intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:f1968edc-a22f-419c-ba85-10ca34e603d5"/> </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 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> </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">15-Sep-2021</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:c7df70ec-41c1-470a-9c4c-7116b11eede3"/> </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>Referral to outpatient addiction counselling</td> <td> <span class="nb">15-Sep-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:2d4be872-dbd4-43ca-89b6-0bead3e43489"/> </entry> <entry> <reference value="urn:uuid:9d463e21-7308-42f1-8c4f-69a9d473b9b7"/> </entry> <entry> <reference value="urn:uuid:a1d08bab-ef2f-4b32-ab27-95e884815253"/> </entry> <entry> <reference value="urn:uuid:f9d56fe2-d270-408b-a7bb-bc7c4638fd04"/> </entry> <entry> <reference value="urn:uuid:f5c0d552-0d9c-45ca-ac7b-e6509042953b"/> </entry> <entry> <reference value="urn:uuid:a307c195-e362-4b42-9575-d18d46ed4401"/> </entry> <entry> <reference value="urn:uuid:dc78945d-2f24-4219-8ee3-083c30044b42"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:061c843c-3b42-4617-a5bd-3b207bf4ba6e"/> <resource> <Patient> <id value="061c843c-3b42-4617-a5bd-3b207bf4ba6e"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/patient-eu-core"/> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> </security> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TRAIN"/> </security> <tag> <system value="https://synderai.net/fhir/CodeSystem/tags"/> <code value="synthetic"/> <display value="SYNDERAI Synthetic data"/> </tag> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Justine Renner</td> <td>female</td> <td>26-Aug-1979</td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/patient-nationality"> <extension url="code"> <valueCodeableConcept> <coding> <system value="urn:iso:std:iso:3166"/> <code value="DE"/> </coding> </valueCodeableConcept> </extension> </extension> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="JHN"/> </coding> </type> <system value="http://ec.europa.eu/identifier/eci"/> <value value="5986-489081-5"/> </identifier> <identifier> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> </coding> </type> <system value="http://local.setting.eu/identifier"/> <value value="df3d05c1-d6bc-1382-fabb-b6efa878f3c4"/> </identifier> <name> <text value="Justine Renner"/> <family value="Renner"/> <given value="Justine"/> </name> <telecom> <system value="phone"/> <value value="(06451) 696717"/> </telecom> <gender value="female"/> <birthDate value="1979-08-26"/> <address> <use value="home"/> <type value="physical"/> <line value="Willfried-Killer-Allee 54/21"/> <city value="Wolfratshausen"/> <postalCode value="82515"/> <country value="Germany"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:52fca83f-7a66-4922-a0bf-17cd664708ac"/> <resource> <Encounter> <id value="52fca83f-7a66-4922-a0bf-17cd664708ac"/> <meta> <profile value="http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Benedictus Krankenhaus Feldafing, Feldafing, Germany</td> <td>14-09-2021 - 15-09-2021</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/061c843c-3b42-4617-a5bd-3b207bf4ba6e"/> <display value="Justine Renner"/> </subject> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="PPRF"/> <display value="primary performer"/> </coding> </type> <period> <end value="2021-09-15"/> </period> <individual> <reference value="urn:uuid:e2fe9fb0-3ac6-49df-9bee-4d72639a54ff"/> </individual> </participant> <period> <start value="2021-09-15"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="6525002"/> <display value="Substance dependence (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:f1968edc-a22f-419c-ba85-10ca34e603d5"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:d873f72d-6d7a-4fbc-b073-b531911d082d"/> <resource> <PractitionerRole> <id value="d873f72d-6d7a-4fbc-b073-b531911d082d"/> <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: d873f72d-6d7a-4fbc-b073-b531911d082d</div> </text> <practitioner> <reference value="urn:uuid:e2fe9fb0-3ac6-49df-9bee-4d72639a54ff"/> </practitioner> <organization> <reference value="urn:uuid:f1968edc-a22f-419c-ba85-10ca34e603d5"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:f1968edc-a22f-419c-ba85-10ca34e603d5"/> <resource> <Organization> <id value="f1968edc-a22f-419c-ba85-10ca34e603d5"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/organization-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Hospital: Benedictus Krankenhaus Feldafing, 82340 Feldafing, Germany</div> </text> <name value="Benedictus Krankenhaus Feldafing"/> <address> <city value="Feldafing"/> <postalCode value="82340"/> <country value="Germany"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:e2fe9fb0-3ac6-49df-9bee-4d72639a54ff"/> <resource> <Practitioner> <id value="e2fe9fb0-3ac6-49df-9bee-4d72639a54ff"/> <meta> <profile value="http://hl7.eu/fhir/base/StructureDefinition/practitioner-eu-core"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">Practitioner in Hospital: Leander Etzold</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="89117726-98f3-49d7-bec3-d94457e9de94"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="Etzold"/> <given value="Leander"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:c7df70ec-41c1-470a-9c4c-7116b11eede3"/> <resource> <Condition> <id value="c7df70ec-41c1-470a-9c4c-7116b11eede3"/> <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">15-Sep-2021</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:061c843c-3b42-4617-a5bd-3b207bf4ba6e"/> <display value="Justine Renner"/> </subject> <onsetDateTime value="2021-09-15"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:2d4be872-dbd4-43ca-89b6-0bead3e43489"/> <resource> <Procedure> <id value="2d4be872-dbd4-43ca-89b6-0bead3e43489"/> <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>Structured clinical interview for substance use assessment</td> <td> <span class="nb">14-Sep-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="363787002"/> <display value="Observable entity (observable entity)"/> </coding> </code> <subject> <reference value="urn:uuid:061c843c-3b42-4617-a5bd-3b207bf4ba6e"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2021-09-14"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:9d463e21-7308-42f1-8c4f-69a9d473b9b7"/> <resource> <Procedure> <id value="9d463e21-7308-42f1-8c4f-69a9d473b9b7"/> <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</td> <td> <span class="nb">14-Sep-2021</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:061c843c-3b42-4617-a5bd-3b207bf4ba6e"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2021-09-14"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:a1d08bab-ef2f-4b32-ab27-95e884815253"/> <resource> <Procedure> <id value="a1d08bab-ef2f-4b32-ab27-95e884815253"/> <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 specimen collection for laboratory testing</td> <td> <span class="nb">14-Sep-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="396550006"/> <display value="Blood test (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:061c843c-3b42-4617-a5bd-3b207bf4ba6e"/> <display value="Justine 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<text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table class="hl7__ips"> <tr> <td>Referral to outpatient addiction counselling</td> <td> <span class="nb">15-Sep-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="306206005"/> <display value="Referral to service (procedure)"/> </coding> </code> <subject> <reference value="urn:uuid:061c843c-3b42-4617-a5bd-3b207bf4ba6e"/> <display value="Justine Renner"/> </subject> <performedDateTime value="2021-09-15"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:cb836ed4-f6e7-48a5-ac49-9b492ebf6c3e"/> <resource> <Device> <id value="cb836ed4-f6e7-48a5-ac49-9b492ebf6c3e"/> <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 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