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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing regarding our mutual patient, a 39-year-old male admitted on 28/12/2015 due to substance dependence. Upon admission, a comprehensive psychiatric and medical assessment was conducted, confirming polysubstance dependence syndrome. Urine toxicology screening was positive for multiple substances. The patient underwent structured detoxification with pharmacological support to manage withdrawal symptoms, including monitoring for autonomic instability. Psychological counselling and motivational interviewing sessions were initiated during the inpatient stay. The patient was stabilised without major complications and discharged on 30/12/2015 in a clinically improved condition. We strongly recommend follow-up with addiction medicine services and continuation of psychosocial support in the community setting. Please do not hesitate to contact me should you require further information. Yours sincerely, Dr. [Treating Physician], Department of Psychiatry and Addiction Medicine</div>"
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            "title": "Diagnosis at Discharge"
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            "line": [
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              "Massimiliano"
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          "display": "Ottone Offredi"
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        "status": "completed",
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            {
              "code": "75367002",
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              "display": "Blood pressure (observable entity)"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Monitoring of vital signs including autonomic parameters</td><td><span class=\"nb\">28-Dec-2015</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2015-12-28",
        "subject": {
          "reference": "urn:uuid:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a",
          "display": "Ottone Offredi"
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    {
      "fullUrl": "urn:uuid:10893d4a-a590-4335-bd81-a73bf18b4b14",
      "resource": {
        "resourceType": "Procedure",
        "id": "10893d4a-a590-4335-bd81-a73bf18b4b14",
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            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        "code": {
          "coding": [
            {
              "code": "386806002",
              "system": "http://snomed.info/sct",
              "display": "Impaired cognition (finding)"
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          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Psychological evaluation and motivational assessment</td><td><span class=\"nb\">29-Dec-2015</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2015-12-29",
        "subject": {
          "reference": "urn:uuid:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a",
          "display": "Ottone Offredi"
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    {
      "fullUrl": "urn:uuid:c023fc47-d05e-4a3d-9d79-2bb15aa3c945",
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        "code": {
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              "code": "182964004",
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              "display": "Terminal care (regime/therapy)"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Pharmacological management of withdrawal symptoms</td><td><span class=\"nb\">28-Dec-2015</span></td><td>-</td></tr></table></div>"
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          "display": "Ottone Offredi"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Individual psychological counselling</td><td><span class=\"nb\">29-Dec-2015</span></td><td>-</td></tr></table></div>"
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          "display": "Ottone Offredi"
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    {
      "fullUrl": "urn:uuid:7e33dc0f-0405-4cef-917a-8dee0cd1fad1",
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              "code": "306237005",
              "system": "http://snomed.info/sct",
              "display": "Referral to palliative care service (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Discharge planning and community referral coordination</td><td><span class=\"nb\">30-Dec-2015</span></td><td>-</td></tr></table></div>"
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    {
      "fullUrl": "urn:uuid:0933a8b9-0ca3-4493-9ebe-e9f850aa1ec3",
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            "type": "manufacturer-name"
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        ],
        "version": [
          {
            "value": "5.0"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
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    {
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            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
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          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
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                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
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                "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": "2026-03-20T18:21:49Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2015-12-30T00:00:00Z"
}