active</td></tr></table></div>"
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                "reference": "urn:uuid:ef2d9f9d-604a-49c9-ac7c-e72460f2a38f"
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            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "11535-2",
                  "display": "Hospital discharge diagnosis note"
                }
              ]
            },
            "title": "Diagnosis at Discharge"
          },
          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Administration of general anaesthesia</td><td><span class=\"nb\">10-Mar-1972</span></td><td>-</td></tr></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:71aa99c2-de43-480a-a9ee-c71f57720c16"
              },
              {
                "reference": "urn:uuid:2611c398-65c7-4c35-94b6-a9b2f9e3fe27"
              },
              {
                "reference": "urn:uuid:90cb1152-004e-4351-aecb-e797e9688789"
              },
              {
                "reference": "urn:uuid:e6c08c66-5577-41b2-86a9-f8785a4250f3"
              }
            ],
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "10185-7",
                  "display": "Hospital discharge procedure note"
                }
              ]
            },
            "title": "Significant procedures"
          }
        ],
        "title": "Hospital Discharge Report",
        "status": "final",
        "subject": {
          "reference": "urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e",
          "display": "Liana Columbo"
        },
        "custodian": {
          "reference": "urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"
        },
        "date": "1972-03-10T00:00:00Z",
        "confidentiality": "N"
      }
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    {
      "fullUrl": "urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e",
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        "resourceType": "Patient",
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          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "HTEST"
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
              "code": "TRAIN"
            }
          ],
          "tag": [
            {
              "system": "https://synderai.net/fhir/CodeSystem/tags",
              "code": "synthetic",
              "display": "SYNDERAI Synthetic data"
            }
          ],
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"
          ]
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "code": "JHN",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://ec.europa.eu/identifier/eci",
            "value": "9439-077398-7"
          },
          {
            "type": {
              "coding": [
                {
                  "code": "MR",
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                }
              ]
            },
            "system": "http://local.setting.eu/identifier",
            "value": "a7ff6688-6fd1-dc29-d613-4df569612fc1"
          }
        ],
        "name": [
          {
            "given": [
              "Liana"
            ],
            "family": "Columbo",
            "text": "Liana Columbo"
          }
        ],
        "address": [
          {
            "line": [
              "Canale Luisa, 296"
            ],
            "use": "home",
            "type": "physical",
            "postalCode": "07020",
            "city": "Rumanedda",
            "country": "Italy"
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+39 3713883494"
          }
        ],
        "extension": [
          {
            "extension": [
              {
                "url": "code",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "code": "IT",
                      "system": "urn:iso:std:iso:3166"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Liana Columbo</td><td>female</td><td>09-Oct-1939</td></tr></table></div>"
        },
        "gender": "female",
        "birthDate": "1939-10-09"
      }
    },
    {
      "fullUrl": "urn:uuid:0990f10f-f2e9-493b-9a3c-25791178b784",
      "resource": {
        "resourceType": "Encounter",
        "id": "0990f10f-f2e9-493b-9a3c-25791178b784",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"
          ]
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "code": "PPRF",
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "display": "primary performer"
                  }
                ]
              }
            ],
            "period": {
              "end": "1972-03-10"
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            "individual": {
              "reference": "urn:uuid:46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"
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        ],
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        "reasonCode": [
          {
            "coding": [
              {
                "code": "183996000",
                "system": "http://snomed.info/sct",
                "display": "Sterilization requested (situation)"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Ospedale San Giovanni di Dio, , Italy</td><td>09-03-1972 - 10-03-1972</td><td><ul><li>Sterilization requested (situation)</li></ul></td></tr></table></div>"
        },
        "status": "completed",
        "class": {
          "code": "IMP",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode"
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        "serviceProvider": {
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        "subject": {
          "reference": "Patient/5480dc0a-743f-47af-812e-70f9de968e5e",
          "display": "Liana Columbo"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:c79ce534-c2e1-4c96-9c44-9c2b7ad1cb3d",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "c79ce534-c2e1-4c96-9c44-9c2b7ad1cb3d",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/practitionerRole-eu-core"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: c79ce534-c2e1-4c96-9c44-9c2b7ad1cb3d</div>"
        },
        "practitioner": {
          "reference": "urn:uuid:46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"
        },
        "organization": {
          "reference": "urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"
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      }
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    {
      "fullUrl": "urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6",
      "resource": {
        "resourceType": "Organization",
        "id": "e5128331-fec4-4df8-ac93-e4df9c1f1ea6",
        "meta": {
          "profile": [
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        },
        "address": [
          {
            "country": "Italy"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Ospedale San Giovanni di Dio, , Italy</div>"
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        "name": "Ospedale San Giovanni di Dio"
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    {
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        "resourceType": "Practitioner",
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        "identifier": [
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            "assigner": {
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            "system": "urn:oid:2.16.840.1.113883.2.51.999",
            "value": "d03a51b8-83e3-4439-9678-8fe7dc3e46fa"
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        ],
        "name": [
          {
            "prefix": [
              "dr"
            ],
            "given": [
              "Nicoletta"
            ],
            "family": "Agostini"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: dr Nicoletta Agostini</div>"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:ef2d9f9d-604a-49c9-ac7c-e72460f2a38f",
      "resource": {
        "resourceType": "Condition",
        "id": "ef2d9f9d-604a-49c9-ac7c-e72460f2a38f",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/condition-eu-core"
          ]
        },
        "category": [
          {
            "coding": [
              {
                "code": "encounter-diagnosis",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "Z30.2",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Sterilization admitted"
            }
          ],
          "text": "Sterilization admitted"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Sterilization admitted</td><td><span class=\"nb\">10-Mar-1972</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "1972-03-10",
        "subject": {
          "reference": "urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e",
          "display": "Liana Columbo"
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      }
    },
    {
      "fullUrl": "urn:uuid:71aa99c2-de43-480a-a9ee-c71f57720c16",
      "resource": {
        "resourceType": "Procedure",
        "id": "71aa99c2-de43-480a-a9ee-c71f57720c16",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "396550006",
              "system": "http://snomed.info/sct",
              "display": "Blood test (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Routine blood test / laboratory workup</td><td><span class=\"nb\">09-Mar-1972</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1972-03-09",
        "subject": {
          "reference": "urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e",
          "display": "Liana Columbo"
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      }
    },
    {
      "fullUrl": "urn:uuid:2611c398-65c7-4c35-94b6-a9b2f9e3fe27",
      "resource": {
        "resourceType": "Procedure",
        "id": "2611c398-65c7-4c35-94b6-a9b2f9e3fe27",
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          "profile": [
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        },
        "code": {
          "coding": [
            {
              "code": "29303009",
              "system": "http://snomed.info/sct",
              "display": "Electrocardiographic procedure (procedure)"
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          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Electrocardiogram</td><td><span class=\"nb\">09-Mar-1972</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1972-03-09",
        "subject": {
          "reference": "urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e",
          "display": "Liana Columbo"
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      }
    },
    {
      "fullUrl": "urn:uuid:90cb1152-004e-4351-aecb-e797e9688789",
      "resource": {
        "resourceType": "Procedure",
        "id": "90cb1152-004e-4351-aecb-e797e9688789",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "22523008",
              "system": "http://snomed.info/sct",
              "display": "Vasectomy (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Bilateral tubal ligation for sterilization</td><td><span class=\"nb\">10-Mar-1972</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1972-03-10",
        "subject": {
          "reference": "urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e",
          "display": "Liana Columbo"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e6c08c66-5577-41b2-86a9-f8785a4250f3",
      "resource": {
        "resourceType": "Procedure",
        "id": "e6c08c66-5577-41b2-86a9-f8785a4250f3",
        "meta": {
          "profile": [
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        },
        "code": {
          "coding": [
            {
              "code": "50697003",
              "system": "http://snomed.info/sct",
              "display": "Administration of general anesthetic (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Administration of general anaesthesia</td><td><span class=\"nb\">10-Mar-1972</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "1972-03-10",
        "subject": {
          "reference": "urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e",
          "display": "Liana Columbo"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a317a05d-3647-4786-bc86-66e2217b4ff2",
      "resource": {
        "resourceType": "Device",
        "id": "a317a05d-3647-4786-bc86-66e2217b4ff2",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "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"
      }
    },
    {
      "fullUrl": "urn:uuid:8bf645db-6fff-46c8-a570-96c2e8bb539d",
      "resource": {
        "resourceType": "Provenance",
        "id": "8bf645db-6fff-46c8-a570-96c2e8bb539d",
        "target": [
          {
            "reference": "urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e"
          },
          {
            "reference": "urn:uuid:c79ce534-c2e1-4c96-9c44-9c2b7ad1cb3d"
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          {
            "reference": "urn:uuid:46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"
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          {
            "reference": "urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"
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        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:a317a05d-3647-4786-bc86-66e2217b4ff2"
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        ],
        "reason": [
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            "coding": [
              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "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": "2026-03-20T18:23:02Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "1972-03-10T00:00:00Z"
}