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Procedure "1" Version "1"

Created by ANONYMOUS (Unknown) at 12/1/2017 6:41:01 PM(UTC) (Audit)

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Updated: by


<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="1"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-12-01T18:41:01Z"/>
    <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:0bc79f35-1431-42b5-881a-974d1fd28430"/>
  </identifier>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="410123007"/>
      <display value="Medication regimen compliance education"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/319"/>
  </subject>
  <performedPeriod>
    <start value="2016-01-22"/>
    <end value="2016-01-22"/>
  </performedPeriod>
</Procedure>

Procedure "example" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:49 AM(UTC)

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Updated: by

Routine Appendectomy

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:49Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Routine Appendectomy</div>
  </text>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="80146002"/>
      <display value="Appendectomy (Procedure)"/>
    </coding>
    <text value="Appendectomy"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <performedDateTime value="2013-04-05"/>
  <performer>
    <actor>
      <reference value="Practitioner/example"/>
      <display value="Dr Cecil Surgeon"/>
    </actor>
  </performer>
  <reasonCode>
    <text value="Generalized abdominal pain 24 hours. Localized in RIF with rebound and guarding"/>
  </reasonCode>
  <followUp>
    <text value="ROS 5 days - 2013-04-10"/>
  </followUp>
  <note>
    <text value="Routine Appendectomy. Appendix was inflamed and in retro-caecal position"/>
  </note>
</Procedure>

Procedure "physical-therapy" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:49 AM(UTC)

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Assessment of passive range of motion for both knees on Sept 27, 2016 due to osteoarthritis

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="physical-therapy"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:49Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Assessment of passive range of motion for both knees on Sept 27, 2016 due to osteoarthritis</div>
  </text>
  <basedOn>
    <reference value="ProcedureRequest/physical-therapy"/>
    <display value="Order for the assessment of passive range of motion"/>
  </basedOn>
  <status value="completed"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="386053000"/>
      <display value="Evaluation procedure (procedure)"/>
    </coding>
    <text value="Evaluation"/>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="710830005"/>
      <display value="Assessment of passive range of motion (procedure)"/>
    </coding>
    <text value="Assessment of passive range of motion"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <performedDateTime value="2016-09-27"/>
  <performer>
    <actor>
      <display value="Paul Therapist, PT"/>
    </actor>
  </performer>
  <location>
    <display value="Sawbones Orthopedic Clinic"/>
  </location>
  <reasonCode>
    <text value="assessment of mobility limitations due to osteoarthritis"/>
  </reasonCode>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="36701003"/>
      <display value="Both knees (body structure)"/>
    </coding>
    <text value="Both knees"/>
  </bodySite>
</Procedure>

Procedure "ob" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:49 AM(UTC)

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Updated: by

Vaginal delivery of healthy male infant on June 2, 2012

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="ob"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:49Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Vaginal delivery of healthy male infant on June 2, 2012</div>
  </text>
  <status value="completed"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="386637004"/>
      <display value="Obstetric procedure (procedure)"/>
    </coding>
    <text value="OB"/>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="22633006"/>
      <display value="Vaginal delivery, medical personnel present (procedure)"/>
    </coding>
    <text value="Vaginal delivery"/>
  </code>
  <subject>
    <display value="Jane Doe"/>
  </subject>
  <performedDateTime value="2012-06-02"/>
  <performer>
    <actor>
      <display value="Martha Midwife, RNP"/>
    </actor>
  </performer>
  <location>
    <display value="Women’s Hospital"/>
  </location>
  <reasonCode>
    <text value="term pregnancy, active labor"/>
  </reasonCode>
  <outcome>
    <text value="delivery of healthy male infant"/>
  </outcome>
</Procedure>

Procedure "example-implant" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:49 AM(UTC)

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Updated: by

Generated Narrative with Details

id: example-implant

status: completed

code: Implant Pacemaker (Details : {SNOMED CT code '25267002' = 'Insertion of intracardiac pacemaker', given as 'Insertion of intracardiac pacemaker (procedure)'})

subject: Patient/example

performed: 05/04/2015

Performers

-Actor
*Dr Cecil Surgeon

reasonCode: Bradycardia (Details )

followUp: ROS 5 days - 2013-04-10 (Details )

note: Routine Appendectomy. Appendix was inflamed and in retro-caecal position

FocalDevices

-ActionManipulated
*Implanted (Details : {http://hl7.org/fhir/device-action code 'implanted' = 'Implanted)Device/example-pacemaker

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="example-implant"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:49Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: example-implant</p>
      <p>
        <b>status</b>: completed</p>
      <p>
        <b>code</b>: Implant Pacemaker
        <span>(Details : {SNOMED CT code '25267002' = 'Insertion of intracardiac pacemaker', given as 'Insertion of intracardiac pacemaker (procedure)'})</span>
      </p>
      <p>
        <b>subject</b>:
        <a>Patient/example</a>
      </p>
      <p>
        <b>performed</b>: 05/04/2015</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>
            <a>Dr Cecil Surgeon</a>
          </td>
        </tr>
      </table>
      <p>
        <b>reasonCode</b>: Bradycardia
        <span>(Details )</span>
      </p>
      <p>
        <b>followUp</b>: ROS 5 days - 2013-04-10
        <span>(Details )</span>
      </p>
      <p>
        <b>note</b>: Routine Appendectomy. Appendix was inflamed and in retro-caecal position</p>
      <h3>FocalDevices</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Action</b>
          </td>
          <td>
            <b>Manipulated</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>Implanted
            <span>(Details : {http://hl7.org/fhir/device-action code 'implanted' = 'Implanted)</span>
          </td>
          <td>
            <a>Device/example-pacemaker</a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="25267002"/>
      <display value="Insertion of intracardiac pacemaker (procedure)"/>
    </coding>
    <text value="Implant Pacemaker"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <performedDateTime value="2015-04-05"/>
  <performer>
    <actor>
      <reference value="Practitioner/example"/>
      <display value="Dr Cecil Surgeon"/>
    </actor>
  </performer>
  <reasonCode>
    <text value="Bradycardia"/>
  </reasonCode>
  <followUp>
    <text value="ROS 5 days - 2013-04-10"/>
  </followUp>
  <note>
    <text value="Routine Appendectomy. Appendix was inflamed and in retro-caecal position"/>
  </note>
  <focalDevice>
    <action>
      <coding>
        <system value="http://hl7.org/fhir/device-action"/>
        <code value="implanted"/>
      </coding>
    </action>
    <manipulated>
      <reference value="Device/example-pacemaker"/>
    </manipulated>
  </focalDevice>
</Procedure>

Procedure "f201" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:49 AM(UTC)

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Updated: by

Generated Narrative with Details

id: f201

status: completed

code: Chemotherapy (Details : {SNOMED CT code '367336001' = 'Chemotherapy', given as 'Chemotherapy'})

subject: Roel

context: Roel's encounter on January 28th, 2013

performed: 28/01/2013 1:31:00 PM --> 28/01/2013 2:27:00 PM

Performers

-RoleActor
*Medical oncologist (Details : {SNOMED CT code '310512001' = 'Medical oncologist', given as 'Medical oncologist'})Dokter Bronsig

reasonCode: DiagnosticReport/f201 (Details )

bodySite: Sphenoid bone (Details : {SNOMED CT code '272676008' = 'Entire sphenoid bone', given as 'Sphenoid bone'})

note: Eerste neo-adjuvante TPF-kuur bij groot proces in sphenoid met intracraniale uitbreiding.


<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="f201"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:49Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: f201</p>
      <p>
        <b>status</b>: completed</p>
      <p>
        <b>code</b>: Chemotherapy
        <span>(Details : {SNOMED CT code '367336001' = 'Chemotherapy', given as 'Chemotherapy'})</span>
      </p>
      <p>
        <b>subject</b>:
        <a>Roel</a>
      </p>
      <p>
        <b>context</b>:
        <a>Roel's encounter on January 28th, 2013</a>
      </p>
      <p>
        <b>performed</b>: 28/01/2013 1:31:00 PM --&gt; 28/01/2013 2:27:00 PM</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Role</b>
          </td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>Medical oncologist
            <span>(Details : {SNOMED CT code '310512001' = 'Medical oncologist', given as 'Medical oncologist'})</span>
          </td>
          <td>
            <a>Dokter Bronsig</a>
          </td>
        </tr>
      </table>
      <p>
        <b>reasonCode</b>: DiagnosticReport/f201
        <span>(Details )</span>
      </p>
      <p>
        <b>bodySite</b>: Sphenoid bone
        <span>(Details : {SNOMED CT code '272676008' = 'Entire sphenoid bone', given as 'Sphenoid bone'})</span>
      </p>
      <p>
        <b>note</b>: Eerste neo-adjuvante TPF-kuur bij groot proces in sphenoid met intracraniale uitbreiding.</p>
    </div>
  </text>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="367336001"/>
      <display value="Chemotherapy"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/f201"/>
    <display value="Roel"/>
  </subject>
  <context>
    <reference value="Encounter/f202"/>
    <display value="Roel's encounter on January 28th, 2013"/>
  </context>
  <performedPeriod>
    <start value="2013-01-28T13:31:00+01:00"/>
    <end value="2013-01-28T14:27:00+01:00"/>
  </performedPeriod>
  <performer>
    <role>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="310512001"/>
        <display value="Medical oncologist"/>
      </coding>
    </role>
    <actor>
      <reference value="Practitioner/f201"/>
      <display value="Dokter Bronsig"/>
    </actor>
  </performer>
  <reasonCode>
    <text value="DiagnosticReport/f201"/>
  </reasonCode>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="272676008"/>
      <display value="Sphenoid bone"/>
    </coding>
  </bodySite>
  <note>
    <text value="Eerste neo-adjuvante TPF-kuur bij groot proces in sphenoid met intracraniale uitbreiding."/>
  </note>
</Procedure>

Procedure "f004" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:49 AM(UTC)

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Updated: by

Generated Narrative with Details

id: f004

status: completed

code: Tracheotomy (Details : {SNOMED CT code '48387007' = 'Incision of trachea', given as 'Tracheotomy'})

subject: P. van de Heuvel

context: Encounter/f003

performed: 22/03/2013 9:30:10 AM --> 22/03/2013 10:30:10 AM

Performers

-RoleActor
*Care role (Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'})A. Langeveld

reasonCode: ensure breathing during surgery (Details )

bodySite: Retropharyngeal area (Details : {SNOMED CT code '83030008' = 'Retropharyngeal area', given as 'Retropharyngeal area'})

outcome: removal of the retropharyngeal abscess (Details )

report: ???????????

followUp: described in care plan (Details )


<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="f004"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:49Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: f004</p>
      <p>
        <b>status</b>: completed</p>
      <p>
        <b>code</b>: Tracheotomy
        <span>(Details : {SNOMED CT code '48387007' = 'Incision of trachea', given as 'Tracheotomy'})</span>
      </p>
      <p>
        <b>subject</b>:
        <a>P. van de Heuvel</a>
      </p>
      <p>
        <b>context</b>:
        <a>Encounter/f003</a>
      </p>
      <p>
        <b>performed</b>: 22/03/2013 9:30:10 AM --&gt; 22/03/2013 10:30:10 AM</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Role</b>
          </td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>Care role
            <span>(Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'})</span>
          </td>
          <td>
            <a>A. Langeveld</a>
          </td>
        </tr>
      </table>
      <p>
        <b>reasonCode</b>: ensure breathing during surgery
        <span>(Details )</span>
      </p>
      <p>
        <b>bodySite</b>: Retropharyngeal area
        <span>(Details : {SNOMED CT code '83030008' = 'Retropharyngeal area', given as 'Retropharyngeal area'})</span>
      </p>
      <p>
        <b>outcome</b>: removal of the retropharyngeal abscess
        <span>(Details )</span>
      </p>
      <p>
        <b>report</b>:
        <a>???????????</a>
      </p>
      <p>
        <b>followUp</b>: described in care plan
        <span>(Details )</span>
      </p>
    </div>
  </text>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="48387007"/>
      <display value="Tracheotomy"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>
  <context>
    <reference value="Encounter/f003"/>
  </context>
  <performedPeriod>
    <start value="2013-03-22T09:30:10+01:00"/>
    <end value="2013-03-22T10:30:10+01:00"/>
  </performedPeriod>
  <performer>
    <role>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.15.111"/>
        <code value="01.000"/>
        <display value="Arts"/>
      </coding>
      <text value="Care role"/>
    </role>
    <actor>
      <reference value="Practitioner/f005"/>
      <display value="A. Langeveld"/>
    </actor>
  </performer>
  <reasonCode>
    <text value="ensure breathing during surgery"/>
  </reasonCode>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="83030008"/>
      <display value="Retropharyngeal area"/>
    </coding>
  </bodySite>
  <outcome>
    <text value="removal of the retropharyngeal abscess"/>
  </outcome>
  <report>
    <reference value="DiagnosticReport/f001"/>
    <display value="???????????"/>
  </report>
  <followUp>
    <text value="described in care plan"/>
  </followUp>
</Procedure>

Procedure "f003" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:49 AM(UTC)

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f003

status: completed

code: Incision of retropharyngeal abscess (Details : {SNOMED CT code '172960003' = 'Incision of retropharyngeal abscess', given as 'Incision of retropharyngeal abscess'})

subject: P. van de Heuvel

context: Encounter/f003

performed: 24/03/2013 9:30:10 AM --> 24/03/2013 10:30:10 AM

Performers

-RoleActor
*Care role (Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'})E.M.J.M. van den broek

reasonCode: abcess in retropharyngeal area (Details )

bodySite: Retropharyngeal area (Details : {SNOMED CT code '83030008' = 'Retropharyngeal area', given as 'Retropharyngeal area'})

outcome: removal of the retropharyngeal abscess (Details )

report: Lab results blood test

followUp: described in care plan (Details )


<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="f003"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:49Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: f003</p>
      <p>
        <b>status</b>: completed</p>
      <p>
        <b>code</b>: Incision of retropharyngeal abscess
        <span>(Details : {SNOMED CT code '172960003' = 'Incision of retropharyngeal abscess', given as 'Incision of retropharyngeal abscess'})</span>
      </p>
      <p>
        <b>subject</b>:
        <a>P. van de Heuvel</a>
      </p>
      <p>
        <b>context</b>:
        <a>Encounter/f003</a>
      </p>
      <p>
        <b>performed</b>: 24/03/2013 9:30:10 AM --&gt; 24/03/2013 10:30:10 AM</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Role</b>
          </td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>Care role
            <span>(Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'})</span>
          </td>
          <td>
            <a>E.M.J.M. van den broek</a>
          </td>
        </tr>
      </table>
      <p>
        <b>reasonCode</b>: abcess in retropharyngeal area
        <span>(Details )</span>
      </p>
      <p>
        <b>bodySite</b>: Retropharyngeal area
        <span>(Details : {SNOMED CT code '83030008' = 'Retropharyngeal area', given as 'Retropharyngeal area'})</span>
      </p>
      <p>
        <b>outcome</b>: removal of the retropharyngeal abscess
        <span>(Details )</span>
      </p>
      <p>
        <b>report</b>:
        <a>Lab results blood test</a>
      </p>
      <p>
        <b>followUp</b>: described in care plan
        <span>(Details )</span>
      </p>
    </div>
  </text>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="172960003"/>
      <display value="Incision of retropharyngeal abscess"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>
  <context>
    <reference value="Encounter/f003"/>
  </context>
  <performedPeriod>
    <start value="2013-03-24T09:30:10+01:00"/>
    <end value="2013-03-24T10:30:10+01:00"/>
  </performedPeriod>
  <performer>
    <role>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.15.111"/>
        <code value="01.000"/>
        <display value="Arts"/>
      </coding>
      <text value="Care role"/>
    </role>
    <actor>
      <reference value="Practitioner/f001"/>
      <display value="E.M.J.M. van den broek"/>
    </actor>
  </performer>
  <reasonCode>
    <text value="abcess in retropharyngeal area"/>
  </reasonCode>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="83030008"/>
      <display value="Retropharyngeal area"/>
    </coding>
  </bodySite>
  <outcome>
    <text value="removal of the retropharyngeal abscess"/>
  </outcome>
  <report>
    <reference value="DiagnosticReport/f001"/>
    <display value="Lab results blood test"/>
  </report>
  <followUp>
    <text value="described in care plan"/>
  </followUp>
</Procedure>

Procedure "f002" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:49 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f002

status: completed

code: Partial lobectomy of lung (Details : {SNOMED CT code '359615001' = 'Partial lobectomy of lung', given as 'Partial lobectomy of lung'})

subject: P. van de Heuvel

context: Encounter/f002

performed: 08/03/2013 9:00:10 AM --> 08/03/2013 9:30:10 AM

Performers

-RoleActor
*Care role (Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'})M.I.M. Versteegh

reasonCode: Malignant tumor of lung (Details )

bodySite: Lung structure (Details : {SNOMED CT code '39607008' = 'Lung', given as 'Lung structure'})

outcome: improved blood circulation (Details )

report: Lab results blood test

followUp: described in care plan (Details )


<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="f002"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:49Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: f002</p>
      <p>
        <b>status</b>: completed</p>
      <p>
        <b>code</b>: Partial lobectomy of lung
        <span>(Details : {SNOMED CT code '359615001' = 'Partial lobectomy of lung', given as 'Partial lobectomy of lung'})</span>
      </p>
      <p>
        <b>subject</b>:
        <a>P. van de Heuvel</a>
      </p>
      <p>
        <b>context</b>:
        <a>Encounter/f002</a>
      </p>
      <p>
        <b>performed</b>: 08/03/2013 9:00:10 AM --&gt; 08/03/2013 9:30:10 AM</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Role</b>
          </td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>Care role
            <span>(Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'})</span>
          </td>
          <td>
            <a>M.I.M. Versteegh</a>
          </td>
        </tr>
      </table>
      <p>
        <b>reasonCode</b>: Malignant tumor of lung
        <span>(Details )</span>
      </p>
      <p>
        <b>bodySite</b>: Lung structure
        <span>(Details : {SNOMED CT code '39607008' = 'Lung', given as 'Lung structure'})</span>
      </p>
      <p>
        <b>outcome</b>: improved blood circulation
        <span>(Details )</span>
      </p>
      <p>
        <b>report</b>:
        <a>Lab results blood test</a>
      </p>
      <p>
        <b>followUp</b>: described in care plan
        <span>(Details )</span>
      </p>
    </div>
  </text>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="359615001"/>
      <display value="Partial lobectomy of lung"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>
  <context>
    <reference value="Encounter/f002"/>
  </context>
  <performedPeriod>
    <start value="2013-03-08T09:00:10+01:00"/>
    <end value="2013-03-08T09:30:10+01:00"/>
  </performedPeriod>
  <performer>
    <role>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.15.111"/>
        <code value="01.000"/>
        <display value="Arts"/>
      </coding>
      <text value="Care role"/>
    </role>
    <actor>
      <reference value="Practitioner/f003"/>
      <display value="M.I.M. Versteegh"/>
    </actor>
  </performer>
  <reasonCode>
    <text value="Malignant tumor of lung"/>
  </reasonCode>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="39607008"/>
      <display value="Lung structure"/>
    </coding>
  </bodySite>
  <outcome>
    <text value="improved blood circulation"/>
  </outcome>
  <report>
    <reference value="DiagnosticReport/f001"/>
    <display value="Lab results blood test"/>
  </report>
  <followUp>
    <text value="described in care plan"/>
  </followUp>
</Procedure>

Procedure "f001" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:49 AM(UTC)

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: f001

status: completed

code: Heart valve replacement (Details : {SNOMED CT code '34068001' = 'Heart valve replacement', given as 'Heart valve replacement'})

subject: P. van de Heuvel

context: Encounter/f001

performed: 26/06/2011 --> 27/06/2011

Performers

-RoleActor
*Care role (Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'})P. Voigt

reasonCode: Heart valve disorder (Details )

bodySite: Heart valve structure (Details : {SNOMED CT code '17401000' = 'Cardiac valve', given as 'Heart valve structure'})

outcome: improved blood circulation (Details )

report: Lab results blood test

followUp: described in care plan (Details )


<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="f001"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:49Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: f001</p>
      <p>
        <b>status</b>: completed</p>
      <p>
        <b>code</b>: Heart valve replacement
        <span>(Details : {SNOMED CT code '34068001' = 'Heart valve replacement', given as 'Heart valve replacement'})</span>
      </p>
      <p>
        <b>subject</b>:
        <a>P. van de Heuvel</a>
      </p>
      <p>
        <b>context</b>:
        <a>Encounter/f001</a>
      </p>
      <p>
        <b>performed</b>: 26/06/2011 --&gt; 27/06/2011</p>
      <h3>Performers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Role</b>
          </td>
          <td>
            <b>Actor</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>Care role
            <span>(Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'})</span>
          </td>
          <td>
            <a>P. Voigt</a>
          </td>
        </tr>
      </table>
      <p>
        <b>reasonCode</b>: Heart valve disorder
        <span>(Details )</span>
      </p>
      <p>
        <b>bodySite</b>: Heart valve structure
        <span>(Details : {SNOMED CT code '17401000' = 'Cardiac valve', given as 'Heart valve structure'})</span>
      </p>
      <p>
        <b>outcome</b>: improved blood circulation
        <span>(Details )</span>
      </p>
      <p>
        <b>report</b>:
        <a>Lab results blood test</a>
      </p>
      <p>
        <b>followUp</b>: described in care plan
        <span>(Details )</span>
      </p>
    </div>
  </text>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="34068001"/>
      <display value="Heart valve replacement"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>
  <context>
    <reference value="Encounter/f001"/>
  </context>
  <performedPeriod>
    <start value="2011-06-26"/>
    <end value="2011-06-27"/>
  </performedPeriod>
  <performer>
    <role>
      <coding>
        <system value="urn:oid:2.16.840.1.113883.2.4.15.111"/>
        <code value="01.000"/>
        <display value="Arts"/>
      </coding>
      <text value="Care role"/>
    </role>
    <actor>
      <reference value="Practitioner/f002"/>
      <display value="P. Voigt"/>
    </actor>
  </performer>
  <reasonCode>
    <text value="Heart valve disorder"/>
  </reasonCode>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="17401000"/>
      <display value="Heart valve structure"/>
    </coding>
  </bodySite>
  <outcome>
    <text value="improved blood circulation"/>
  </outcome>
  <report>
    <reference value="DiagnosticReport/f001"/>
    <display value="Lab results blood test"/>
  </report>
  <followUp>
    <text value="described in care plan"/>
  </followUp>
</Procedure>

Procedure "education" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:48 AM(UTC)

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Health education - breast examination for early detection of breast mass

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="education"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:48Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Health education - breast examination for early detection of breast mass</div>
  </text>
  <basedOn>
    <reference value="ProcedureRequest/education"/>
    <display value="Order for health education"/>
  </basedOn>
  <status value="completed"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="311401005"/>
      <display value="Patient education (procedure)"/>
    </coding>
    <text value="Education"/>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="48023004"/>
      <display value="Breast self-examination technique education (procedure)"/>
    </coding>
    <text value="Health education - breast examination"/>
  </code>
  <subject>
    <display value="Jane Doe"/>
  </subject>
  <performedDateTime value="2014-08-16"/>
  <performer>
    <actor>
      <display value="Pamela Educator, RN"/>
    </actor>
  </performer>
  <location>
    <display value="Southside Community Health Center"/>
  </location>
  <reasonCode>
    <text value="early detection of breast mass"/>
  </reasonCode>
</Procedure>

Procedure "colonoscopy" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:48 AM(UTC)

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Colonoscopy with complication

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="colonoscopy"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:48Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Colonoscopy with complication</div>
  </text>
  <identifier>
    <value value="12345"/>
  </identifier>
  <status value="completed"/>
  <notDone value="false"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="73761001"/>
      <display value="Colonoscopy (procedure)"/>
    </coding>
    <text value="Colonoscopy"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <performer>
    <actor>
      <reference value="Practitioner/example"/>
      <display value="Dr Adam Careful"/>
    </actor>
  </performer>
  <location>
    <reference value="Location/1"/>
    <display value="Burgers University Medical Center, South Wing, second floor"/>
  </location>
  <complicationDetail>
    <display value="Perforated intestine condition"/>
  </complicationDetail>
  <usedReference>
    <display value="Colonoscope device"/>
  </usedReference>
</Procedure>

Procedure "colon-biopsy" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:48 AM(UTC)

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Biopsy of colon, which was part of colonoscopy

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="colon-biopsy"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:48Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Biopsy of colon, which was part of colonoscopy</div>
  </text>
  <identifier>
    <value value="12345"/>
  </identifier>
  <partOf>
    <reference value="Procedure/colonoscopy"/>
    <display value="Colonoscopy"/>
  </partOf>
  <status value="completed"/>
  <notDone value="false"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="76164006"/>
      <display value="Biopsy of colon (procedure)"/>
    </coding>
    <text value="Biopsy of colon"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <performer>
    <actor>
      <reference value="Practitioner/example"/>
      <display value="Dr Adam Careful"/>
    </actor>
  </performer>
  <location>
    <reference value="Location/1"/>
    <display value="Burgers University Medical Center, South Wing, second floor"/>
  </location>
</Procedure>

Procedure "biopsy" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:48 AM(UTC)

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Biopsy of suspected melanoma L) arm

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="biopsy"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:48Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Biopsy of suspected melanoma L) arm</div>
  </text>
  <status value="completed"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="103693007"/>
      <display value="Diagnostic procedure (procedure)"/>
    </coding>
    <text value="Diagnostic procedure"/>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="90105005"/>
      <display value="Biopsy of soft tissue of forearm (Procedure)"/>
    </coding>
    <text value="Biopsy of suspected melanoma L) arm"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <performedDateTime value="2014-02-03"/>
  <performer>
    <actor>
      <reference value="Practitioner/example"/>
      <display value="Dr Bert Biopser"/>
    </actor>
  </performer>
  <reasonCode>
    <text value="Dark lesion l) forearm. getting darker last 3 months."/>
  </reasonCode>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="368225008"/>
      <display value="Entire Left Forearm"/>
    </coding>
    <text value="Left forearm"/>
  </bodySite>
  <complication>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="67750007"/>
      <display value="Ineffective airway clearance (finding)"/>
    </coding>
    <text value="Ineffective airway clearance"/>
  </complication>
  <followUp>
    <text value="Review in clinic"/>
  </followUp>
  <note>
    <text value="Standard Biopsy"/>
  </note>
  <usedCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="79068005"/>
      <display value="Needle, device (physical object)"/>
    </coding>
    <text value="30-guage needle"/>
  </usedCode>
</Procedure>

Procedure "appendectomy-narrative" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:48 AM(UTC)

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Routine Appendectomy in April 2013 performed by Dr Cecil Surgeon

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="appendectomy-narrative"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:48Z"/>
  </meta>
  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Routine Appendectomy in April 2013 performed by Dr Cecil Surgeon</div>
  </text>
  <status value="completed"/>
  <subject>
    <reference value="Patient/example"/>
  </subject>
</Procedure>

Procedure "ambulation" Version "1"

Created by SYSTEM () at 11/28/2017 8:33:48 AM(UTC)

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Ambulation procedure was not done

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir">
  <id value="ambulation"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-11-28T08:33:48Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Ambulation procedure was not done</div>
  </text>
  <identifier>
    <value value="12345"/>
  </identifier>
  <definition>
    <display value="Protocol for hypertension during pregnancy"/>
  </definition>
  <basedOn>
    <reference value="CarePlan/preg"/>
    <display value="Maternity care plan"/>
  </basedOn>
  <status value="suspended"/>
  <notDone value="true"/>
  <notDoneReason>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="398254007"/>
      <display value=" Pre-eclampsia (disorder)"/>
    </coding>
    <text value="Pre-eclampsia"/>
  </notDoneReason>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="62013009"/>
      <display value="Ambulating patient (procedure)"/>
    </coding>
    <text value="Ambulation"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <performer>
    <actor>
      <reference value="Practitioner/f204"/>
      <display value="Carla Espinosa"/>
    </actor>
    <onBehalfOf>
      <reference value="Organization/f001"/>
      <display value="University Medical Hospital"/>
    </onBehalfOf>
  </performer>
  <location>
    <reference value="Location/1"/>
    <display value="Burgers University Medical Center, South Wing, second floor"/>
  </location>
  <reasonReference>
    <reference value="Observation/blood-pressure"/>
    <display value="Blood Pressure"/>
  </reasonReference>
</Procedure>