intentionally left empty / not meaningful
 <confidentiality value="N"/> <custodian> <reference value="urn:uuid:7adc1966-29d5-4ea2-a830-7c26364dc0b1"/> </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">Severe aortic stenosis, valve replacement 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, 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> </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>Aortic (valve) stenosis</td> <td> <span class="nb">02-Aug-2021</span> </td> <td>active</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:38209cd5-79e6-4997-9b96-eb8c7ca5fc56"/> </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>Administration of anesthesia AND/OR sedation (procedure)</td> <td> <span class="nb">31-Jul-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <entry> <reference value="urn:uuid:e7b5d072-e8bf-4fba-9a88-eb6350853aed"/> </entry> <entry> <reference value="urn:uuid:7d06578a-fe48-480b-bedb-bc693c75b4df"/> </entry> <entry> <reference value="urn:uuid:bb068bfa-ddc6-486a-b5cf-e2e87536760b"/> </entry> <entry> <reference value="urn:uuid:429f30cf-bed9-436c-b36b-4dac69911bed"/> </entry> <entry> <reference value="urn:uuid:2cb81d3e-8f69-40f4-a2e2-e2fbd25fb8df"/> </entry> <entry> <reference value="urn:uuid:5a23ae77-2d2d-4487-b9dc-3b0ba0177cd3"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="urn:uuid:8856cc40-1a2d-4afb-a025-0c09185fbc5f"/> <resource> <Patient> <id value="8856cc40-1a2d-4afb-a025-0c09185fbc5f"/> <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>Roger Lefèvre</td> <td>male</td> <td>26-Jun-1944</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="FR"/> </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="4279-145450-9"/> </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="54767e78-1ba4-568e-5303-4d4d6590afcc"/> </identifier> <name> <text value="Roger Lefèvre"/> <family value="Lefèvre"/> <given value="Roger"/> </name> <telecom> <system value="phone"/> <value value="+33 (0)2 51 71 25 38"/> </telecom> <gender value="male"/> <birthDate value="1944-06-26"/> <address> <use value="home"/> <type value="physical"/> <line value="56, boulevard Julie Lemaître"/> <city value="Mahe-sur-Dijoux"/> <postalCode value="97480"/> <country value="France"/> </address> </Patient> </resource> </entry> <entry> <fullUrl value="urn:uuid:47976180-e061-4dc1-8c85-0f8b9df56d70"/> <resource> <Encounter> <id value="47976180-e061-4dc1-8c85-0f8b9df56d70"/> <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>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> </text> <status value="completed"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> </class> <subject> <reference value="Patient/8856cc40-1a2d-4afb-a025-0c09185fbc5f"/> <display value="Roger Lefèvre"/> </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="2021-08-02"/> </period> <individual> <reference value="urn:uuid:1426d5ca-650b-48a3-9eb7-733357c2bd7a"/> </individual> </participant> <period> <start value="2021-08-02"/> </period> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="60573004"/> <display value="Aortic valve stenosis (disorder)"/> </coding> </reasonCode> <serviceProvider> <reference value="urn:uuid:7adc1966-29d5-4ea2-a830-7c26364dc0b1"/> </serviceProvider> </Encounter> </resource> </entry> <entry> <fullUrl value="urn:uuid:643afb51-a63e-46f3-a159-e27f6324472a"/> <resource> <PractitionerRole> <id value="643afb51-a63e-46f3-a159-e27f6324472a"/> <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: 643afb51-a63e-46f3-a159-e27f6324472a</div> </text> <practitioner> <reference value="urn:uuid:1426d5ca-650b-48a3-9eb7-733357c2bd7a"/> </practitioner> <organization> <reference value="urn:uuid:7adc1966-29d5-4ea2-a830-7c26364dc0b1"/> </organization> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="urn:uuid:7adc1966-29d5-4ea2-a830-7c26364dc0b1"/> <resource> <Organization> <id value="7adc1966-29d5-4ea2-a830-7c26364dc0b1"/> <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: Centre Medical Mon Caprice, , France</div> </text> <name value="Centre Medical Mon Caprice"/> <address> <country value="France"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:1426d5ca-650b-48a3-9eb7-733357c2bd7a"/> <resource> <Practitioner> <id value="1426d5ca-650b-48a3-9eb7-733357c2bd7a"/> <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: given_name family_name</div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.2.51.999"/> <value value="bdd8961d-ff4f-4f39-9ce8-70568ee3f8e6"/> <assigner> <display value="HL7 Europe"/> </assigner> </identifier> <name> <family value="family_name"/> <given value="given_name"/> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:38209cd5-79e6-4997-9b96-eb8c7ca5fc56"/> <resource> <Condition> <id value="38209cd5-79e6-4997-9b96-eb8c7ca5fc56"/> <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>Aortic (valve) stenosis</td> <td> <span class="nb">02-Aug-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="I35.0"/> <display value="Aortic (valve) stenosis"/> </coding> <text value="Aortic (valve) stenosis"/> </code> <subject> <reference value="urn:uuid:8856cc40-1a2d-4afb-a025-0c09185fbc5f"/> <display value="Roger Lefèvre"/> </subject> <onsetDateTime value="2021-08-02"/> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:e7b5d072-e8bf-4fba-9a88-eb6350853aed"/> <resource> <Procedure> <id value="e7b5d072-e8bf-4fba-9a88-eb6350853aed"/> <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>Incision (procedure)</td> <td> <span class="nb">01-Aug-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="34896006"/> <display value="Incision"/> </coding> </code> <subject> <reference value="urn:uuid:8856cc40-1a2d-4afb-a025-0c09185fbc5f"/> <display value="Roger Lefèvre"/> </subject> <performedDateTime value="2021-08-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:7d06578a-fe48-480b-bedb-bc693c75b4df"/> <resource> <Procedure> <id value="7d06578a-fe48-480b-bedb-bc693c75b4df"/> <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>Patient transfer, in-hospital (procedure)</td> <td> <span class="nb">01-Aug-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="37729005"/> <display value="Patient transfer, in-hospital"/> </coding> </code> <subject> <reference value="urn:uuid:8856cc40-1a2d-4afb-a025-0c09185fbc5f"/> <display value="Roger Lefèvre"/> </subject> <performedDateTime value="2021-08-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:bb068bfa-ddc6-486a-b5cf-e2e87536760b"/> <resource> <Procedure> <id value="bb068bfa-ddc6-486a-b5cf-e2e87536760b"/> <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>Application of dressing, sterile (procedure)</td> <td> <span class="nb">01-Aug-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="58828004"/> <display value="Application of dressing, sterile"/> </coding> </code> <subject> <reference value="urn:uuid:8856cc40-1a2d-4afb-a025-0c09185fbc5f"/> <display value="Roger Lefèvre"/> </subject> <performedDateTime value="2021-08-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:429f30cf-bed9-436c-b36b-4dac69911bed"/> <resource> <Procedure> <id value="429f30cf-bed9-436c-b36b-4dac69911bed"/> <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>Intraoperative care (regime/therapy)</td> <td> <span class="nb">01-Aug-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="133900002"/> <display value="Intraoperative care"/> </coding> </code> <subject> <reference value="urn:uuid:8856cc40-1a2d-4afb-a025-0c09185fbc5f"/> <display value="Roger Lefèvre"/> </subject> <performedDateTime value="2021-08-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:2cb81d3e-8f69-40f4-a2e2-e2fbd25fb8df"/> <resource> <Procedure> <id value="2cb81d3e-8f69-40f4-a2e2-e2fbd25fb8df"/> <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>Transcatheter aortic valve implantation (procedure)</td> <td> <span class="nb">01-Aug-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="773996000"/> <display value="Transcatheter aortic valve implantation"/> </coding> </code> <subject> <reference value="urn:uuid:8856cc40-1a2d-4afb-a025-0c09185fbc5f"/> <display value="Roger Lefèvre"/> </subject> <performedDateTime value="2021-08-01"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:5a23ae77-2d2d-4487-b9dc-3b0ba0177cd3"/> <resource> <Procedure> <id value="5a23ae77-2d2d-4487-b9dc-3b0ba0177cd3"/> <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>Administration of anesthesia AND/OR sedation (procedure)</td> <td> <span class="nb">31-Jul-2021</span> </td> <td>-</td> </tr> </table> </div> </text> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="410011004"/> <display value="Administration of anesthesia AND/OR sedation"/> </coding> </code> <subject> <reference value="urn:uuid:8856cc40-1a2d-4afb-a025-0c09185fbc5f"/> <display value="Roger Lefèvre"/> </subject> <performedDateTime value="2021-07-31"/> </Procedure> </resource> </entry> <entry> <fullUrl value="urn:uuid:7a9a8f3e-06b9-4f10-9331-394ff90328ca"/> <resource> <Device> <id value="7a9a8f3e-06b9-4f10-9331-394ff90328ca"/> <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:bad31fd2-e42e-4ba2-98b0-096d11fda0cc"/> <resource> <Provenance> <id value="bad31fd2-e42e-4ba2-98b0-096d11fda0cc"/> <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:8856cc40-1a2d-4afb-a025-0c09185fbc5f"/> </target> <target> <reference value="urn:uuid:643afb51-a63e-46f3-a159-e27f6324472a"/> </target> <target> <reference value="urn:uuid:1426d5ca-650b-48a3-9eb7-733357c2bd7a"/> </target> <target> <reference value="urn:uuid:7adc1966-29d5-4ea2-a830-7c26364dc0b1"/> </target> <recorded value="2026-03-20T18:15:17Z"/> <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:7a9a8f3e-06b9-4f10-9331-394ff90328ca"/> </who> </agent> </Provenance> </resource> </entry> </Bundle>