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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Severe aortic stenosis, valve replacement performed</div>"
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dear colleague, I am writing to inform you regarding your patient, an 81-year-old male admitted under our care for severe aortic valve stenosis. Upon admission, echocardiographic assessment confirmed critical aortic stenosis with significantly reduced valve area and elevated mean transvalvular gradient. Given his symptomatic presentation and the severity of findings, the patient was evaluated by our multidisciplinary heart team. Following careful risk stratification and cardiac catheterization, he underwent successful surgical aortic valve replacement without perioperative complications. Post-operative recovery was uneventful, with satisfactory haemodynamic parameters on discharge. Current medication adjustments have been made accordingly, and I kindly request continued follow-up including wound inspection, anticoagulation monitoring, and cardiac rehabilitation referral. Please do not hesitate to contact us should any concerns arise. With collegial regards.</div>"
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              "coding": [
                {
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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>Administration of anesthesia AND/OR sedation (procedure)</td><td><span class=\"nb\">31-Jul-2021</span></td><td>-</td></tr></table></div>"
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            "title": "Significant procedures"
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        "date": "2021-08-02T00:00:00Z",
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        "identifier": [
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            "system": "http://local.setting.eu/identifier",
            "value": "54767e78-1ba4-568e-5303-4d4d6590afcc"
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        "name": [
          {
            "given": [
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            "text": "Roger Lefèvre"
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        ],
        "address": [
          {
            "line": [
              "56, boulevard Julie Lemaître"
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            "use": "home",
            "type": "physical",
            "postalCode": "97480",
            "city": "Mahe-sur-Dijoux",
            "country": "France"
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        ],
        "telecom": [
          {
            "system": "phone",
            "value": "+33 (0)2 51 71 25 38"
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        "extension": [
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            "extension": [
              {
                "url": "code",
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                  "coding": [
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              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-nationality"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Roger Lefèvre</td><td>male</td><td>26-Jun-1944</td></tr></table></div>"
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Centre Medical Mon Caprice, , France</td><td>01-08-2021 - 02-08-2021</td><td><ul><li>Aortic valve stenosis (disorder)</li></ul></td></tr></table></div>"
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        "status": "completed",
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          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Hospital Role Id: 643afb51-a63e-46f3-a159-e27f6324472a</div>"
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        "name": "Centre Medical Mon Caprice"
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              "code": "I35.0",
              "system": "http://hl7.org/fhir/sid/icd-10",
              "display": "Aortic (valve) stenosis"
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          ],
          "text": "Aortic (valve) stenosis"
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        "text": {
          "status": "generated",
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              "code": "34896006",
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              "display": "Incision"
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          ]
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        "text": {
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              "display": "Application of dressing, sterile"
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              "code": "133900002",
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              "display": "Intraoperative care"
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        "text": {
          "status": "generated",
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        },
        "status": "completed",
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        "subject": {
          "reference": "urn:uuid:8856cc40-1a2d-4afb-a025-0c09185fbc5f",
          "display": "Roger Lefèvre"
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    {
      "fullUrl": "urn:uuid:2cb81d3e-8f69-40f4-a2e2-e2fbd25fb8df",
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        "code": {
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              "code": "773996000",
              "system": "http://snomed.info/sct",
              "display": "Transcatheter aortic valve implantation"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Transcatheter aortic valve implantation (procedure)</td><td><span class=\"nb\">01-Aug-2021</span></td><td>-</td></tr></table></div>"
        },
        "status": "completed",
        "performedDateTime": "2021-08-01",
        "subject": {
          "reference": "urn:uuid:8856cc40-1a2d-4afb-a025-0c09185fbc5f",
          "display": "Roger Lefèvre"
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    {
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        "code": {
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              "code": "410011004",
              "system": "http://snomed.info/sct",
              "display": "Administration of anesthesia AND/OR sedation"
            }
          ]
        },
        "text": {
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          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table class=\"hl7__ips\"><tr><td>Administration of anesthesia AND/OR sedation (procedure)</td><td><span class=\"nb\">31-Jul-2021</span></td><td>-</td></tr></table></div>"
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      "fullUrl": "urn:uuid:7a9a8f3e-06b9-4f10-9331-394ff90328ca",
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        "resourceType": "Device",
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            "name": "SYNDERAI Synthetic Generator",
            "type": "manufacturer-name"
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        "version": [
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        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">SYNDERAI Synthetic Generator v5.0</div>"
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        "distinctIdentifier": "synderai-generator-50",
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          {
            "reference": "urn:uuid:7adc1966-29d5-4ea2-a830-7c26364dc0b1"
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            {
              "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": {
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                {
                  "code": "author",
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
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              ],
              "text": "author"
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                "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": "2026-03-20T18:15:17Z"
      }
    }
  ],
  "type": "document",
  "timestamp": "2021-08-02T00:00:00Z"
}