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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Acute appendicitis, appendectomy performed</div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you regarding your patient, a 31-year-old female, admitted on 08/09/2000 with acute right lower quadrant abdominal pain, nausea, and low-grade fever. Clinical examination revealed marked tenderness at McBurney's point with positive rebound tenderness. Laboratory findings demonstrated elevated leukocytosis, and abdominal ultrasound confirmed appendiceal inflammation consistent with acute appendicitis. The patient underwent an uncomplicated laparoscopic appendectomy on 09/09/2000. Histopathological examination confirmed acute appendicitis without perforation. Postoperative recovery was uneventful. The patient was administered intravenous antibiotics perioperatively and adequate analgesia throughout her stay. She was discharged home on 12/09/2000 in good clinical condition with oral analgesia and wound care instructions. Please arrange follow-up in 2 weeks for wound inspection and review of histology results. Do not hesitate to contact me if further information is required.</div>"
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            "title": "Diagnosis at Discharge"
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              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Wound dressing change</td><td><span class=\"nb\">10-Sep-2000</span></td><td>-</td></tr></table></div>"
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        "date": "2000-09-12T00:00:00Z",
        "confidentiality": "N"
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        "identifier": [
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                  "code": "JHN",
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            "value": "1690-358891-7"
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                  "code": "MR",
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            "system": "http://local.setting.eu/identifier",
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            "text": "Jasmina Fritsch"
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        ],
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          {
            "line": [
              "Atzlerstr. 3-2"
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            "city": "Saulgau",
            "country": "Germany"
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        ],
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            "system": "phone",
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            "extension": [
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                "url": "code",
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                  "coding": [
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            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Jasmina Fritsch</td><td>female</td><td>30-Dec-1993</td></tr></table></div>"
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            "type": [
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                    "code": "PPRF",
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                    "display": "primary performer"
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                ]
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            ],
            "period": {
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            "individual": {
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            ]
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        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Klinik am schönen Moos, Bad Saulgau, Germany</td><td>08-09-2000 - 12-09-2000</td><td><ul><li>Appendicitis (disorder)</li></ul></td></tr></table></div>"
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        "serviceProvider": {
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        "subject": {
          "reference": "Patient/d224a6a5-d097-4208-9a66-daf1824a520f",
          "display": "Jasmina Fritsch"
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        "resourceType": "PractitionerRole",
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: 810f5313-0474-4493-a525-6b32e76762e1</div>"
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        "address": [
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            "city": "Bad Saulgau",
            "postalCode": "88348",
            "country": "Germany"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Klinik am schönen Moos, 88348 Bad Saulgau, Germany</div>"
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        "name": "Klinik am schönen Moos"
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            "value": "671cb3e3-cf10-4a8e-99a2-1b3dccafefce"
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        "name": [
          {
            "given": [
              "Vera"
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            "family": "Müller"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: Vera Müller</div>"
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      }
    },
    {
      "fullUrl": "urn:uuid:0d624a04-8d6f-4e77-85b3-3f48294893cf",
      "resource": {
        "resourceType": "Condition",
        "id": "0d624a04-8d6f-4e77-85b3-3f48294893cf",
        "meta": {
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        "category": [
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            "coding": [
              {
                "code": "encounter-diagnosis",
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "display": "Encounter Diagnosis"
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            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "K37",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Unspecified appendicitis"
            }
          ],
          "text": "Unspecified appendicitis"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Unspecified appendicitis</td><td><span class=\"nb\">12-Sep-2000</span></td><td>active</td></tr></table></div>"
        },
        "onsetDateTime": "2000-09-12",
        "subject": {
          "reference": "urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f",
          "display": "Jasmina Fritsch"
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    {
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        "id": "c570e495-2bda-4bc4-b3d3-d828a850fc1e",
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            {
              "code": "5880005",
              "system": "http://snomed.info/sct",
              "display": "Physical examination procedure (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Physical examination including McBurney's point assessment</td><td><span class=\"nb\">08-Sep-2000</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2000-09-08",
        "subject": {
          "reference": "urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f",
          "display": "Jasmina Fritsch"
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      }
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    {
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              "display": "Complete blood count (procedure)"
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          ]
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Blood count and inflammatory markers (leukocytosis workup)</td><td><span class=\"nb\">08-Sep-2000</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2000-09-08",
        "subject": {
          "reference": "urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f",
          "display": "Jasmina Fritsch"
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    },
    {
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        "resourceType": "Procedure",
        "id": "9ebc02c0-e381-4a41-a104-5395f2c2f1ef",
        "meta": {
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        "code": {
          "coding": [
            {
              "code": "45036003",
              "system": "http://snomed.info/sct",
              "display": "Ultrasonography of abdomen (procedure)"
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          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Abdominal ultrasound</td><td><span class=\"nb\">08-Sep-2000</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2000-09-08",
        "subject": {
          "reference": "urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f",
          "display": "Jasmina Fritsch"
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      }
    },
    {
      "fullUrl": "urn:uuid:9345314b-f3f4-49ba-879b-6b4187418d78",
      "resource": {
        "resourceType": "Procedure",
        "id": "9345314b-f3f4-49ba-879b-6b4187418d78",
        "meta": {
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        },
        "code": {
          "coding": [
            {
              "code": "56342008",
              "system": "http://snomed.info/sct",
              "display": "Temperature taking (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Body temperature measurement (fever assessment)</td><td><span class=\"nb\">08-Sep-2000</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2000-09-08",
        "subject": {
          "reference": "urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f",
          "display": "Jasmina Fritsch"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:45a8b7bc-31b1-48c3-b7ae-550a203df5bb",
      "resource": {
        "resourceType": "Procedure",
        "id": "45a8b7bc-31b1-48c3-b7ae-550a203df5bb",
        "meta": {
          "profile": [
            "http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"
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        },
        "code": {
          "coding": [
            {
              "code": "27171005",
              "system": "http://snomed.info/sct",
              "display": "Urinalysis (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Urine dipstick test (differential diagnosis)</td><td><span class=\"nb\">08-Sep-2000</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2000-09-08",
        "subject": {
          "reference": "urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f",
          "display": "Jasmina Fritsch"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:e2631f0f-4211-4320-aad2-ffc8a5d2e359",
      "resource": {
        "resourceType": "Procedure",
        "id": "e2631f0f-4211-4320-aad2-ffc8a5d2e359",
        "meta": {
          "profile": [
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        },
        "code": {
          "coding": [
            {
              "code": "173422009",
              "system": "http://snomed.info/sct",
              "display": "Tonsillectomy (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Laparoscopic appendectomy</td><td><span class=\"nb\">09-Sep-2000</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2000-09-09",
        "subject": {
          "reference": "urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f",
          "display": "Jasmina Fritsch"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:90649dcf-4952-44a9-8744-486afd2aa181",
      "resource": {
        "resourceType": "Procedure",
        "id": "90649dcf-4952-44a9-8744-486afd2aa181",
        "meta": {
          "profile": [
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        },
        "code": {
          "coding": [
            {
              "code": "50697003",
              "system": "http://snomed.info/sct",
              "display": "Administration of general anesthetic (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>General anaesthesia</td><td><span class=\"nb\">09-Sep-2000</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2000-09-09",
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            "text": "Interoperability Testing and Training (non-clinical use)"
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
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  "timestamp": "2000-09-12T00:00:00Z"
}