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Packagehl7.fhir.us.mcode
Resource TypeProcedure
IdProcedure-cancer-related-surgical-procedure-jenny-m.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Procedure cancer-related-surgical-procedure-jenny-m

Procedure Intent Extension: Curative - procedure intent (qualifier value)

status: Completed

code: Excision of part of breast (procedure)

subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))

performed: 2018-04-01

asserter: Practitioner Owen Oncologist

reasonReference: Condition Primary malignant neoplasm of female left breast (disorder)

bodySite: Left breast structure (body structure)

Source1

{
  "resourceType": "Procedure",
  "id": "cancer-related-surgical-procedure-jenny-m",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-surgical-procedure"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "373808002",
            "display": "Curative - procedure intent (qualifier value)"
          }
        ]
      }
    }
  ],
  "status": "completed",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "64368001",
        "display": "Excision of part of breast (procedure)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/cancer-patient-jenny-m"
  },
  "performedDateTime": "2018-04-01",
  "asserter": {
    "reference": "Practitioner/us-core-practitioner-owen-oncologist"
  },
  "reasonReference": [
    {
      "reference": "Condition/primary-cancer-condition-jenny-m"
    }
  ],
  "bodySite": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "80248007",
          "display": "Left breast structure (body structure)"
        }
      ]
    }
  ]
}