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Procedure "example" Version "1"

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Routine Appendectomy

{
  "resourceType" : "Procedure",
  "id" : "example",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:55.422Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Routine Appendectomy</div>"
  },
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "80146002",
        "display" : "Appendectomy (Procedure)"
      }
    ],
    "text" : "Appendectomy"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "occurrenceDateTime" : "2013-04-05",
  "recorder" : {
    "reference" : "Practitioner/example",
    "display" : "Dr Cecil Surgeon"
  },
  "reportedReference" : {
    "reference" : "Practitioner/example",
    "display" : "Dr Cecil Surgeon"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/example",
        "display" : "Dr Cecil Surgeon"
      }
    }
  ],
  "reason" : [
    {
      "concept" : {
        "text" : "Generalized abdominal pain 24 hours. Localized in RIF with rebound and guarding"
      }
    }
  ],
  "followUp" : [
    {
      "text" : "ROS 5 days - 2013-04-10"
    }
  ],
  "note" : [
    {
      "text" : "Routine Appendectomy. Appendix was inflamed and in retro-caecal position"
    }
  ],
  "supportingInfo" : [
    {
      "reference" : "ImagingStudy/example"
    }
  ]
}

Procedure "physical-therapy" Version "1"

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

{
  "resourceType" : "Procedure",
  "id" : "physical-therapy",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:55.360Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<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>"
  },
  "basedOn" : [
    {
      "reference" : "ServiceRequest/physical-therapy",
      "display" : "Order for the assessment of passive range of motion"
    }
  ],
  "status" : "completed",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "386053000",
          "display" : "Evaluation procedure (procedure)"
        }
      ],
      "text" : "Evaluation"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "710830005",
        "display" : "Assessment of passive range of motion (procedure)"
      }
    ],
    "text" : "Assessment of passive range of motion"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "occurrenceDateTime" : "2016-09-27",
  "performer" : [
    {
      "actor" : {
        "display" : "Paul Therapist, PT"
      }
    }
  ],
  "location" : {
    "display" : "Sawbones Orthopedic Clinic"
  },
  "reason" : [
    {
      "concept" : {
        "text" : "assessment of mobility limitations due to osteoarthritis"
      }
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "36701003",
          "display" : "Both knees (body structure)"
        }
      ],
      "text" : "Both knees"
    }
  ]
}

Procedure "ob" Version "1"

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Updated: by

Vaginal delivery of healthy male infant on June 2, 2012

{
  "resourceType" : "Procedure",
  "id" : "ob",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:55.297Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Vaginal delivery of healthy male infant on June 2, 2012</div>"
  },
  "status" : "completed",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "386637004",
          "display" : "Obstetric procedure (procedure)"
        }
      ],
      "text" : "OB"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "22633006",
        "display" : "Vaginal delivery, medical personnel present (procedure)"
      }
    ],
    "text" : "Vaginal delivery"
  },
  "subject" : {
    "display" : "Jane Doe"
  },
  "occurrenceDateTime" : "2012-06-02",
  "performer" : [
    {
      "actor" : {
        "display" : "Martha Midwife, RNP"
      }
    }
  ],
  "location" : {
    "display" : "Women’s Hospital"
  },
  "reason" : [
    {
      "concept" : {
        "text" : "term pregnancy, active labor"
      }
    }
  ],
  "outcome" : {
    "text" : "delivery of healthy male infant"
  }
}

Procedure "example-implant" Version "1"

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Generated Narrative

status: completed

code: Implant Pacemaker

subject: Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25;

occurrence: 2015-04-05

Performers

-Actor
*Dr Cecil Surgeon. Generated Summary: id: 23; active; Adam Careful

Reasons

-
*

followUp: ROS 5 days - 2013-04-10

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

FocalDevices

-ActionManipulated
*Implanted

manufacturer: Acme Devices, Inc

lotNumber: 1234-5678

type: Cardiac pacemaker implant

patient: Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25;


{
  "resourceType" : "Procedure",
  "id" : "example-implant",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:55.243Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>code</b>: <span>Implant Pacemaker</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p><p><b>occurrence</b>: 2015-04-05</p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Dr Cecil Surgeon. Generated Summary: id: 23; active; Adam Careful </a></td></tr></table><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>followUp</b>: <span>ROS 5 days - 2013-04-10</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><span>Implanted</span></td><td><a> </a><blockquote><p><b>manufacturer</b>: Acme Devices, Inc</p><p><b>lotNumber</b>: 1234-5678</p><p><b>type</b>: <span>Cardiac pacemaker implant</span></p><p><b>patient</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim , Peter James Windsor (MAIDEN); , Phone: (03) 5555 6473, Phone: (03) 3410 5613, Phone: (03) 5555 8834; gender: male; birthDate: 1974-12-25; </a></p></blockquote></td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "Device",
      "id" : "example-pacemaker",
      "manufacturer" : "Acme Devices, Inc",
      "lotNumber" : "1234-5678",
      "type" : [
        {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "14106009",
              "display" : "Cardiac pacemaker implant"
            }
          ]
        }
      ],
      "patient" : {
        "reference" : "Patient/example"
      }
    }
  ],
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "25267002",
        "display" : "Insertion of intracardiac pacemaker (procedure)"
      }
    ],
    "text" : "Implant Pacemaker"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "occurrenceDateTime" : "2015-04-05",
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/example",
        "display" : "Dr Cecil Surgeon"
      }
    }
  ],
  "reason" : [
    {
      "concept" : {
        "text" : "Bradycardia"
      }
    }
  ],
  "followUp" : [
    {
      "text" : "ROS 5 days - 2013-04-10"
    }
  ],
  "note" : [
    {
      "text" : "Routine Appendectomy. Appendix was inflamed and in retro-caecal position"
    }
  ],
  "focalDevice" : [
    {
      "action" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/device-action",
            "code" : "implanted"
          }
        ]
      },
      "manipulated" : {
        "reference" : "#example-pacemaker"
      }
    }
  ]
}

Procedure "HCBS" Version "1"

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Personal care services provided at person's home

Based On : Peter's Long Term Services and Supports (LTSS) care plan

Status : completed

Beneficiary : Peter James

Service Name/Code : Personal care services (Details : {HCPCS code 'T1019' = 'Personal care services, per 15 minutes'})

Service Date : Apr 5, 2018

Service Provider : Adam Careful

Service Delivery Address : Peter's home

Service Comment : Assisted with bathing and dressing, doing laundry, and meal preparation


{
  "resourceType" : "Procedure",
  "id" : "HCBS",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:55.172Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n&#x09;&#x09;&#x09;<p>\n&#x09;&#x09;&#x09;&#x09;<b> Personal care services provided at person's home</b>\n&#x09;&#x09;&#x09;</p>\n&#x09;&#x09;&#x09;<p>\n&#x09;&#x09;&#x09;&#x09;<b> Based On</b> : Peter's Long Term Services and Supports (LTSS) care plan</p>\n&#x09;&#x09;&#x09;<p>\n&#x09;&#x09;&#x09;&#x09;<b> Status</b> : completed</p>\n&#x09;&#x09;&#x09;<p>\n&#x09;&#x09;&#x09;&#x09;<b> Beneficiary</b> : Peter James</p>\n&#x09;&#x09;&#x09;<p>\n&#x09;&#x09;&#x09;&#x09;<b> Service Name/Code</b> : Personal care services <span> (Details : {HCPCS code 'T1019' = 'Personal care services, per 15 minutes'})</span>\n&#x09;&#x09;&#x09;</p>\n&#x09;&#x09;&#x09;<p>\n&#x09;&#x09;&#x09;&#x09;<b> Service Date</b> : Apr 5, 2018</p>\n&#x09;&#x09;&#x09;<p>\n&#x09;&#x09;&#x09;&#x09;<b> Service Provider</b> : Adam Careful</p>\n&#x09;&#x09;&#x09;<p>\n&#x09;&#x09;&#x09;&#x09;<b> Service Delivery Address</b> : Peter's home</p>\n&#x09;&#x09;&#x09;<p>\n&#x09;&#x09;&#x09;&#x09;<b> Service Comment</b> : Assisted with bathing and dressing, doing laundry, and meal preparation</p>\n&#x09;&#x09;</div>"
  },
  "basedOn" : [
    {
      "display" : "Peter's Long Term Service and Supports (LTSS) Care Plan"
    }
  ],
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html",
        "code" : "T1019",
        "display" : "Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment."
      }
    ],
    "text" : "Personal care services"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Peter James"
  },
  "occurrenceDateTime" : "2018-04-05",
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/example",
        "display" : "Adam Careful"
      }
    }
  ],
  "location" : {
    "reference" : "Location/ph",
    "display" : "Peter's Home"
  },
  "note" : [
    {
      "text" : "Assisted with bathing and dressing, doing laundry, and meal preparation"
    }
  ]
}

Procedure "f201" Version "1"

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Generated Narrative

instantiatesCanonical: http://example.org/fhir/PlanDefinition/KDN5

status: completed

code: Chemotherapy

subject: Roel. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; Legally married;

encounter: Roel's encounter on January 28th, 2013. Generated Summary: id: Encounter_Roel_20130128 (TEMP); status: completed; ambulatory; Chemotherapy; Urgent

occurrence: 28 Jan. 2013, 11:31:00 pm --> 29 Jan. 2013, 12:27:00 am

Performers

-FunctionActor
*Medical oncologistDokter Bronsig. Generated Summary: UZI-nummer: 12345678901 (OFFICIAL); active; Dokter Bronsig(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1956-12-24

Reasons

-
*

bodySite: Sphenoid bone

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


{
  "resourceType" : "Procedure",
  "id" : "f201",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:55.110Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>instantiatesCanonical</b>: <a>http://example.org/fhir/PlanDefinition/KDN5</a></p><p><b>status</b>: completed</p><p><b>code</b>: <span>Chemotherapy</span></p><p><b>subject</b>: <a>Roel. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; <span>Legally married</span>; </a></p><p><b>encounter</b>: <a>Roel's encounter on January 28th, 2013. Generated Summary: id: Encounter_Roel_20130128 (TEMP); status: completed; <span>ambulatory</span>; <span>Chemotherapy</span>; <span>Urgent</span></a></p><p><b>occurrence</b>: 28 Jan. 2013, 11:31:00 pm --&gt; 29 Jan. 2013, 12:27:00 am</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td><span>Medical oncologist</span></td><td><a>Dokter Bronsig. Generated Summary: UZI-nummer: 12345678901 (OFFICIAL); active; Dokter Bronsig(OFFICIAL); Phone: +31715269111; gender: male; birthDate: 1956-12-24</a></td></tr></table><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>bodySite</b>: <span>Sphenoid bone</span></p><p><b>note</b>: Eerste neo-adjuvante TPF-kuur bij groot proces in sphenoid met intracraniale uitbreiding.</p></div>"
  },
  "instantiatesCanonical" : [
    "http://example.org/fhir/PlanDefinition/KDN5"
  ],
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "367336001",
        "display" : "Chemotherapy"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f201",
    "display" : "Roel"
  },
  "encounter" : {
    "reference" : "Encounter/f202",
    "display" : "Roel's encounter on January 28th, 2013"
  },
  "occurrencePeriod" : {
    "start" : "2013-01-28T13:31:00+01:00",
    "end" : "2013-01-28T14:27:00+01:00"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "310512001",
            "display" : "Medical oncologist"
          }
        ]
      },
      "actor" : {
        "reference" : "Practitioner/f201",
        "display" : "Dokter Bronsig"
      }
    }
  ],
  "reason" : [
    {
      "concept" : {
        "text" : "DiagnosticReport/f201"
      }
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "272676008",
          "display" : "Sphenoid bone"
        }
      ]
    }
  ],
  "note" : [
    {
      "text" : "Eerste neo-adjuvante TPF-kuur bij groot proces in sphenoid met intracraniale uitbreiding."
    }
  ]
}

Procedure "f004" Version "1"

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Updated: by

Generated Narrative

status: completed

code: Tracheotomy

subject: P. van de Heuvel. Generated Summary: id: 738472983 (USUAL), id: ?ngen-9? (USUAL); active; Pieter van de Heuvel ; Phone: 0648352638, p.heuvel@gmail.com; gender: male; birthDate: 1944-11-17; Getrouwd; multipleBirth

encounter: Generated Summary: id: v6751 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Non-urgent ear, nose and throat admission

occurrence: 22 Mar. 2013, 7:30:10 pm --> 22 Mar. 2013, 8:30:10 pm

Performers

-FunctionActor
*Care roleA. Langeveld. Generated Summary: id: 118265112 (OFFICIAL), id: 191REW8WE916 (USUAL); Langeveld Anne (OFFICIAL); Phone: 0205563847, a.langeveld@bmc.nl, Fax: 0205668916; gender: female; birthDate: 1959-03-11; France

Reasons

-
*

bodySite: Retropharyngeal area

outcome: removal of the retropharyngeal abscess

report: ???????????. Generated Summary:

followUp: described in care plan


{
  "resourceType" : "Procedure",
  "id" : "f004",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:55.050Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>code</b>: <span>Tracheotomy</span></p><p><b>subject</b>: <a>P. van de Heuvel. Generated Summary: id: 738472983 (USUAL), id: ?ngen-9? (USUAL); active; Pieter van de Heuvel ; Phone: 0648352638, p.heuvel@gmail.com; gender: male; birthDate: 1944-11-17; <span>Getrouwd</span>; multipleBirth</a></p><p><b>encounter</b>: <a>Generated Summary: id: v6751 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent ear, nose and throat admission</span></a></p><p><b>occurrence</b>: 22 Mar. 2013, 7:30:10 pm --&gt; 22 Mar. 2013, 8:30:10 pm</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td><span>Care role</span></td><td><a>A. Langeveld. Generated Summary: id: 118265112 (OFFICIAL), id: 191REW8WE916 (USUAL); Langeveld Anne (OFFICIAL); Phone: 0205563847, a.langeveld@bmc.nl, Fax: 0205668916; gender: female; birthDate: 1959-03-11; <span>France</span></a></td></tr></table><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>bodySite</b>: <span>Retropharyngeal area</span></p><p><b>outcome</b>: <span>removal of the retropharyngeal abscess</span></p><p><b>report</b>: <a>???????????. Generated Summary: </a></p><p><b>followUp</b>: <span>described in care plan</span></p></div>"
  },
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "48387007",
        "display" : "Tracheotomy"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "encounter" : {
    "reference" : "Encounter/f003"
  },
  "occurrencePeriod" : {
    "start" : "2013-03-22T09:30:10+01:00",
    "end" : "2013-03-22T10:30:10+01:00"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.2.4.15.111",
            "code" : "01.000",
            "display" : "Arts"
          }
        ],
        "text" : "Care role"
      },
      "actor" : {
        "reference" : "Practitioner/f005",
        "display" : "A. Langeveld"
      }
    }
  ],
  "reason" : [
    {
      "concept" : {
        "text" : "ensure breathing during surgery"
      }
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "83030008",
          "display" : "Retropharyngeal area"
        }
      ]
    }
  ],
  "outcome" : {
    "text" : "removal of the retropharyngeal abscess"
  },
  "report" : [
    {
      "reference" : "DiagnosticReport/f001",
      "display" : "???????????"
    }
  ],
  "followUp" : [
    {
      "text" : "described in care plan"
    }
  ]
}

Procedure "f003" Version "1"

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

Generated Narrative

status: completed

code: Incision of retropharyngeal abscess

subject: P. van de Heuvel. Generated Summary: id: 738472983 (USUAL), id: ?ngen-9? (USUAL); active; Pieter van de Heuvel ; Phone: 0648352638, p.heuvel@gmail.com; gender: male; birthDate: 1944-11-17; Getrouwd; multipleBirth

encounter: Generated Summary: id: v6751 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Non-urgent ear, nose and throat admission

occurrence: 24 Mar. 2013, 7:30:10 pm --> 24 Mar. 2013, 8:30:10 pm

Performers

-FunctionActor
*Care roleE.M.J.M. van den broek. Generated Summary: id: 938273695 (OFFICIAL), id: 129IDH4OP733 (USUAL); Eric van den broek (OFFICIAL); Phone: 0205568263, E.M.vandenbroek@bmc.nl, Fax: 0205664440; gender: male; birthDate: 1975-12-07

Reasons

-
*

bodySite: Retropharyngeal area

outcome: removal of the retropharyngeal abscess

report: Lab results blood test. Generated Summary:

followUp: described in care plan


{
  "resourceType" : "Procedure",
  "id" : "f003",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:54.985Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>code</b>: <span>Incision of retropharyngeal abscess</span></p><p><b>subject</b>: <a>P. van de Heuvel. Generated Summary: id: 738472983 (USUAL), id: ?ngen-9? (USUAL); active; Pieter van de Heuvel ; Phone: 0648352638, p.heuvel@gmail.com; gender: male; birthDate: 1944-11-17; <span>Getrouwd</span>; multipleBirth</a></p><p><b>encounter</b>: <a>Generated Summary: id: v6751 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent ear, nose and throat admission</span></a></p><p><b>occurrence</b>: 24 Mar. 2013, 7:30:10 pm --&gt; 24 Mar. 2013, 8:30:10 pm</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td><span>Care role</span></td><td><a>E.M.J.M. van den broek. Generated Summary: id: 938273695 (OFFICIAL), id: 129IDH4OP733 (USUAL); Eric van den broek (OFFICIAL); Phone: 0205568263, E.M.vandenbroek@bmc.nl, Fax: 0205664440; gender: male; birthDate: 1975-12-07</a></td></tr></table><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>bodySite</b>: <span>Retropharyngeal area</span></p><p><b>outcome</b>: <span>removal of the retropharyngeal abscess</span></p><p><b>report</b>: <a>Lab results blood test. Generated Summary: </a></p><p><b>followUp</b>: <span>described in care plan</span></p></div>"
  },
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "172960003",
        "display" : "Incision of retropharyngeal abscess"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "encounter" : {
    "reference" : "Encounter/f003"
  },
  "occurrencePeriod" : {
    "start" : "2013-03-24T09:30:10+01:00",
    "end" : "2013-03-24T10:30:10+01:00"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.2.4.15.111",
            "code" : "01.000",
            "display" : "Arts"
          }
        ],
        "text" : "Care role"
      },
      "actor" : {
        "reference" : "Practitioner/f001",
        "display" : "E.M.J.M. van den broek"
      }
    }
  ],
  "reason" : [
    {
      "concept" : {
        "text" : "abcess in retropharyngeal area"
      }
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "83030008",
          "display" : "Retropharyngeal area"
        }
      ]
    }
  ],
  "outcome" : {
    "text" : "removal of the retropharyngeal abscess"
  },
  "report" : [
    {
      "reference" : "DiagnosticReport/f001",
      "display" : "Lab results blood test"
    }
  ],
  "followUp" : [
    {
      "text" : "described in care plan"
    }
  ]
}

Procedure "f002" Version "1"

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

Generated Narrative

status: completed

code: Partial lobectomy of lung

subject: P. van de Heuvel. Generated Summary: id: 738472983 (USUAL), id: ?ngen-9? (USUAL); active; Pieter van de Heuvel ; Phone: 0648352638, p.heuvel@gmail.com; gender: male; birthDate: 1944-11-17; Getrouwd; multipleBirth

encounter: Generated Summary: id: v3251 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Urgent

occurrence: 8 Mar. 2013, 7:00:10 pm --> 8 Mar. 2013, 7:30:10 pm

Performers

-FunctionActor
*Care roleM.I.M. Versteegh. Generated Summary: id: 846100293 (OFFICIAL), id: 243HID3RT938 (USUAL); Marc Versteegh (OFFICIAL); Phone: 0205562431, m.versteegh@bmc.nl, Fax: 0205662948; gender: male; birthDate: 1963-07-01; Dutch

Reasons

-
*

bodySite: Lung structure

outcome: improved blood circulation

report: Lab results blood test. Generated Summary:

followUp: described in care plan


{
  "resourceType" : "Procedure",
  "id" : "f002",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:54.907Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>code</b>: <span>Partial lobectomy of lung</span></p><p><b>subject</b>: <a>P. van de Heuvel. Generated Summary: id: 738472983 (USUAL), id: ?ngen-9? (USUAL); active; Pieter van de Heuvel ; Phone: 0648352638, p.heuvel@gmail.com; gender: male; birthDate: 1944-11-17; <span>Getrouwd</span>; multipleBirth</a></p><p><b>encounter</b>: <a>Generated Summary: id: v3251 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Urgent</span></a></p><p><b>occurrence</b>: 8 Mar. 2013, 7:00:10 pm --&gt; 8 Mar. 2013, 7:30:10 pm</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td><span>Care role</span></td><td><a>M.I.M. Versteegh. Generated Summary: id: 846100293 (OFFICIAL), id: 243HID3RT938 (USUAL); Marc Versteegh (OFFICIAL); Phone: 0205562431, m.versteegh@bmc.nl, Fax: 0205662948; gender: male; birthDate: 1963-07-01; <span>Dutch</span></a></td></tr></table><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>bodySite</b>: <span>Lung structure</span></p><p><b>outcome</b>: <span>improved blood circulation</span></p><p><b>report</b>: <a>Lab results blood test. Generated Summary: </a></p><p><b>followUp</b>: <span>described in care plan</span></p></div>"
  },
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "359615001",
        "display" : "Partial lobectomy of lung"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "encounter" : {
    "reference" : "Encounter/f002"
  },
  "occurrencePeriod" : {
    "start" : "2013-03-08T09:00:10+01:00",
    "end" : "2013-03-08T09:30:10+01:00"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.2.4.15.111",
            "code" : "01.000",
            "display" : "Arts"
          }
        ],
        "text" : "Care role"
      },
      "actor" : {
        "reference" : "Practitioner/f003",
        "display" : "M.I.M. Versteegh"
      }
    }
  ],
  "reason" : [
    {
      "concept" : {
        "text" : "Malignant tumor of lung"
      }
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "39607008",
          "display" : "Lung structure"
        }
      ]
    }
  ],
  "outcome" : {
    "text" : "improved blood circulation"
  },
  "report" : [
    {
      "reference" : "DiagnosticReport/f001",
      "display" : "Lab results blood test"
    }
  ],
  "followUp" : [
    {
      "text" : "described in care plan"
    }
  ]
}

Procedure "f001" Version "1"

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Updated: by

Generated Narrative

status: completed

code: Heart valve replacement

subject: P. van de Heuvel. Generated Summary: id: 738472983 (USUAL), id: ?ngen-9? (USUAL); active; Pieter van de Heuvel ; Phone: 0648352638, p.heuvel@gmail.com; gender: male; birthDate: 1944-11-17; Getrouwd; multipleBirth

encounter: Generated Summary: id: v1451 (OFFICIAL); status: completed; ambulatory; Patient-initiated encounter; Non-urgent cardiological admission

occurrence: 2011-06-26 --> 2011-06-27

Performers

-FunctionActor
*Care roleP. Voigt. Generated Summary: id: 730291637 (OFFICIAL), id: 174BIP3JH438 (USUAL); Pieter Voigt (OFFICIAL); Phone: 0205569336, p.voigt@bmc.nl, Fax: 0205669382; gender: male; birthDate: 1979-04-29

Reasons

-
*

bodySite: Heart valve structure

outcome: improved blood circulation

report: Lab results blood test. Generated Summary:

followUp: described in care plan


{
  "resourceType" : "Procedure",
  "id" : "f001",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:54.851Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: completed</p><p><b>code</b>: <span>Heart valve replacement</span></p><p><b>subject</b>: <a>P. van de Heuvel. Generated Summary: id: 738472983 (USUAL), id: ?ngen-9? (USUAL); active; Pieter van de Heuvel ; Phone: 0648352638, p.heuvel@gmail.com; gender: male; birthDate: 1944-11-17; <span>Getrouwd</span>; multipleBirth</a></p><p><b>encounter</b>: <a>Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>occurrence</b>: 2011-06-26 --&gt; 2011-06-27</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td>*</td><td><span>Care role</span></td><td><a>P. Voigt. Generated Summary: id: 730291637 (OFFICIAL), id: 174BIP3JH438 (USUAL); Pieter Voigt (OFFICIAL); Phone: 0205569336, p.voigt@bmc.nl, Fax: 0205669382; gender: male; birthDate: 1979-04-29</a></td></tr></table><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>bodySite</b>: <span>Heart valve structure</span></p><p><b>outcome</b>: <span>improved blood circulation</span></p><p><b>report</b>: <a>Lab results blood test. Generated Summary: </a></p><p><b>followUp</b>: <span>described in care plan</span></p></div>"
  },
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "34068001",
        "display" : "Heart valve replacement"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "encounter" : {
    "reference" : "Encounter/f001"
  },
  "occurrencePeriod" : {
    "start" : "2011-06-26",
    "end" : "2011-06-27"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.2.4.15.111",
            "code" : "01.000",
            "display" : "Arts"
          }
        ],
        "text" : "Care role"
      },
      "actor" : {
        "reference" : "Practitioner/f002",
        "display" : "P. Voigt"
      }
    }
  ],
  "reason" : [
    {
      "concept" : {
        "text" : "Heart valve disorder"
      }
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "17401000",
          "display" : "Heart valve structure"
        }
      ]
    }
  ],
  "outcome" : {
    "text" : "improved blood circulation"
  },
  "report" : [
    {
      "reference" : "DiagnosticReport/f001",
      "display" : "Lab results blood test"
    }
  ],
  "followUp" : [
    {
      "text" : "described in care plan"
    }
  ]
}

Procedure "education" Version "1"

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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

{
  "resourceType" : "Procedure",
  "id" : "education",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:54.782Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Health education - breast examination for early detection of breast mass</div>"
  },
  "basedOn" : [
    {
      "reference" : "ServiceRequest/education",
      "display" : "Order for health education"
    }
  ],
  "status" : "completed",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "311401005",
          "display" : "Patient education (procedure)"
        }
      ],
      "text" : "Education"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "48023004",
        "display" : "Breast self-examination technique education (procedure)"
      }
    ],
    "text" : "Health education - breast examination"
  },
  "subject" : {
    "display" : "Jane Doe"
  },
  "occurrenceDateTime" : "2014-08-16",
  "performer" : [
    {
      "actor" : {
        "display" : "Pamela Educator, RN"
      }
    }
  ],
  "location" : {
    "display" : "Southside Community Health Center"
  },
  "reason" : [
    {
      "concept" : {
        "text" : "early detection of breast mass"
      }
    }
  ]
}

Procedure "colonoscopy" Version "1"

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

Colonoscopy with complication

{
  "resourceType" : "Procedure",
  "id" : "colonoscopy",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:54.719Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Colonoscopy with complication</div>"
  },
  "identifier" : [
    {
      "value" : "12345"
    }
  ],
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "73761001",
        "display" : "Colonoscopy (procedure)"
      }
    ],
    "text" : "Colonoscopy"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/example",
        "display" : "Dr Adam Careful"
      }
    }
  ],
  "location" : {
    "reference" : "Location/1",
    "display" : "Burgers University Medical Center, South Wing, second floor"
  },
  "complicationDetail" : [
    {
      "display" : "Perforated intestine condition"
    }
  ],
  "used" : [
    {
      "reference" : {
        "display" : "Colonoscope device"
      }
    }
  ]
}

Procedure "colon-biopsy" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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Biopsy of colon, which was part of colonoscopy

{
  "resourceType" : "Procedure",
  "id" : "colon-biopsy",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:54.650Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Biopsy of colon, which was part of colonoscopy</div>"
  },
  "identifier" : [
    {
      "value" : "12345"
    }
  ],
  "partOf" : [
    {
      "reference" : "Procedure/colonoscopy",
      "display" : "Colonoscopy"
    }
  ],
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "76164006",
        "display" : "Biopsy of colon (procedure)"
      }
    ],
    "text" : "Biopsy of colon"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/example",
        "display" : "Dr Adam Careful"
      }
    }
  ],
  "location" : {
    "reference" : "Location/1",
    "display" : "Burgers University Medical Center, South Wing, second floor"
  }
}

Procedure "biopsy" Version "1"

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This Resource , XML or JSON representation, or the full version history.. provenance for this resource
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Biopsy of suspected melanoma L) arm

{
  "resourceType" : "Procedure",
  "id" : "biopsy",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:54.563Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Biopsy of suspected melanoma L) arm</div>"
  },
  "status" : "completed",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "103693007",
          "display" : "Diagnostic procedure (procedure)"
        }
      ],
      "text" : "Diagnostic procedure"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "90105005",
        "display" : "Biopsy of soft tissue of forearm (Procedure)"
      }
    ],
    "text" : "Biopsy of suspected melanoma L) arm"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "occurrenceDateTime" : "2014-02-03",
  "recorded" : "2014-02-03",
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/example",
        "display" : "Dr Bert Biopser"
      }
    }
  ],
  "reason" : [
    {
      "concept" : {
        "text" : "Dark lesion l) forearm. getting darker last 3 months."
      }
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "368225008",
          "display" : "Entire Left Forearm"
        }
      ],
      "text" : "Left forearm"
    }
  ],
  "complication" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "67750007",
          "display" : "Ineffective airway clearance (finding)"
        }
      ],
      "text" : "Ineffective airway clearance"
    }
  ],
  "followUp" : [
    {
      "text" : "Review in clinic"
    }
  ],
  "note" : [
    {
      "text" : "Standard Biopsy"
    }
  ],
  "used" : [
    {
      "concept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "79068005",
            "display" : "Needle, device (physical object)"
          }
        ],
        "text" : "30-guage needle"
      }
    }
  ]
}

Procedure "appendectomy-narrative" Version "1"

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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

{
  "resourceType" : "Procedure",
  "id" : "appendectomy-narrative",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:54.500Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Routine Appendectomy in April 2013 performed by Dr Cecil Surgeon</div>"
  },
  "status" : "completed",
  "subject" : {
    "reference" : "Patient/example"
  }
}

Procedure "ambulation" Version "1"

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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

{
  "resourceType" : "Procedure",
  "id" : "ambulation",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:54.439Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Ambulation procedure was not done</div>"
  },
  "identifier" : [
    {
      "value" : "12345"
    }
  ],
  "instantiatesUri" : [
    "http://example.org/protocol-for-hypertension-during-pregnancy"
  ],
  "basedOn" : [
    {
      "reference" : "CarePlan/preg",
      "display" : "Maternity care plan"
    }
  ],
  "status" : "not-done",
  "statusReason" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "398254007",
        "display" : " Pre-eclampsia (disorder)"
      }
    ],
    "text" : "Pre-eclampsia"
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "62013009",
        "display" : "Ambulating patient (procedure)"
      }
    ],
    "text" : "Ambulation"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/f204",
        "display" : "Carla Espinosa"
      },
      "onBehalfOf" : {
        "reference" : "Organization/f001",
        "display" : "University Medical Hospital"
      }
    }
  ],
  "location" : {
    "reference" : "Location/1",
    "display" : "Burgers University Medical Center, South Wing, second floor"
  },
  "reason" : [
    {
      "reference" : {
        "reference" : "Observation/blood-pressure",
        "display" : "Blood Pressure"
      }
    }
  ]
}