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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you of the discharge of your 46-year-old female patient, admitted on 14th September 2021 due to substance dependence disorder. Upon admission, a comprehensive psychiatric and somatic assessment was conducted, including structured clinical interviews, toxicological screening, and physical examination, confirming multiple substance dependence (ICD-10: F19.2). During her brief inpatient stay, the patient underwent medically supervised detoxification with pharmacological support to manage withdrawal symptoms. Motivational counselling sessions were initiated alongside psychoeducation regarding substance use risks and relapse prevention strategies. At discharge on 15th September 2021, the patient was clinically stabilised, motivated for continued abstinence, and referred to outpatient addiction counselling. We recommend close follow-up, ongoing psychological support, and monitoring of potential comorbidities. Please do not hesitate to contact us should further information be required.</div>"
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            "title": "Diagnosis at Discharge"
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          {
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__hdr\"><tr><td>Referral to outpatient addiction counselling</td><td><span class=\"nb\">15-Sep-2021</span></td><td>-</td></tr></table></div>"
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                "reference": "urn:uuid:2d4be872-dbd4-43ca-89b6-0bead3e43489"
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          "reference": "urn:uuid:061c843c-3b42-4617-a5bd-3b207bf4ba6e",
          "display": "Justine Renner"
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        "date": "2021-09-15T00:00:00Z",
        "confidentiality": "N"
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            "value": "df3d05c1-d6bc-1382-fabb-b6efa878f3c4"
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        ],
        "name": [
          {
            "given": [
              "Justine"
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            "family": "Renner",
            "text": "Justine Renner"
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        ],
        "address": [
          {
            "line": [
              "Willfried-Killer-Allee 54/21"
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            "use": "home",
            "type": "physical",
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            "city": "Wolfratshausen",
            "country": "Germany"
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        ],
        "telecom": [
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            "system": "phone",
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                  "coding": [
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            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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        ],
        "text": {
          "status": "generated",
          "div": "<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>"
        },
        "gender": "female",
        "birthDate": "1979-08-26"
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                    "display": "primary performer"
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                ]
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            ],
            "period": {
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        ],
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Benedictus Krankenhaus Feldafing, Feldafing, Germany</td><td>14-09-2021 - 15-09-2021</td><td><ul><li>Substance dependence (disorder)</li></ul></td></tr></table></div>"
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        "subject": {
          "reference": "Patient/061c843c-3b42-4617-a5bd-3b207bf4ba6e",
          "display": "Justine Renner"
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        "resourceType": "PractitionerRole",
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: d873f72d-6d7a-4fbc-b073-b531911d082d</div>"
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        "address": [
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            "city": "Feldafing",
            "postalCode": "82340",
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital: Benedictus Krankenhaus Feldafing, 82340 Feldafing, Germany</div>"
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        "name": "Benedictus Krankenhaus Feldafing"
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        "name": [
          {
            "given": [
              "Leander"
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            "family": "Etzold"
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        ],
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Practitioner in Hospital: Leander Etzold</div>"
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    {
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        "category": [
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              "system": "http://hl7.org/fhir/sid/icd-10",
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          "text": "Mental and behavioural disorders due to multiple drug use – dependence syndrome"
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        },
        "onsetDateTime": "2021-09-15",
        "subject": {
          "reference": "urn:uuid:061c843c-3b42-4617-a5bd-3b207bf4ba6e",
          "display": "Justine Renner"
        }
      }
    },
    {
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      "resource": {
        "resourceType": "Procedure",
        "id": "2d4be872-dbd4-43ca-89b6-0bead3e43489",
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        },
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          "display": "Justine Renner"
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          "display": "Justine Renner"
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              "display": "Blood test (procedure)"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Blood specimen collection for laboratory testing</td><td><span class=\"nb\">14-Sep-2021</span></td><td>-</td></tr></table></div>"
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          "display": "Justine Renner"
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              "display": "Procedure related to management of drug administration (procedure)"
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Pharmacological management of withdrawal symptoms</td><td><span class=\"nb\">14-Sep-2021</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
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        "subject": {
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          "display": "Justine Renner"
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      }
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    {
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        "code": {
          "coding": [
            {
              "code": "370847001",
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              "display": "Dietary needs education (procedure)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Motivational counselling session</td><td><span class=\"nb\">15-Sep-2021</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2021-09-15",
        "subject": {
          "reference": "urn:uuid:061c843c-3b42-4617-a5bd-3b207bf4ba6e",
          "display": "Justine Renner"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:a307c195-e362-4b42-9575-d18d46ed4401",
      "resource": {
        "resourceType": "Procedure",
        "id": "a307c195-e362-4b42-9575-d18d46ed4401",
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        "code": {
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Psychoeducation for substance dependence</td><td><span class=\"nb\">15-Sep-2021</span></td><td>-</td></tr></table></div>"
        },
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        "subject": {
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          "display": "Justine Renner"
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    {
      "fullUrl": "urn:uuid:dc78945d-2f24-4219-8ee3-083c30044b42",
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              "code": "306206005",
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        "text": {
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    {
      "fullUrl": "urn:uuid:cb836ed4-f6e7-48a5-ac49-9b492ebf6c3e",
      "resource": {
        "resourceType": "Device",
        "id": "cb836ed4-f6e7-48a5-ac49-9b492ebf6c3e",
        "deviceName": [
          {
            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
          }
        ],
        "version": [
          {
            "value": "5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
        },
        "status": "active",
        "distinctIdentifier": "synderai-generator-50",
        "manufacturer": "SYNDERAI Project"
      }
    },
    {
      "fullUrl": "urn:uuid:2687b464-114e-4585-a53a-cd87cd07ad68",
      "resource": {
        "resourceType": "Provenance",
        "id": "2687b464-114e-4585-a53a-cd87cd07ad68",
        "target": [
          {
            "reference": "urn:uuid:061c843c-3b42-4617-a5bd-3b207bf4ba6e"
          },
          {
            "reference": "urn:uuid:d873f72d-6d7a-4fbc-b073-b531911d082d"
          },
          {
            "reference": "urn:uuid:e2fe9fb0-3ac6-49df-9bee-4d72639a54ff"
          },
          {
            "reference": "urn:uuid:f1968edc-a22f-419c-ba85-10ca34e603d5"
          }
        ],
        "activity": {
          "coding": [
            {
              "code": "CREATE",
              "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
              "display": "create"
            }
          ],
          "text": "Synthetic Example Data Generation"
        },
        "policy": [
          "https://synderai.net/synderai-synthetic-data-policy"
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "display": "Author"
                }
              ],
              "text": "author"
            },
            "who": {
              "reference": "urn:uuid:cb836ed4-f6e7-48a5-ac49-9b492ebf6c3e"
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          }
        ],
        "reason": [
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              {
                "code": "TRAIN",
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "display": "training"
              }
            ],
            "text": "Interoperability Testing and Training (non-clinical use)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Provenance for SYNDERAI Synthetic Example Data Resource</div>"
        },
        "recorded": "2026-03-20T18:19:09Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2021-09-15T00:00:00Z"
}