<confidentiality value="N"/> <custodian> <reference value="urn:uuid:a83c423e-a6c2-4b93-bb0a-c8a0284c48f5"/> </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 75-year-old male patient admitted on 25/11/2015 due to substance dependence. Upon admission, a comprehensive psychiatric and medical assessment confirmed multiple substance dependence syndrome (ICD-10: F19.2), with evidence of polysubstance use. Withdrawal monitoring was initiated immediately alongside structured detoxification. During his inpatient stay, the patient underwent motivational counselling, individual psychotherapy sessions, and pharmacological support to manage withdrawal symptoms and cravings. Medical comorbidities were reviewed and managed accordingly. By the time of discharge on 06/12/2015, the patient was clinically stabilised, with no active withdrawal symptoms. Referral to outpatient addiction services and a community support programme has been arranged. Continued follow-up with your practice is strongly recommended to monitor his progress and maintain abstinence. Please do not hesitate to contact me for further information.</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">06-Dec-2015</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:73f831a6-29b3-45fa-ba61-277971ad7244"/> </entry> </section> <section> <title value="Significant procedures"/> <code> <coding> <system value="http://loinc.org"/> <code value="10185-7"/> <display value="Hospital discharge procedure note"/> </coding> </code> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__hdr"> <tr> <td>Discharge planning and referral to outpatient addiction services</td> <td> <span class="nb">05-Dec-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:9c1f8749-d8dc-4354-a547-6d86f89c8130"/> </entry> <entry> <reference value="urn:uuid:e04e6381-aaff-4a15-98f6-dcda94c5c67c"/> </entry> <entry> <reference value="urn:uuid:742850a7-f678-4ff4-a5d6-0fb6ee6734a5"/> </entry> <entry> <reference value="urn:uuid:b3cc68da-4ba4-4fe8-a4d8-0142a16f0834"/> </entry> <entry> <reference value="urn:uuid:e60bf0db-fa68-4c51-86f1-e7deb97b5ed4"/> </entry> <entry> <reference value="urn:uuid:e1e4a5d6-323a-4a28-b715-c01fbe64465c"/> </entry> <entry> <reference value="urn:uuid:2481678f-df52-4348-a318-d683e4a43c87"/> </entry> <entry> <reference value="urn:uuid:e1810587-96b3-4c30-8d8e-ad5818d7e39b"/> </entry> <entry> <reference value="urn:uuid:a2a31147-b127-4fa0-b6dd-c8b2ee3acf54"/> </entry> <entry> <reference value="urn:uuid:76917b12-3fdf-41cd-80e2-fd9aae72b378"/> </entry> <entry> <reference value="urn:uuid:a1479b16-77f7-4451-8055-636f51d47d3f"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <resource> <Patient> <id value="582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <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>Trinidad Ledesma</td> <td>male</td> <td>16-Apr-1950</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="ES"/> </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="2966-560528-2"/> </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="0c23254c-16b4-d987-19c5-f7fe1236c828"/> </identifier> <name> <text value="Trinidad Ledesma"/> <family value="Ledesma"/> <given value="Trinidad"/> </name> <telecom> <system value="phone"/> <value value="+34948 80 85 42"/> </telecom> <gender value="male"/> <birthDate value="1950-04-16"/> <address> <use value="home"/> <type value="physical"/> <line value="Calle de Ainara Méndez 2 Apt. 70 "/> <city value="Teruel"/> <postalCode value="44001"/> <country value="Spain"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:add0503d-eda0-49f9-9840-4d198e60fbf5"/> <resource> <Encounter> <id value="add0503d-eda0-49f9-9840-4d198e60fbf5"/> <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>Centro de Rehabilitación San Juan de Dios, Teruel, Spain</td> <td>25-11-2015 - 06-12-2015</td> <td> <ul> <li>Substance dependence (disorder)</li> </ul> </td> </tr> </table> </div> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="PPRF"/> <display value="primary performer"/> </coding> </type> <period> <end value="2015-12-06"/> </period> <individual> <reference value="urn:uuid:7c9e6cdd-cb6c-4e40-9340-7ac379c574c3"/> </individual> </participant> <period> <start value="2015-12-06"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:a83c423e-a6c2-4b93-bb0a-c8a0284c48f5"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:c50db4c5-5385-467b-af05-905562196003"/> <resource> <PractitionerRole> <id value="c50db4c5-5385-467b-af05-905562196003"/> <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: c50db4c5-5385-467b-af05-905562196003</div> </text> <practitioner> <reference value="urn:uuid:7c9e6cdd-cb6c-4e40-9340-7ac379c574c3"/> </practitioner> <organization> <reference value="urn:uuid:a83c423e-a6c2-4b93-bb0a-c8a0284c48f5"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:a83c423e-a6c2-4b93-bb0a-c8a0284c48f5"/> <resource> <Organization> <id value="a83c423e-a6c2-4b93-bb0a-c8a0284c48f5"/> <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: Centro de Rehabilitación San Juan de Dios, 44001 Teruel, Spain</div> </text> <name value="Centro de Rehabilitación San Juan de Dios"/> <address> <city value="Teruel"/> <postalCode value="44001"/> <country value="Spain"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:7c9e6cdd-cb6c-4e40-9340-7ac379c574c3"/> <resource> <Practitioner> <id value="7c9e6cdd-cb6c-4e40-9340-7ac379c574c3"/> <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: Nélida Grau</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="407b3ccc-701e-4e00-a8b0-ce699434d439"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Grau"/> <given value="Nélida"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:73f831a6-29b3-45fa-ba61-277971ad7244"/> <resource> <Condition> <id value="73f831a6-29b3-45fa-ba61-277971ad7244"/> <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">06-Dec-2015</span> </td> <td>active</td> </tr> </table> </div> </text> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="encounter-diagnosis"/> <display value="Encounter Diagnosis"/> </coding> </category> <code> <coding> <system value="http://hl7.org/fhir/sid/icd-10"/> <code value="F19.2"/> <display value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/> </coding> <text value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/> </code> <subject> <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <onsetDateTime value="2015-12-06"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:9c1f8749-d8dc-4354-a547-6d86f89c8130"/> <resource> <Procedure> <id value="9c1f8749-d8dc-4354-a547-6d86f89c8130"/> <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>Initial psychiatric assessment on admission</td> <td> <span class="nb">25-Nov-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="20135006"/> <display value="Screening procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2015-11-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e04e6381-aaff-4a15-98f6-dcda94c5c67c"/> <resource> <Procedure> <id value="e04e6381-aaff-4a15-98f6-dcda94c5c67c"/> <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">26-Nov-2015</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:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2015-11-26"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:742850a7-f678-4ff4-a5d6-0fb6ee6734a5"/> <resource> <Procedure> <id value="742850a7-f678-4ff4-a5d6-0fb6ee6734a5"/> <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 test</td> <td> <span class="nb">26-Nov-2015</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:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2015-11-26"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b3cc68da-4ba4-4fe8-a4d8-0142a16f0834"/> <resource> <Procedure> <id value="b3cc68da-4ba4-4fe8-a4d8-0142a16f0834"/> <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>Electrocardiogram</td> <td> <span class="nb">27-Nov-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="29303009"/> <display value="Electrocardiographic procedure (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2015-11-27"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e60bf0db-fa68-4c51-86f1-e7deb97b5ed4"/> <resource> <Procedure> <id value="e60bf0db-fa68-4c51-86f1-e7deb97b5ed4"/> <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>Withdrawal severity assessment (CIWA-Ar)</td> <td> <span class="nb">27-Nov-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="386806002"/> <display value="Impaired cognition (finding)"/> </coding> </code> <subject> <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2015-11-27"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e1e4a5d6-323a-4a28-b715-c01fbe64465c"/> <resource> <Procedure> <id value="e1e4a5d6-323a-4a28-b715-c01fbe64465c"/> <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>Withdrawal monitoring and management</td> <td> <span class="nb">25-Nov-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="182777000"/> <display value="Monitoring of patient (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2015-11-25"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:2481678f-df52-4348-a318-d683e4a43c87"/> <resource> <Procedure> <id value="2481678f-df52-4348-a318-d683e4a43c87"/> <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">26-Nov-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="18629005"/> <display value="Administration of drug or medicament (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2015-11-26"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:e1810587-96b3-4c30-8d8e-ad5818d7e39b"/> <resource> <Procedure> <id value="e1810587-96b3-4c30-8d8e-ad5818d7e39b"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Individual psychotherapy session</td> <td> <span class="nb">28-Nov-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="229070002"/> <display value="Stretching exercises (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2015-11-28"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:a2a31147-b127-4fa0-b6dd-c8b2ee3acf54"/> <resource> <Procedure> <id value="a2a31147-b127-4fa0-b6dd-c8b2ee3acf54"/> <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">29-Nov-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="386467004"/> <display value="Safe sex education (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2015-11-29"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:76917b12-3fdf-41cd-80e2-fd9aae72b378"/> <resource> <Procedure> <id value="76917b12-3fdf-41cd-80e2-fd9aae72b378"/> <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>Group therapy session</td> <td> <span class="nb">02-Dec-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="76168009"/> <display value="Group psychotherapy (regime/therapy)"/> </coding> </code> <subject> <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2015-12-02"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:a1479b16-77f7-4451-8055-636f51d47d3f"/> <resource> <Procedure> <id value="a1479b16-77f7-4451-8055-636f51d47d3f"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Discharge planning and referral to outpatient addiction services</td> <td> <span class="nb">05-Dec-2015</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="306237005"/> <display value="Referral to palliative care service (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> <display value="Trinidad Ledesma"/> </subject> <performedDateTime value="2015-12-05"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:b321ae0f-a451-4854-8fcf-6bb329085235"/> <resource> <Device> <id value="b321ae0f-a451-4854-8fcf-6bb329085235"/> <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:0ed16e32-4230-4abb-b360-086286ddd044"/> <resource> <Provenance> <id value="0ed16e32-4230-4abb-b360-086286ddd044"/> <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:582c60bc-fc49-4e81-90a7-072da5d6c97f"/> </target> <target> <reference value="urn:uuid:c50db4c5-5385-467b-af05-905562196003"/> </target> <target> <reference value="urn:uuid:7c9e6cdd-cb6c-4e40-9340-7ac379c574c3"/> </target> <target> <reference value="urn:uuid:a83c423e-a6c2-4b93-bb0a-c8a0284c48f5"/> </target> <recorded value="2026-03-20T18:25:52Z"/> <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:b321ae0f-a451-4854-8fcf-6bb329085235"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>


               
                  
                  
               
               
                  
                  
                  
               
            
            
               
               intentionally left empty / not meaningful
            
            
               
               
               
                  
               
            
            
            
               
                  
                  
                  
               
               
            
            
               
               
            
            
            
               
            
            
            <confidentiality value="N"/>
            <custodian>
               <reference value="urn:uuid:a83c423e-a6c2-4b93-bb0a-c8a0284c48f5"/>
            </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 75-year-old male patient admitted on 25/11/2015 due to substance dependence. Upon admission, a comprehensive psychiatric and medical assessment confirmed multiple substance dependence syndrome (ICD-10: F19.2), with evidence of polysubstance use. Withdrawal monitoring was initiated immediately alongside structured detoxification. During his inpatient stay, the patient underwent motivational counselling, individual psychotherapy sessions, and pharmacological support to manage withdrawal symptoms and cravings. Medical comorbidities were reviewed and managed accordingly. By the time of discharge on 06/12/2015, the patient was clinically stabilised, with no active withdrawal symptoms. Referral to outpatient addiction services and a community support programme has been arranged. Continued follow-up with your practice is strongly recommended to monitor his progress and maintain abstinence. Please do not hesitate to contact me for further information.</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">06-Dec-2015</span>
                           </td>
                           <td>active</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:73f831a6-29b3-45fa-ba61-277971ad7244"/>
               </entry>
            </section>
            <section>
               <title value="Significant procedures"/>
               <code>
                  <coding>
                     <system value="http://loinc.org"/>
                     <code value="10185-7"/>
                     <display value="Hospital discharge procedure note"/>
                  </coding>
               </code>
               <text>
                  <status value="generated"/>
                  <div xmlns="http://www.w3.org/1999/xhtml">
                     <table class="hl7__hdr">
                        <tr>
                           <td>Discharge planning and referral to outpatient addiction services</td>
                           <td>
                              <span class="nb">05-Dec-2015</span>
                           </td>
                           <td>-</td>
                        </tr>
                     </table>
                  </div>
               </text>
               <entry>
                  <reference value="urn:uuid:9c1f8749-d8dc-4354-a547-6d86f89c8130"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e04e6381-aaff-4a15-98f6-dcda94c5c67c"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:742850a7-f678-4ff4-a5d6-0fb6ee6734a5"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:b3cc68da-4ba4-4fe8-a4d8-0142a16f0834"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e60bf0db-fa68-4c51-86f1-e7deb97b5ed4"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e1e4a5d6-323a-4a28-b715-c01fbe64465c"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:2481678f-df52-4348-a318-d683e4a43c87"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:e1810587-96b3-4c30-8d8e-ad5818d7e39b"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:a2a31147-b127-4fa0-b6dd-c8b2ee3acf54"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:76917b12-3fdf-41cd-80e2-fd9aae72b378"/>
               </entry>
               <entry>
                  <reference value="urn:uuid:a1479b16-77f7-4451-8055-636f51d47d3f"/>
               </entry>
            </section>
         </Composition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
      <resource>
         <Patient>
            <id value="582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
            <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>Trinidad Ledesma</td>
                        <td>male</td>
                        <td>16-Apr-1950</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="ES"/>
                     </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="2966-560528-2"/>
            </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="0c23254c-16b4-d987-19c5-f7fe1236c828"/>
            </identifier>
            <name>
               <text value="Trinidad Ledesma"/>
               <family value="Ledesma"/>
               <given value="Trinidad"/>
            </name>
            <telecom>
               <system value="phone"/>
               <value value="+34948 80 85 42"/>
            </telecom>
            <gender value="male"/>
            <birthDate value="1950-04-16"/>
            <address>
               <use value="home"/>
               <type value="physical"/>
               <line value="Calle de Ainara Méndez 2 Apt. 70 "/>
               <city value="Teruel"/>
               <postalCode value="44001"/>
               <country value="Spain"/>
            </address>
         </Patient>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:add0503d-eda0-49f9-9840-4d198e60fbf5"/>
      <resource>
         <Encounter>
            <id value="add0503d-eda0-49f9-9840-4d198e60fbf5"/>
            <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>Centro de Rehabilitación San Juan de Dios, Teruel, Spain</td>
                        <td>25-11-2015 - 06-12-2015</td>
                        <td>
                           <ul>
                              <li>Substance dependence (disorder)</li>
                           </ul>
                        </td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <class>
               <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
               <code value="IMP"/>
            </class>
            <subject>
               <reference value="Patient/582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <participant>
               <type>
                  <coding>
                     <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                     <code value="PPRF"/>
                     <display value="primary performer"/>
                  </coding>
               </type>
               <period>
                  <end value="2015-12-06"/>
               </period>
               <individual>
                  <reference value="urn:uuid:7c9e6cdd-cb6c-4e40-9340-7ac379c574c3"/>
               </individual>
            </participant>
            <period>
               <start value="2015-12-06"/>
            </period>
            <reasonCode>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="6525002"/>
                  <display value="Substance dependence (disorder)"/>
               </coding>
            </reasonCode>
            <serviceProvider>
               <reference value="urn:uuid:a83c423e-a6c2-4b93-bb0a-c8a0284c48f5"/>
            </serviceProvider>
         </Encounter>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:c50db4c5-5385-467b-af05-905562196003"/>
      <resource>
         <PractitionerRole>
            <id value="c50db4c5-5385-467b-af05-905562196003"/>
            <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: c50db4c5-5385-467b-af05-905562196003</div>
            </text>
            <practitioner>
               <reference value="urn:uuid:7c9e6cdd-cb6c-4e40-9340-7ac379c574c3"/>
            </practitioner>
            <organization>
               <reference value="urn:uuid:a83c423e-a6c2-4b93-bb0a-c8a0284c48f5"/>
            </organization>
         </PractitionerRole>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:a83c423e-a6c2-4b93-bb0a-c8a0284c48f5"/>
      <resource>
         <Organization>
            <id value="a83c423e-a6c2-4b93-bb0a-c8a0284c48f5"/>
            <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: Centro de Rehabilitación San Juan de Dios, 44001 Teruel, Spain</div>
            </text>
            <name value="Centro de Rehabilitación San Juan de Dios"/>
            <address>
               <city value="Teruel"/>
               <postalCode value="44001"/>
               <country value="Spain"/>
            </address>
         </Organization>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:7c9e6cdd-cb6c-4e40-9340-7ac379c574c3"/>
      <resource>
         <Practitioner>
            <id value="7c9e6cdd-cb6c-4e40-9340-7ac379c574c3"/>
            <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: Nélida Grau</div>
            </text>
            <identifier>
               <system value="urn:oid:2.16.840.1.113883.2.51.999"/>
               <value value="407b3ccc-701e-4e00-a8b0-ce699434d439"/>
               <assigner>
                  <display value="HL7 Europe"/>
               </assigner>
            </identifier>
            <name>
               <family value="Grau"/>
               <given value="Nélida"/>
            </name>
         </Practitioner>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:73f831a6-29b3-45fa-ba61-277971ad7244"/>
      <resource>
         <Condition>
            <id value="73f831a6-29b3-45fa-ba61-277971ad7244"/>
            <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">06-Dec-2015</span>
                        </td>
                        <td>active</td>
                     </tr>
                  </table>
               </div>
            </text>
            <category>
               <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                  <code value="encounter-diagnosis"/>
                  <display value="Encounter Diagnosis"/>
               </coding>
            </category>
            <code>
               <coding>
                  <system value="http://hl7.org/fhir/sid/icd-10"/>
                  <code value="F19.2"/>
                  <display value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/>
               </coding>
               <text value="Mental and behavioural disorders due to multiple drug use – dependence syndrome"/>
            </code>
            <subject>
               <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <onsetDateTime value="2015-12-06"/>
         </Condition>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:9c1f8749-d8dc-4354-a547-6d86f89c8130"/>
      <resource>
         <Procedure>
            <id value="9c1f8749-d8dc-4354-a547-6d86f89c8130"/>
            <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>Initial psychiatric assessment on admission</td>
                        <td>
                           <span class="nb">25-Nov-2015</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="20135006"/>
                  <display value="Screening procedure (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2015-11-25"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e04e6381-aaff-4a15-98f6-dcda94c5c67c"/>
      <resource>
         <Procedure>
            <id value="e04e6381-aaff-4a15-98f6-dcda94c5c67c"/>
            <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">26-Nov-2015</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:582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2015-11-26"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:742850a7-f678-4ff4-a5d6-0fb6ee6734a5"/>
      <resource>
         <Procedure>
            <id value="742850a7-f678-4ff4-a5d6-0fb6ee6734a5"/>
            <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 test</td>
                        <td>
                           <span class="nb">26-Nov-2015</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:582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2015-11-26"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:b3cc68da-4ba4-4fe8-a4d8-0142a16f0834"/>
      <resource>
         <Procedure>
            <id value="b3cc68da-4ba4-4fe8-a4d8-0142a16f0834"/>
            <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>Electrocardiogram</td>
                        <td>
                           <span class="nb">27-Nov-2015</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="29303009"/>
                  <display value="Electrocardiographic procedure (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2015-11-27"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e60bf0db-fa68-4c51-86f1-e7deb97b5ed4"/>
      <resource>
         <Procedure>
            <id value="e60bf0db-fa68-4c51-86f1-e7deb97b5ed4"/>
            <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>Withdrawal severity assessment (CIWA-Ar)</td>
                        <td>
                           <span class="nb">27-Nov-2015</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="386806002"/>
                  <display value="Impaired cognition (finding)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2015-11-27"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e1e4a5d6-323a-4a28-b715-c01fbe64465c"/>
      <resource>
         <Procedure>
            <id value="e1e4a5d6-323a-4a28-b715-c01fbe64465c"/>
            <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>Withdrawal monitoring and management</td>
                        <td>
                           <span class="nb">25-Nov-2015</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="182777000"/>
                  <display value="Monitoring of patient (regime/therapy)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2015-11-25"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:2481678f-df52-4348-a318-d683e4a43c87"/>
      <resource>
         <Procedure>
            <id value="2481678f-df52-4348-a318-d683e4a43c87"/>
            <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">26-Nov-2015</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="18629005"/>
                  <display value="Administration of drug or medicament (procedure)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2015-11-26"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:e1810587-96b3-4c30-8d8e-ad5818d7e39b"/>
      <resource>
         <Procedure>
            <id value="e1810587-96b3-4c30-8d8e-ad5818d7e39b"/>
            <meta>
               <profile value="http://hl7.eu/fhir/base/StructureDefinition/procedure-eu-core"/>
            </meta>
            <text>
               <status value="generated"/>
               <div xmlns="http://www.w3.org/1999/xhtml">
                  <table class="hl7__ips">
                     <tr>
                        <td>Individual psychotherapy session</td>
                        <td>
                           <span class="nb">28-Nov-2015</span>
                        </td>
                        <td>-</td>
                     </tr>
                  </table>
               </div>
            </text>
            <status value="completed"/>
            <code>
               <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="229070002"/>
                  <display value="Stretching exercises (regime/therapy)"/>
               </coding>
            </code>
            <subject>
               <reference value="urn:uuid:582c60bc-fc49-4e81-90a7-072da5d6c97f"/>
               <display value="Trinidad Ledesma"/>
            </subject>
            <performedDateTime value="2015-11-28"/>
         </Procedure>
      </resource>
   </entry>
   <entry>
      <fullUrl value="urn:uuid:a2a31147-b127-4fa0-b6dd-c8b2ee3acf54"/>
      <resource>
         <Procedure>
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