<confidentiality value="N"/> <custodian> <reference value="urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"/> </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">Voluntary surgical sterilization, procedure completed</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 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> </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>Sterilization admitted</td> <td> <span class="nb">10-Mar-1972</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:ef2d9f9d-604a-49c9-ac7c-e72460f2a38f"/> </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>Administration of general anaesthesia</td> <td> <span class="nb">10-Mar-1972</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:71aa99c2-de43-480a-a9ee-c71f57720c16"/> </entry> <entry> <reference value="urn:uuid:2611c398-65c7-4c35-94b6-a9b2f9e3fe27"/> </entry> <entry> <reference value="urn:uuid:90cb1152-004e-4351-aecb-e797e9688789"/> </entry> <entry> <reference value="urn:uuid:e6c08c66-5577-41b2-86a9-f8785a4250f3"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e"/> <resource> <Patient> <id value="5480dc0a-743f-47af-812e-70f9de968e5e"/> <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>Liana Columbo</td> <td>female</td> <td>09-Oct-1939</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="IT"/> </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="9439-077398-7"/> </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="a7ff6688-6fd1-dc29-d613-4df569612fc1"/> </identifier> <name> <text value="Liana Columbo"/> <family value="Columbo"/> <given value="Liana"/> </name> <telecom> <system value="phone"/> <value value="+39 3713883494"/> </telecom> <gender value="female"/> <birthDate value="1939-10-09"/> <address> <use value="home"/> <type value="physical"/> <line value="Canale Luisa, 296"/> <city value="Rumanedda"/> <postalCode value="07020"/> <country value="Italy"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:0990f10f-f2e9-493b-9a3c-25791178b784"/> <resource> <Encounter> <id value="0990f10f-f2e9-493b-9a3c-25791178b784"/> <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>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> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/5480dc0a-743f-47af-812e-70f9de968e5e"/> <display value="Liana Columbo"/> </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="1972-03-10"/> </period> <individual> <reference value="urn:uuid:46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"/> </individual> </participant> <period> <start value="1972-03-10"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="183996000"/> <display value="Sterilization requested (situation)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:c79ce534-c2e1-4c96-9c44-9c2b7ad1cb3d"/> <resource> <PractitionerRole> <id value="c79ce534-c2e1-4c96-9c44-9c2b7ad1cb3d"/> <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: c79ce534-c2e1-4c96-9c44-9c2b7ad1cb3d</div> </text> <practitioner> <reference value="urn:uuid:46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"/> </practitioner> <organization> <reference value="urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"/> <resource> <Organization> <id value="e5128331-fec4-4df8-ac93-e4df9c1f1ea6"/> <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: Ospedale San Giovanni di Dio, , Italy</div> </text> <name value="Ospedale San Giovanni di Dio"/> <address> <country value="Italy"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"/> <resource> <Practitioner> <id value="46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"/> <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 Nicoletta Agostini</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="d03a51b8-83e3-4439-9678-8fe7dc3e46fa"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Agostini"/> <given value="Nicoletta"/> <prefix value="dr"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:ef2d9f9d-604a-49c9-ac7c-e72460f2a38f"/> <resource> <Condition> <id value="ef2d9f9d-604a-49c9-ac7c-e72460f2a38f"/> <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>Sterilization admitted</td> <td> <span class="nb">10-Mar-1972</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="Z30.2"/> <display value="Sterilization admitted"/> </coding> <text value="Sterilization admitted"/> </code> <subject> <reference value="urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e"/> <display value="Liana Columbo"/> </subject> <onsetDateTime value="1972-03-10"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:71aa99c2-de43-480a-a9ee-c71f57720c16"/> <resource> <Procedure> <id value="71aa99c2-de43-480a-a9ee-c71f57720c16"/> <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>Routine blood test / laboratory workup</td> <td> <span class="nb">09-Mar-1972</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:5480dc0a-743f-47af-812e-70f9de968e5e"/> <display value="Liana Columbo"/> </subject> <performedDateTime value="1972-03-09"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:2611c398-65c7-4c35-94b6-a9b2f9e3fe27"/> <resource> <Procedure> <id value="2611c398-65c7-4c35-94b6-a9b2f9e3fe27"/> <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>Electrocardiogram</td> <td> <span class="nb">09-Mar-1972</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="29303009"/> <display value="Electrocardiographic procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e"/> <display value="Liana Columbo"/> </subject> <performedDateTime value="1972-03-09"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:90cb1152-004e-4351-aecb-e797e9688789"/> <resource> <Procedure> <id value="90cb1152-004e-4351-aecb-e797e9688789"/> <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>Bilateral tubal ligation for sterilization</td> <td> <span class="nb">10-Mar-1972</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="22523008"/> <display value="Vasectomy (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e"/> <display value="Liana Columbo"/> </subject> <performedDateTime value="1972-03-10"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e6c08c66-5577-41b2-86a9-f8785a4250f3"/> <resource> <Procedure> <id value="e6c08c66-5577-41b2-86a9-f8785a4250f3"/> <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>Administration of general anaesthesia</td> <td> <span class="nb">10-Mar-1972</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="50697003"/> <display value="Administration of general anesthetic (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e"/> <display value="Liana Columbo"/> </subject> <performedDateTime value="1972-03-10"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:a317a05d-3647-4786-bc86-66e2217b4ff2"/> <resource> <Device> <id value="a317a05d-3647-4786-bc86-66e2217b4ff2"/> <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:8bf645db-6fff-46c8-a570-96c2e8bb539d"/> <resource> <Provenance> <id value="8bf645db-6fff-46c8-a570-96c2e8bb539d"/> <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:5480dc0a-743f-47af-812e-70f9de968e5e"/> </target> <target> <reference value="urn:uuid:c79ce534-c2e1-4c96-9c44-9c2b7ad1cb3d"/> </target> <target> <reference value="urn:uuid:46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"/> </target> <target> <reference value="urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"/> </target> <recorded value="2026-03-20T18:23:02Z"/> <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:a317a05d-3647-4786-bc86-66e2217b4ff2"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>


               
                  
                  
               
               
                  
                  
                  
               
            
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"/>
            </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">Voluntary surgical sterilization, procedure completed</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 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>
               </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>Sterilization admitted</td>
                           <td>
                              <span class="nb">10-Mar-1972</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:ef2d9f9d-604a-49c9-ac7c-e72460f2a38f"/>
               </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>Administration of general anaesthesia</td>
                           <td>
                              <span class="nb">10-Mar-1972</span>
                           </td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:71aa99c2-de43-480a-a9ee-c71f57720c16"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:2611c398-65c7-4c35-94b6-a9b2f9e3fe27"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:90cb1152-004e-4351-aecb-e797e9688789"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e6c08c66-5577-41b2-86a9-f8785a4250f3"/>
               </entry>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e"/>
      <resource>
         <Patient>
            <id value="5480dc0a-743f-47af-812e-70f9de968e5e"/>
            <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>Liana Columbo</td>
                        <td>female</td>
                        <td>09-Oct-1939</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="IT"/>
                     </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="9439-077398-7"/>
            </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="a7ff6688-6fd1-dc29-d613-4df569612fc1"/>
            </identifier>
            <name>
               <text value="Liana Columbo"/>
               <family value="Columbo"/>
               <given value="Liana"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+39 3713883494"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1939-10-09"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Canale Luisa, 296"/>
               <city value="Rumanedda"/>
               <postalCode value="07020"/>
               <country value="Italy"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0990f10f-f2e9-493b-9a3c-25791178b784"/>
      <resource>
         <Encounter>
            <id value="0990f10f-f2e9-493b-9a3c-25791178b784"/>
            <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>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>
            </text>
            <status value="completed"/>
            <class>
               <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
               <code value="IMP"/>
            </class>
            <subject>
               <reference value="Patient/5480dc0a-743f-47af-812e-70f9de968e5e"/>
               <display value="Liana Columbo"/>
            </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="1972-03-10"/>
               </period>
               <individual>
                  <reference value="urn:uuid:46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"/>
               </individual>
            </participant>
            <period>
               <start value="1972-03-10"/>
            </period>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="183996000"/>
                  <display value="Sterilization requested (situation)"/>
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            </reasonCode>
            <serviceProvider>
               <reference value="urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"/>
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         <PractitionerRole>
            <id value="c79ce534-c2e1-4c96-9c44-9c2b7ad1cb3d"/>
            <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: c79ce534-c2e1-4c96-9c44-9c2b7ad1cb3d</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"/>
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            <organization>
               <reference value="urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"/>
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   <entry>
      <fullUrl value="urn:uuid:e5128331-fec4-4df8-ac93-e4df9c1f1ea6"/>
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         <Organization>
            <id value="e5128331-fec4-4df8-ac93-e4df9c1f1ea6"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"/>
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            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">Hospital: Ospedale San Giovanni di Dio, , Italy</div>
            </text>
            <name value="Ospedale San Giovanni di Dio"/>
            <address>
               <country value="Italy"/>
            </address>
         </Organization>
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   <entry>
      <fullUrl value="urn:uuid:46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"/>
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         <Practitioner>
            <id value="46b36069-3b2e-4ca6-92cc-0b1b69a53ae6"/>
            <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 Nicoletta Agostini</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="d03a51b8-83e3-4439-9678-8fe7dc3e46fa"/>
               <assigner>
                  <display value="HL7 Europe"/>
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            </identifier>
            <name>
               <family value="Agostini"/>
               <given value="Nicoletta"/>
               <prefix value="dr"/>
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         </Practitioner>
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   <entry>
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         <Condition>
            <id value="ef2d9f9d-604a-49c9-ac7c-e72460f2a38f"/>
            <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>Sterilization admitted</td>
                        <td>
                           <span class="nb">10-Mar-1972</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="Z30.2"/>
                  <display value="Sterilization admitted"/>
               </coding>
               <text value="Sterilization admitted"/>
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            <subject>
               <reference value="urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e"/>
               <display value="Liana Columbo"/>
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            <onsetDateTime value="1972-03-10"/>
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   </entry>
   <entry>
      <fullUrl value="urn:uuid:71aa99c2-de43-480a-a9ee-c71f57720c16"/>
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         <Procedure>
            <id value="71aa99c2-de43-480a-a9ee-c71f57720c16"/>
            <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>Routine blood test / laboratory workup</td>
                        <td>
                           <span class="nb">09-Mar-1972</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:5480dc0a-743f-47af-812e-70f9de968e5e"/>
               <display value="Liana Columbo"/>
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            <performedDateTime value="1972-03-09"/>
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      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:2611c398-65c7-4c35-94b6-a9b2f9e3fe27"/>
      <resource>
         <Procedure>
            <id value="2611c398-65c7-4c35-94b6-a9b2f9e3fe27"/>
            <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>Electrocardiogram</td>
                        <td>
                           <span class="nb">09-Mar-1972</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="29303009"/>
                  <display value="Electrocardiographic procedure (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e"/>
               <display value="Liana Columbo"/>
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            <performedDateTime value="1972-03-09"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:90cb1152-004e-4351-aecb-e797e9688789"/>
      <resource>
         <Procedure>
            <id value="90cb1152-004e-4351-aecb-e797e9688789"/>
            <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>Bilateral tubal ligation for sterilization</td>
                        <td>
                           <span class="nb">10-Mar-1972</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="22523008"/>
                  <display value="Vasectomy (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e"/>
               <display value="Liana Columbo"/>
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            <performedDateTime value="1972-03-10"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e6c08c66-5577-41b2-86a9-f8785a4250f3"/>
      <resource>
         <Procedure>
            <id value="e6c08c66-5577-41b2-86a9-f8785a4250f3"/>
            <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>Administration of general anaesthesia</td>
                        <td>
                           <span class="nb">10-Mar-1972</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="50697003"/>
                  <display value="Administration of general anesthetic (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:5480dc0a-743f-47af-812e-70f9de968e5e"/>
               <display value="Liana Columbo"/>
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            <performedDateTime value="1972-03-10"/>
         </Procedure>
      </resource>
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      <fullUrl value="urn:uuid:a317a05d-3647-4786-bc86-66e2217b4ff2"/>
      <resource>
         <Device>
            <id value="a317a05d-3647-4786-bc86-66e2217b4ff2"/>
            <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"/>
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            <version>
               <value value="5.0"/>
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         <Provenance>
            <id value="8bf645db-6fff-46c8-a570-96c2e8bb539d"/>
            <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:5480dc0a-743f-47af-812e-70f9de968e5e"/>
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            <recorded value="2026-03-20T18:23:02Z"/>
            <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"/>
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               <text value="Synthetic Example Data Generation"/>
            </activity>
            <agent>
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                     <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
                     <code value="author"/>
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</Bundle>