intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:d74c07b1-3066-4b3d-a9fa-20b9fb43ed9c"/> </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 your patient, a 46-year-old female, who was admitted to our department on 10.12.2010 for elective voluntary surgical sterilization following her explicit and informed request. Prior to the procedure, a thorough preoperative assessment was conducted, including physical examination, routine laboratory workup, and anaesthetic evaluation, all of which yielded no contraindications. The patient confirmed her decision after comprehensive counselling regarding permanence and alternatives. On 10.12.2010, bilateral tubal ligation was performed laparoscopically under general anaesthesia without intraoperative complications. Postoperative recovery was uneventful. The patient was discharged home on 11.12.2010 in good general condition. No further gynaecological follow-up is required from our side. Please continue routine primary care. Should any concerns arise, do not hesitate to contact our department.</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">11-Dec-2010</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:a0537ca6-617f-4824-a7a6-94543842ea84"/> </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>General anaesthesia</td> <td> <span class="nb">10-Dec-2010</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:c63c5aae-5107-440b-9b12-ff96783b8cab"/> </entry> <entry> <reference value="urn:uuid:26ab4233-7351-4a42-b74e-ab0d980ac886"/> </entry> <entry> <reference value="urn:uuid:6e777215-600e-4192-8e0c-528f374d2b6c"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:dfba55e3-9f2e-4758-8ca1-c7cf9e9e3e4d"/> <resource> <Patient> <id value="dfba55e3-9f2e-4758-8ca1-c7cf9e9e3e4d"/> <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:dd683c2f-61ae-4a7a-a218-05f64a014bc1"/> <resource> <Encounter> <id value="dd683c2f-61ae-4a7a-a218-05f64a014bc1"/> <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>10-12-2010 - 11-12-2010</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/dfba55e3-9f2e-4758-8ca1-c7cf9e9e3e4d"/> <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="2010-12-11"/> </period> <individual> <reference value="urn:uuid:cd637b47-add4-40b5-8dba-165925950638"/> </individual> </participant> <period> <start value="2010-12-11"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="183996000"/> <display value="Sterilization requested (situation)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:d74c07b1-3066-4b3d-a9fa-20b9fb43ed9c"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:59479b0f-bd26-4c2d-a780-bae29a939eed"/> <resource> <PractitionerRole> <id value="59479b0f-bd26-4c2d-a780-bae29a939eed"/> <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: 59479b0f-bd26-4c2d-a780-bae29a939eed</div> </text> <practitioner> <reference value="urn:uuid:cd637b47-add4-40b5-8dba-165925950638"/> </practitioner> <organization> <reference value="urn:uuid:d74c07b1-3066-4b3d-a9fa-20b9fb43ed9c"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:d74c07b1-3066-4b3d-a9fa-20b9fb43ed9c"/> <resource> <Organization> <id value="d74c07b1-3066-4b3d-a9fa-20b9fb43ed9c"/> <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:cd637b47-add4-40b5-8dba-165925950638"/> <resource> <Practitioner> <id value="cd637b47-add4-40b5-8dba-165925950638"/> <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="b279ee7d-c313-4b7f-ace2-a97b3ccb0d2f"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Etzold"/> <given value="Leander"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:a0537ca6-617f-4824-a7a6-94543842ea84"/> <resource> <Condition> <id value="a0537ca6-617f-4824-a7a6-94543842ea84"/> <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">11-Dec-2010</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:dfba55e3-9f2e-4758-8ca1-c7cf9e9e3e4d"/> <display value="Justine Renner"/> </subject> <onsetDateTime value="2010-12-11"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:c63c5aae-5107-440b-9b12-ff96783b8cab"/> <resource> <Procedure> <id value="c63c5aae-5107-440b-9b12-ff96783b8cab"/> <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 preoperative blood test</td> <td> <span class="nb">10-Dec-2010</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:dfba55e3-9f2e-4758-8ca1-c7cf9e9e3e4d"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2010-12-10"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:26ab4233-7351-4a42-b74e-ab0d980ac886"/> <resource> <Procedure> <id value="26ab4233-7351-4a42-b74e-ab0d980ac886"/> <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>Anaesthetic assessment</td> <td> <span class="nb">10-Dec-2010</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="410263001"/> <display value="Medical/dental care education, guidance, and counseling (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:dfba55e3-9f2e-4758-8ca1-c7cf9e9e3e4d"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2010-12-10"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:6e777215-600e-4192-8e0c-528f374d2b6c"/> <resource> <Procedure> <id value="6e777215-600e-4192-8e0c-528f374d2b6c"/> <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>General anaesthesia</td> <td> <span class="nb">10-Dec-2010</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:dfba55e3-9f2e-4758-8ca1-c7cf9e9e3e4d"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2010-12-10"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:317910f8-b862-42cc-b9dd-0d821ecff52f"/> <resource> <Device> <id value="317910f8-b862-42cc-b9dd-0d821ecff52f"/> <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:eacaddb1-f668-4c75-be12-6f03d98eb50a"/> <resource> <Provenance> <id value="eacaddb1-f668-4c75-be12-6f03d98eb50a"/> <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:dfba55e3-9f2e-4758-8ca1-c7cf9e9e3e4d"/> </target> <target> <reference value="urn:uuid:59479b0f-bd26-4c2d-a780-bae29a939eed"/> </target> <target> <reference value="urn:uuid:cd637b47-add4-40b5-8dba-165925950638"/> </target> <target> <reference value="urn:uuid:d74c07b1-3066-4b3d-a9fa-20b9fb43ed9c"/> </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:317910f8-b862-42cc-b9dd-0d821ecff52f"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>