<confidentiality value="N"/> <custodian> <reference value="urn:uuid:1ec50f37-a7bc-453f-a34f-4a84953a9dda"/> </custodian> <section> <title value="Synthesis"/> <code> <coding> <system value="http://loinc.org"/> <code value="67781-5"/> <display value="Summarization of encounter note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Substance dependence, treated and stabilised</div> </text> </section> <section> <title value="Hospital course note"/> <code> <coding> <system value="http://loinc.org"/> <code value="8648-8"/> <display value="Hospital course note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Dear colleague, I am writing to inform you regarding the discharge of your 46-year-old female patient, admitted on 22/05/2019 due to substance dependence disorder. Upon admission, a comprehensive psychiatric and somatic assessment was performed, including structured diagnostic interviews, laboratory screening, and toxicological analysis, confirming polysubstance dependence (ICD-10: F19.2). During her inpatient stay, the patient underwent medically supervised detoxification with pharmacological support to manage withdrawal symptoms. Motivational interviewing and psychoeducational sessions were conducted. The patient was stabilised successfully without major complications. At discharge, she was referred to an outpatient addiction counselling service and a community support programme. Relapse prevention strategies were discussed thoroughly. I kindly ask you to continue monitoring her mental and physical health and support adherence to the outpatient treatment plan. Please do not hesitate to contact me should any concerns arise.</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">31-May-2019</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:002263c6-025a-41d7-93ca-927928cc4a03"/> </entry> </section> <section> <title value="Significant procedures"/> <code> <coding> <system value="http://loinc.org"/> <code value="10185-7"/> <display value="Hospital discharge procedure note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__hdr"> <tr> <td>Referral to outpatient addiction services</td> <td> <span class="nb">30-May-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:c2dfbe1b-24a5-4843-8a47-ab5c1cd62513"/> </entry> <entry> <reference value="urn:uuid:7216635e-237f-4604-b33f-bc7846cd4c32"/> </entry> <entry> <reference value="urn:uuid:236268fb-1ae4-48d2-ad1c-0e1c534e6453"/> </entry> <entry> <reference value="urn:uuid:560d62d3-dfb3-46a9-82d7-c170243bc126"/> </entry> <entry> <reference value="urn:uuid:71b051c3-5985-4c43-b2e5-a461f6d2510a"/> </entry> <entry> <reference value="urn:uuid:3315ab0c-21dd-4406-b056-6e580c3ed412"/> </entry> <entry> <reference value="urn:uuid:058ac3da-8b69-4b40-880b-f45617e39b21"/> </entry> <entry> <reference value="urn:uuid:488b44f2-e6b9-4d24-b8a3-9639fef6afd8"/> </entry> <entry> <reference value="urn:uuid:37a5ae9e-40ac-463b-a31b-7e39c27fface"/> </entry> <entry> <reference value="urn:uuid:ee6c843f-d84f-4ebe-b356-0954b393a692"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <resource> <Patient> <id value="5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <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>Justine Renner</td> <td>female</td> <td>26-Aug-1979</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="DE"/> </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="5986-489081-5"/> </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="df3d05c1-d6bc-1382-fabb-b6efa878f3c4"/> </identifier> <name> <text value="Justine Renner"/> <family value="Renner"/> <given value="Justine"/> </name> <telecom> <system value="phone"/> <value value="(06451) 696717"/> </telecom> <gender value="female"/> <birthDate value="1979-08-26"/> <address> <use value="home"/> <type value="physical"/> <line value="Willfried-Killer-Allee 54/21"/> <city value="Wolfratshausen"/> <postalCode value="82515"/> <country value="Germany"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:3ea17503-0bd3-4a70-bd5b-a5fac286b577"/> <resource> <Encounter> <id value="3ea17503-0bd3-4a70-bd5b-a5fac286b577"/> <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>Benedictus Krankenhaus Feldafing, Feldafing, Germany</td> <td>22-05-2019 - 31-05-2019</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/5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </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="2019-05-31"/> </period> <individual> <reference value="urn:uuid:0f358537-20e4-43a3-8724-db3411cbf4c1"/> </individual> </participant> <period> <start value="2019-05-31"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:1ec50f37-a7bc-453f-a34f-4a84953a9dda"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:da49ec4f-8141-4cf8-bf1a-73e7572eef36"/> <resource> <PractitionerRole> <id value="da49ec4f-8141-4cf8-bf1a-73e7572eef36"/> <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: da49ec4f-8141-4cf8-bf1a-73e7572eef36</div> </text> <practitioner> <reference value="urn:uuid:0f358537-20e4-43a3-8724-db3411cbf4c1"/> </practitioner> <organization> <reference value="urn:uuid:1ec50f37-a7bc-453f-a34f-4a84953a9dda"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:1ec50f37-a7bc-453f-a34f-4a84953a9dda"/> <resource> <Organization> <id value="1ec50f37-a7bc-453f-a34f-4a84953a9dda"/> <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: Benedictus Krankenhaus Feldafing, 82340 Feldafing, Germany</div> </text> <name value="Benedictus Krankenhaus Feldafing"/> <address> <city value="Feldafing"/> <postalCode value="82340"/> <country value="Germany"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:0f358537-20e4-43a3-8724-db3411cbf4c1"/> <resource> <Practitioner> <id value="0f358537-20e4-43a3-8724-db3411cbf4c1"/> <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: Leander Etzold</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="a8de1a35-64b0-4996-90c2-267500d5ee96"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Etzold"/> <given value="Leander"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:002263c6-025a-41d7-93ca-927928cc4a03"/> <resource> <Condition> <id value="002263c6-025a-41d7-93ca-927928cc4a03"/> <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">31-May-2019</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:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </subject> <onsetDateTime value="2019-05-31"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:c2dfbe1b-24a5-4843-8a47-ab5c1cd62513"/> <resource> <Procedure> <id value="c2dfbe1b-24a5-4843-8a47-ab5c1cd62513"/> <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>Structured psychiatric assessment on admission</td> <td> <span class="nb">22-May-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="386053000"/> <display value="Evaluation procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2019-05-22"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:7216635e-237f-4604-b33f-bc7846cd4c32"/> <resource> <Procedure> <id value="7216635e-237f-4604-b33f-bc7846cd4c32"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Toxicological screening of urine</td> <td> <span class="nb">22-May-2019</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:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2019-05-22"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:236268fb-1ae4-48d2-ad1c-0e1c534e6453"/> <resource> <Procedure> <id value="236268fb-1ae4-48d2-ad1c-0e1c534e6453"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Blood specimen collection for laboratory analysis</td> <td> <span class="nb">22-May-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="396540005"/> <display value="Phlebotomy (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2019-05-22"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:560d62d3-dfb3-46a9-82d7-c170243bc126"/> <resource> <Procedure> <id value="560d62d3-dfb3-46a9-82d7-c170243bc126"/> <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>Liver function blood test panel</td> <td> <span class="nb">23-May-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="26958001"/> <display value="Hepatic function panel (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2019-05-23"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:71b051c3-5985-4c43-b2e5-a461f6d2510a"/> <resource> <Procedure> <id value="71b051c3-5985-4c43-b2e5-a461f6d2510a"/> <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>Full blood count</td> <td> <span class="nb">23-May-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="26604007"/> <display value="Complete blood count (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2019-05-23"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:3315ab0c-21dd-4406-b056-6e580c3ed412"/> <resource> <Procedure> <id value="3315ab0c-21dd-4406-b056-6e580c3ed412"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Medically supervised detoxification</td> <td> <span class="nb">22-May-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182969009"/> <display value="Dependent drug detoxification (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2019-05-22"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:058ac3da-8b69-4b40-880b-f45617e39b21"/> <resource> <Procedure> <id value="058ac3da-8b69-4b40-880b-f45617e39b21"/> <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">23-May-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182836005"/> <display value="Review of medication (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2019-05-23"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:488b44f2-e6b9-4d24-b8a3-9639fef6afd8"/> <resource> <Procedure> <id value="488b44f2-e6b9-4d24-b8a3-9639fef6afd8"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Motivational interviewing session</td> <td> <span class="nb">24-May-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="370847001"/> <display value="Dietary needs education (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2019-05-24"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:37a5ae9e-40ac-463b-a31b-7e39c27fface"/> <resource> <Procedure> <id value="37a5ae9e-40ac-463b-a31b-7e39c27fface"/> <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>Psychoeducation session</td> <td> <span class="nb">25-May-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="409073007"/> <display value="Education (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2019-05-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:ee6c843f-d84f-4ebe-b356-0954b393a692"/> <resource> <Procedure> <id value="ee6c843f-d84f-4ebe-b356-0954b393a692"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Referral to outpatient addiction services</td> <td> <span class="nb">30-May-2019</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="306206005"/> <display value="Referral to service (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2019-05-30"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:d98fedc0-9f14-4778-828c-bf41811e79db"/> <resource> <Device> <id value="d98fedc0-9f14-4778-828c-bf41811e79db"/> <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:a071d55b-9498-4f6f-a370-e3b04555310e"/> <resource> <Provenance> <id value="a071d55b-9498-4f6f-a370-e3b04555310e"/> <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:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/> </target> <target> <reference value="urn:uuid:da49ec4f-8141-4cf8-bf1a-73e7572eef36"/> </target> <target> <reference value="urn:uuid:0f358537-20e4-43a3-8724-db3411cbf4c1"/> </target> <target> <reference value="urn:uuid:1ec50f37-a7bc-453f-a34f-4a84953a9dda"/> </target> <recorded value="2026-03-20T18:19:09Z"/> <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:d98fedc0-9f14-4778-828c-bf41811e79db"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>


               
                  
                  
               
               
                  
                  
                  
               
            
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:1ec50f37-a7bc-453f-a34f-4a84953a9dda"/>
            </custodian>
            <section>
               <title value="Synthesis"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="67781-5"/>
                     <display value="Summarization of encounter note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">Substance dependence, treated and stabilised</div>
               </text>
            </section>
            <section>
               <title value="Hospital course note"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="8648-8"/>
                     <display value="Hospital course note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">Dear colleague, I am writing to inform you regarding the discharge of your 46-year-old female patient, admitted on 22/05/2019 due to substance dependence disorder. Upon admission, a comprehensive psychiatric and somatic assessment was performed, including structured diagnostic interviews, laboratory screening, and toxicological analysis, confirming polysubstance dependence (ICD-10: F19.2). During her inpatient stay, the patient underwent medically supervised detoxification with pharmacological support to manage withdrawal symptoms. Motivational interviewing and psychoeducational sessions were conducted. The patient was stabilised successfully without major complications. At discharge, she was referred to an outpatient addiction counselling service and a community support programme. Relapse prevention strategies were discussed thoroughly. I kindly ask you to continue monitoring her mental and physical health and support adherence to the outpatient treatment plan. Please do not hesitate to contact me should any concerns arise.</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">31-May-2019</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:002263c6-025a-41d7-93ca-927928cc4a03"/>
               </entry>
            </section>
            <section>
               <title value="Significant procedures"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="10185-7"/>
                     <display value="Hospital discharge procedure note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td>Referral to outpatient addiction services</td>
                           <td>
                              <span class="nb">30-May-2019</span>
                           </td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:c2dfbe1b-24a5-4843-8a47-ab5c1cd62513"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:7216635e-237f-4604-b33f-bc7846cd4c32"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:236268fb-1ae4-48d2-ad1c-0e1c534e6453"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:560d62d3-dfb3-46a9-82d7-c170243bc126"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:71b051c3-5985-4c43-b2e5-a461f6d2510a"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:3315ab0c-21dd-4406-b056-6e580c3ed412"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:058ac3da-8b69-4b40-880b-f45617e39b21"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:488b44f2-e6b9-4d24-b8a3-9639fef6afd8"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:37a5ae9e-40ac-463b-a31b-7e39c27fface"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:ee6c843f-d84f-4ebe-b356-0954b393a692"/>
               </entry>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
      <resource>
         <Patient>
            <id value="5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
            <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>Justine Renner</td>
                        <td>female</td>
                        <td>26-Aug-1979</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="DE"/>
                     </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="5986-489081-5"/>
            </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="df3d05c1-d6bc-1382-fabb-b6efa878f3c4"/>
            </identifier>
            <name>
               <text value="Justine Renner"/>
               <family value="Renner"/>
               <given value="Justine"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="(06451) 696717"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="1979-08-26"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Willfried-Killer-Allee 54/21"/>
               <city value="Wolfratshausen"/>
               <postalCode value="82515"/>
               <country value="Germany"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:3ea17503-0bd3-4a70-bd5b-a5fac286b577"/>
      <resource>
         <Encounter>
            <id value="3ea17503-0bd3-4a70-bd5b-a5fac286b577"/>
            <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>Benedictus Krankenhaus Feldafing, Feldafing, Germany</td>
                        <td>22-05-2019 - 31-05-2019</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/5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
               <display value="Justine Renner"/>
            </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="2019-05-31"/>
               </period>
               <individual>
                  <reference value="urn:uuid:0f358537-20e4-43a3-8724-db3411cbf4c1"/>
               </individual>
            </participant>
            <period>
               <start value="2019-05-31"/>
            </period>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="6525002"/>
                  <display value="Substance dependence (disorder)"/>
               </coding>
            </reasonCode>
            <serviceProvider>
               <reference value="urn:uuid:1ec50f37-a7bc-453f-a34f-4a84953a9dda"/>
            </serviceProvider>
         </Encounter>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:da49ec4f-8141-4cf8-bf1a-73e7572eef36"/>
      <resource>
         <PractitionerRole>
            <id value="da49ec4f-8141-4cf8-bf1a-73e7572eef36"/>
            <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: da49ec4f-8141-4cf8-bf1a-73e7572eef36</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:0f358537-20e4-43a3-8724-db3411cbf4c1"/>
            </practitioner>
            <organization>
               <reference value="urn:uuid:1ec50f37-a7bc-453f-a34f-4a84953a9dda"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:1ec50f37-a7bc-453f-a34f-4a84953a9dda"/>
      <resource>
         <Organization>
            <id value="1ec50f37-a7bc-453f-a34f-4a84953a9dda"/>
            <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: Benedictus Krankenhaus Feldafing, 82340 Feldafing, Germany</div>
            </text>
            <name value="Benedictus Krankenhaus Feldafing"/>
            <address>
               <city value="Feldafing"/>
               <postalCode value="82340"/>
               <country value="Germany"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:0f358537-20e4-43a3-8724-db3411cbf4c1"/>
      <resource>
         <Practitioner>
            <id value="0f358537-20e4-43a3-8724-db3411cbf4c1"/>
            <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: Leander Etzold</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="a8de1a35-64b0-4996-90c2-267500d5ee96"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Etzold"/>
               <given value="Leander"/>
            </name>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:002263c6-025a-41d7-93ca-927928cc4a03"/>
      <resource>
         <Condition>
            <id value="002263c6-025a-41d7-93ca-927928cc4a03"/>
            <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">31-May-2019</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:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
               <display value="Justine Renner"/>
            </subject>
            <onsetDateTime value="2019-05-31"/>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:c2dfbe1b-24a5-4843-8a47-ab5c1cd62513"/>
      <resource>
         <Procedure>
            <id value="c2dfbe1b-24a5-4843-8a47-ab5c1cd62513"/>
            <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>Structured psychiatric assessment on admission</td>
                        <td>
                           <span class="nb">22-May-2019</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="386053000"/>
                  <display value="Evaluation procedure (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
               <display value="Justine Renner"/>
            </subject>
            <performedDateTime value="2019-05-22"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:7216635e-237f-4604-b33f-bc7846cd4c32"/>
      <resource>
         <Procedure>
            <id value="7216635e-237f-4604-b33f-bc7846cd4c32"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Toxicological screening of urine</td>
                        <td>
                           <span class="nb">22-May-2019</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:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
               <display value="Justine Renner"/>
            </subject>
            <performedDateTime value="2019-05-22"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:236268fb-1ae4-48d2-ad1c-0e1c534e6453"/>
      <resource>
         <Procedure>
            <id value="236268fb-1ae4-48d2-ad1c-0e1c534e6453"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Blood specimen collection for laboratory analysis</td>
                        <td>
                           <span class="nb">22-May-2019</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="396540005"/>
                  <display value="Phlebotomy (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
               <display value="Justine Renner"/>
            </subject>
            <performedDateTime value="2019-05-22"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:560d62d3-dfb3-46a9-82d7-c170243bc126"/>
      <resource>
         <Procedure>
            <id value="560d62d3-dfb3-46a9-82d7-c170243bc126"/>
            <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>Liver function blood test panel</td>
                        <td>
                           <span class="nb">23-May-2019</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26958001"/>
                  <display value="Hepatic function panel (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
               <display value="Justine Renner"/>
            </subject>
            <performedDateTime value="2019-05-23"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:71b051c3-5985-4c43-b2e5-a461f6d2510a"/>
      <resource>
         <Procedure>
            <id value="71b051c3-5985-4c43-b2e5-a461f6d2510a"/>
            <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>Full blood count</td>
                        <td>
                           <span class="nb">23-May-2019</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="26604007"/>
                  <display value="Complete blood count (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
               <display value="Justine Renner"/>
            </subject>
            <performedDateTime value="2019-05-23"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:3315ab0c-21dd-4406-b056-6e580c3ed412"/>
      <resource>
         <Procedure>
            <id value="3315ab0c-21dd-4406-b056-6e580c3ed412"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Medically supervised detoxification</td>
                        <td>
                           <span class="nb">22-May-2019</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="182969009"/>
                  <display value="Dependent drug detoxification (regime/therapy)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
               <display value="Justine Renner"/>
            </subject>
            <performedDateTime value="2019-05-22"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:058ac3da-8b69-4b40-880b-f45617e39b21"/>
      <resource>
         <Procedure>
            <id value="058ac3da-8b69-4b40-880b-f45617e39b21"/>
            <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">23-May-2019</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="182836005"/>
                  <display value="Review of medication (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
               <display value="Justine Renner"/>
            </subject>
            <performedDateTime value="2019-05-23"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:488b44f2-e6b9-4d24-b8a3-9639fef6afd8"/>
      <resource>
         <Procedure>
            <id value="488b44f2-e6b9-4d24-b8a3-9639fef6afd8"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Motivational interviewing session</td>
                        <td>
                           <span class="nb">24-May-2019</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="370847001"/>
                  <display value="Dietary needs education (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
               <display value="Justine Renner"/>
            </subject>
            <performedDateTime value="2019-05-24"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:37a5ae9e-40ac-463b-a31b-7e39c27fface"/>
      <resource>
         <Procedure>
            <id value="37a5ae9e-40ac-463b-a31b-7e39c27fface"/>
            <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>Psychoeducation session</td>
                        <td>
                           <span class="nb">25-May-2019</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="409073007"/>
                  <display value="Education (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:5b4d2506-55a1-49b9-8a23-2b47d69b1274"/>
               <display value="Justine Renner"/>
            </subject>
            <performedDateTime value="2019-05-25"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:ee6c843f-d84f-4ebe-b356-0954b393a692"/>
      <resource>
         <Procedure>
            <id value="ee6c843f-d84f-4ebe-b356-0954b393a692"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Referral to outpatient addiction services</td>
                        <td>
                           <span class="nb">30-May-2019</span>
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