<confidentiality value="N"/> <custodian> <reference value="urn:uuid:1a593a2c-489d-479c-8600-84fb492df9be"/> </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 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> </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">30-Dec-2015</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:a9f685fa-245c-4db6-9858-3ad8a9b338d0"/> </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>Discharge planning and community referral coordination</td> <td> <span class="nb">30-Dec-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:e473ce13-a781-48b4-88a6-4aae2a32337f"/> </entry> <entry> <reference value="urn:uuid:e850d152-6024-49e6-9bee-814befe90856"/> </entry> <entry> <reference value="urn:uuid:56cff1f8-3d8f-4547-92c7-23c72179ff3c"/> </entry> <entry> <reference value="urn:uuid:739911c1-369c-4f4c-9199-a0bfcf5727ec"/> </entry> <entry> <reference value="urn:uuid:10893d4a-a590-4335-bd81-a73bf18b4b14"/> </entry> <entry> <reference value="urn:uuid:c023fc47-d05e-4a3d-9d79-2bb15aa3c945"/> </entry> <entry> <reference value="urn:uuid:6483ebcb-a103-4ed9-83cb-a29ef3abb1c3"/> </entry> <entry> <reference value="urn:uuid:7e33dc0f-0405-4cef-917a-8dee0cd1fad1"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <resource> <Patient> <id value="6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <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>Ottone Offredi</td> <td>male</td> <td>25-Mar-1986</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="8593-636773-0"/> </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="f5f8de6b-cb83-0592-15cd-63b75764b14a"/> </identifier> <name> <text value="Ottone Offredi"/> <family value="Offredi"/> <given value="Ottone"/> </name> <telecom> <system value="phone"/> <value value="36118439164"/> </telecom> <gender value="male"/> <birthDate value="1986-03-25"/> <address> <use value="home"/> <type value="physical"/> <line value="Borgo Sole, 4 Appartamento 2"/> <city value="Ovedi"/> <postalCode value="20122"/> <country value="Italy"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:c75f19d7-4c7b-422e-ae82-22c95e8568a2"/> <resource> <Encounter> <id value="c75f19d7-4c7b-422e-ae82-22c95e8568a2"/> <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>Casa di Cura La Madonnina, Milano, Italy</td> <td>28-12-2015 - 30-12-2015</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/6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <display value="Ottone Offredi"/> </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="2015-12-30"/> </period> <individual> <reference value="urn:uuid:872362e2-7ca1-4be3-9c6e-e4aa8b42c9bf"/> </individual> </participant> <period> <start value="2015-12-30"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:1a593a2c-489d-479c-8600-84fb492df9be"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:46586f7c-10ba-4add-8007-ba9df075a99d"/> <resource> <PractitionerRole> <id value="46586f7c-10ba-4add-8007-ba9df075a99d"/> <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: 46586f7c-10ba-4add-8007-ba9df075a99d</div> </text> <practitioner> <reference value="urn:uuid:872362e2-7ca1-4be3-9c6e-e4aa8b42c9bf"/> </practitioner> <organization> <reference value="urn:uuid:1a593a2c-489d-479c-8600-84fb492df9be"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:1a593a2c-489d-479c-8600-84fb492df9be"/> <resource> <Organization> <id value="1a593a2c-489d-479c-8600-84fb492df9be"/> <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: Casa di Cura La Madonnina, 20122 Milano, Italy</div> </text> <name value="Casa di Cura La Madonnina"/> <address> <city value="Milano"/> <postalCode value="20122"/> <country value="Italy"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:872362e2-7ca1-4be3-9c6e-e4aa8b42c9bf"/> <resource> <Practitioner> <id value="872362e2-7ca1-4be3-9c6e-e4aa8b42c9bf"/> <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 Massimiliano Gonzaga</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="a286a729-f297-4a0d-a6f5-9d6fde0ff621"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Gonzaga"/> <given value="Massimiliano"/> <prefix value="dr"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:a9f685fa-245c-4db6-9858-3ad8a9b338d0"/> <resource> <Condition> <id value="a9f685fa-245c-4db6-9858-3ad8a9b338d0"/> <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">30-Dec-2015</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:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <display value="Ottone Offredi"/> </subject> <onsetDateTime value="2015-12-30"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:e473ce13-a781-48b4-88a6-4aae2a32337f"/> <resource> <Procedure> <id value="e473ce13-a781-48b4-88a6-4aae2a32337f"/> <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>Urine toxicology screening on admission</td> <td> <span class="nb">28-Dec-2015</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:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <display value="Ottone Offredi"/> </subject> <performedDateTime value="2015-12-28"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e850d152-6024-49e6-9bee-814befe90856"/> <resource> <Procedure> <id value="e850d152-6024-49e6-9bee-814befe90856"/> <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>Psychiatric assessment and mental state examination</td> <td> <span class="nb">28-Dec-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="20093000"/> <display value="Alcohol rehabilitation and detoxification (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <display value="Ottone Offredi"/> </subject> <performedDateTime value="2015-12-28"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:56cff1f8-3d8f-4547-92c7-23c72179ff3c"/> <resource> <Procedure> <id value="56cff1f8-3d8f-4547-92c7-23c72179ff3c"/> <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">28-Dec-2015</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:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <display value="Ottone Offredi"/> </subject> <performedDateTime value="2015-12-28"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:739911c1-369c-4f4c-9199-a0bfcf5727ec"/> <resource> <Procedure> <id value="739911c1-369c-4f4c-9199-a0bfcf5727ec"/> <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>Monitoring of vital signs including autonomic parameters</td> <td> <span class="nb">28-Dec-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="75367002"/> <display value="Blood pressure (observable entity)"/> </coding> </code> <subject> <reference value="urn:uuid:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <display value="Ottone Offredi"/> </subject> <performedDateTime value="2015-12-28"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:10893d4a-a590-4335-bd81-a73bf18b4b14"/> <resource> <Procedure> <id value="10893d4a-a590-4335-bd81-a73bf18b4b14"/> <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 evaluation and motivational assessment</td> <td> <span class="nb">29-Dec-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="386806002"/> <display value="Impaired cognition (finding)"/> </coding> </code> <subject> <reference value="urn:uuid:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <display value="Ottone Offredi"/> </subject> <performedDateTime value="2015-12-29"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:c023fc47-d05e-4a3d-9d79-2bb15aa3c945"/> <resource> <Procedure> <id value="c023fc47-d05e-4a3d-9d79-2bb15aa3c945"/> <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">28-Dec-2015</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:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <display value="Ottone Offredi"/> </subject> <performedDateTime value="2015-12-28"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:6483ebcb-a103-4ed9-83cb-a29ef3abb1c3"/> <resource> <Procedure> <id value="6483ebcb-a103-4ed9-83cb-a29ef3abb1c3"/> <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>Individual psychological counselling</td> <td> <span class="nb">29-Dec-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="76168009"/> <display value="Group psychotherapy (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <display value="Ottone Offredi"/> </subject> <performedDateTime value="2015-12-29"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:7e33dc0f-0405-4cef-917a-8dee0cd1fad1"/> <resource> <Procedure> <id value="7e33dc0f-0405-4cef-917a-8dee0cd1fad1"/> <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>Discharge planning and community referral coordination</td> <td> <span class="nb">30-Dec-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="306237005"/> <display value="Referral to palliative care service (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/> <display value="Ottone Offredi"/> </subject> <performedDateTime value="2015-12-30"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:0933a8b9-0ca3-4493-9ebe-e9f850aa1ec3"/> <resource> <Device> <id value="0933a8b9-0ca3-4493-9ebe-e9f850aa1ec3"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">SYNDERAI Synthetic Generator v5.0</div> </text> <status value="active"/> <distinctIdentifier 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          
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:1a593a2c-489d-479c-8600-84fb492df9be"/>
            </custodian>
            <section>
               <title value="Synthesis"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="67781-5"/>
                     <display value="Summarization of encounter note"/>
                  </coding>
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               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">Substance dependence, treated and stabilised</div>
               </text>
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            <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 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>
               </text>
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               <title value="Diagnosis at Discharge"/>
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                     <code value="11535-2"/>
                     <display value="Hospital discharge diagnosis note"/>
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                           <td>Mental and behavioural disorders due to multiple drug use – dependence syndrome</td>
                           <td>
                              <span class="nb">30-Dec-2015</span>
                           </td>
                           <td>active</td>
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               <title value="Significant procedures"/>
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                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="10185-7"/>
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                  <status value="generated"/>
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                     <table class="hl7__hdr">
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                           <td>Discharge planning and community referral coordination</td>
                           <td>
                              <span class="nb">30-Dec-2015</span>
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                           <td>-</td>
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         <Patient>
            <id value="6dfd5f5e-50cc-4e35-92e0-b495bdd43a5a"/>
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               <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/>
               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HTEST"/>
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               <security>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TRAIN"/>
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               <tag>
                  <system value="https://synderai.net/fhir/CodeSystem/tags"/>
                  <code value="synthetic"/>
                  <display value="SYNDERAI Synthetic data"/>
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            <text>
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               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
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                        <td>Ottone Offredi</td>
                        <td>male</td>
                        <td>25-Mar-1986</td>
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                  </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"/>
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                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="JHN"/>
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               <system value="http://ec.europa.eu/identifier/eci"/>
               <value value="8593-636773-0"/>
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                     <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                     <code value="MR"/>
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               <system value="http://local.setting.eu/identifier"/>
               <value value="f5f8de6b-cb83-0592-15cd-63b75764b14a"/>
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               <text value="Ottone Offredi"/>
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               <given value="Ottone"/>
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               <value value="36118439164"/>
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            <birthDate value="1986-03-25"/>
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               <line value="Borgo Sole, 4 Appartamento 2"/>
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               <country value="Italy"/>
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                        <td>Casa di Cura La Madonnina, Milano, Italy</td>
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                           <ul>
                              <li>Substance dependence (disorder)</li>
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               <div xmlns="http://www.w3.org/1999/xhtml">Hospital: Casa di Cura La Madonnina, 20122 Milano, Italy</div>
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               <div xmlns="http://www.w3.org/1999/xhtml">Practitioner in Hospital: dr Massimiliano Gonzaga</div>
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                        <td>Urine toxicology screening on admission</td>
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                           <span class="nb">28-Dec-2015</span>
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                        <td>Psychiatric assessment and mental state examination</td>
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                           <span class="nb">28-Dec-2015</span>
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                           <span class="nb">28-Dec-2015</span>
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                           <span class="nb">28-Dec-2015</span>
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                  <code value="75367002"/>
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                           <span class="nb">29-Dec-2015</span>
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               <display value="Ottone Offredi"/>
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                           <span class="nb">28-Dec-2015</span>
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                           <span class="nb">29-Dec-2015</span>
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