intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:cca7ecba-ba72-425e-8bc5-0e999ec46366"/> </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">Acute appendicitis, appendectomy performed</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 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> </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>Unspecified appendicitis</td> <td> <span class="nb">12-Sep-2000</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:0d624a04-8d6f-4e77-85b3-3f48294893cf"/> </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>Wound dressing change</td> <td> <span class="nb">10-Sep-2000</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:c570e495-2bda-4bc4-b3d3-d828a850fc1e"/> </entry> <entry> <reference value="urn:uuid:72314e23-e36c-4041-95af-6852f89be46e"/> </entry> <entry> <reference value="urn:uuid:9ebc02c0-e381-4a41-a104-5395f2c2f1ef"/> </entry> <entry> <reference value="urn:uuid:9345314b-f3f4-49ba-879b-6b4187418d78"/> </entry> <entry> <reference value="urn:uuid:45a8b7bc-31b1-48c3-b7ae-550a203df5bb"/> </entry> <entry> <reference value="urn:uuid:e2631f0f-4211-4320-aad2-ffc8a5d2e359"/> </entry> <entry> <reference value="urn:uuid:90649dcf-4952-44a9-8744-486afd2aa181"/> </entry> <entry> <reference value="urn:uuid:5b8a1c4d-31eb-4831-ae3c-95b387fd3d11"/> </entry> <entry> <reference value="urn:uuid:53cc7339-b727-4896-9113-dbb2a50e4451"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f"/> <resource> <Patient> <id value="d224a6a5-d097-4208-9a66-daf1824a520f"/> <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>Jasmina Fritsch</td> <td>female</td> <td>30-Dec-1993</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="1690-358891-7"/> </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="4d06719f-e570-7dbf-742e-4edc4312e5f6"/> </identifier> <name> <text value="Jasmina Fritsch"/> <family value="Fritsch"/> <given value="Jasmina"/> </name> <telecom> <system value="phone"/> <value value="+49(0)2540 673444"/> </telecom> <gender value="female"/> <birthDate value="1993-12-30"/> <address> <use value="home"/> <type value="physical"/> <line value="Atzlerstr. 3-2"/> <city value="Saulgau"/> <postalCode value="88348"/> <country value="Germany"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:00bc7e9e-b154-4735-9003-599f3d759569"/> <resource> <Encounter> <id value="00bc7e9e-b154-4735-9003-599f3d759569"/> <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>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> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/d224a6a5-d097-4208-9a66-daf1824a520f"/> <display value="Jasmina Fritsch"/> </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="2000-09-12"/> </period> <individual> <reference value="urn:uuid:e5db87b5-eb46-4785-8cc8-ee55ee878550"/> </individual> </participant> <period> <start value="2000-09-12"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="74400008"/> <display value="Appendicitis (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:cca7ecba-ba72-425e-8bc5-0e999ec46366"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:810f5313-0474-4493-a525-6b32e76762e1"/> <resource> <PractitionerRole> <id value="810f5313-0474-4493-a525-6b32e76762e1"/> <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: 810f5313-0474-4493-a525-6b32e76762e1</div> </text> <practitioner> <reference value="urn:uuid:e5db87b5-eb46-4785-8cc8-ee55ee878550"/> </practitioner> <organization> <reference value="urn:uuid:cca7ecba-ba72-425e-8bc5-0e999ec46366"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:cca7ecba-ba72-425e-8bc5-0e999ec46366"/> <resource> <Organization> <id value="cca7ecba-ba72-425e-8bc5-0e999ec46366"/> <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: Klinik am schönen Moos, 88348 Bad Saulgau, Germany</div> </text> <name value="Klinik am schönen Moos"/> <address> <city value="Bad Saulgau"/> <postalCode value="88348"/> <country value="Germany"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:e5db87b5-eb46-4785-8cc8-ee55ee878550"/> <resource> <Practitioner> <id value="e5db87b5-eb46-4785-8cc8-ee55ee878550"/> <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: Vera Müller</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="671cb3e3-cf10-4a8e-99a2-1b3dccafefce"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Müller"/> <given value="Vera"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:0d624a04-8d6f-4e77-85b3-3f48294893cf"/> <resource> <Condition> <id value="0d624a04-8d6f-4e77-85b3-3f48294893cf"/> <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>Unspecified appendicitis</td> <td> <span class="nb">12-Sep-2000</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="K37"/> <display value="Unspecified appendicitis"/> </coding> <text value="Unspecified appendicitis"/> </code> <subject> <reference value="urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f"/> <display value="Jasmina Fritsch"/> </subject> <onsetDateTime value="2000-09-12"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:c570e495-2bda-4bc4-b3d3-d828a850fc1e"/> <resource> <Procedure> <id value="c570e495-2bda-4bc4-b3d3-d828a850fc1e"/> <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 including McBurney's point assessment</td> <td> <span class="nb">08-Sep-2000</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:d224a6a5-d097-4208-9a66-daf1824a520f"/> <display value="Jasmina Fritsch"/> </subject> <performedDateTime value="2000-09-08"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:72314e23-e36c-4041-95af-6852f89be46e"/> <resource> <Procedure> <id value="72314e23-e36c-4041-95af-6852f89be46e"/> <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 count and inflammatory markers (leukocytosis workup)</td> <td> <span class="nb">08-Sep-2000</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:d224a6a5-d097-4208-9a66-daf1824a520f"/> <display value="Jasmina Fritsch"/> </subject> <performedDateTime value="2000-09-08"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:9ebc02c0-e381-4a41-a104-5395f2c2f1ef"/> <resource> <Procedure> <id value="9ebc02c0-e381-4a41-a104-5395f2c2f1ef"/> <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>Abdominal ultrasound</td> <td> <span class="nb">08-Sep-2000</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="45036003"/> <display value="Ultrasonography of abdomen (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f"/> <display value="Jasmina Fritsch"/> </subject> <performedDateTime value="2000-09-08"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:9345314b-f3f4-49ba-879b-6b4187418d78"/> <resource> <Procedure> <id value="9345314b-f3f4-49ba-879b-6b4187418d78"/> <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>Body temperature measurement (fever assessment)</td> <td> <span class="nb">08-Sep-2000</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="56342008"/> <display value="Temperature taking (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f"/> <display value="Jasmina Fritsch"/> </subject> <performedDateTime value="2000-09-08"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:45a8b7bc-31b1-48c3-b7ae-550a203df5bb"/> <resource> <Procedure> <id value="45a8b7bc-31b1-48c3-b7ae-550a203df5bb"/> <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 dipstick test (differential diagnosis)</td> <td> <span class="nb">08-Sep-2000</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="27171005"/> <display value="Urinalysis (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f"/> <display value="Jasmina Fritsch"/> </subject> <performedDateTime value="2000-09-08"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e2631f0f-4211-4320-aad2-ffc8a5d2e359"/> <resource> <Procedure> <id value="e2631f0f-4211-4320-aad2-ffc8a5d2e359"/> <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>Laparoscopic appendectomy</td> <td> <span class="nb">09-Sep-2000</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="173422009"/> <display value="Tonsillectomy (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f"/> <display value="Jasmina Fritsch"/> </subject> <performedDateTime value="2000-09-09"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:90649dcf-4952-44a9-8744-486afd2aa181"/> <resource> <Procedure> <id value="90649dcf-4952-44a9-8744-486afd2aa181"/> <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">09-Sep-2000</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:d224a6a5-d097-4208-9a66-daf1824a520f"/> <display value="Jasmina Fritsch"/> </subject> <performedDateTime value="2000-09-09"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:5b8a1c4d-31eb-4831-ae3c-95b387fd3d11"/> <resource> <Procedure> <id value="5b8a1c4d-31eb-4831-ae3c-95b387fd3d11"/> <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>Postoperative analgesia administration</td> <td> <span class="nb">09-Sep-2000</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="57485005"/> <display value="Oxygen therapy (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f"/> <display value="Jasmina Fritsch"/> </subject> <performedDateTime value="2000-09-09"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:53cc7339-b727-4896-9113-dbb2a50e4451"/> <resource> <Procedure> <id value="53cc7339-b727-4896-9113-dbb2a50e4451"/> <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>Wound dressing change</td> <td> <span class="nb">10-Sep-2000</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182531007"/> <display value="Dressing of wound (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:d224a6a5-d097-4208-9a66-daf1824a520f"/> <display value="Jasmina Fritsch"/> </subject> <performedDateTime value="2000-09-10"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:49785946-a658-47df-8abb-f2a39815abcd"/> <resource> <Device> <id value="49785946-a658-47df-8abb-f2a39815abcd"/> <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:88819b41-238c-4648-b921-3ce09ceace6a"/> <resource> <Provenance> <id value="88819b41-238c-4648-b921-3ce09ceace6a"/> <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:d224a6a5-d097-4208-9a66-daf1824a520f"/> </target> <target> <reference value="urn:uuid:810f5313-0474-4493-a525-6b32e76762e1"/> </target> <target> <reference value="urn:uuid:e5db87b5-eb46-4785-8cc8-ee55ee878550"/> </target> <target> <reference value="urn:uuid:cca7ecba-ba72-425e-8bc5-0e999ec46366"/> </target> <recorded value="2026-03-20T18:18:20Z"/> <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 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