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Packagehl7.fhir.us.qicore
Resource TypeProcedure
IdProcedure-done-example.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Procedure done-example

Language: en

Profile: QICore Procedure Done

Extension Definition for Procedure.recorded for Version 5.0: 2013-04-05 09:35:00-0400

status: Completed

code: Excision of appendix (procedure)

subject: Jim Chalmers Male, DoB: 1974-12-25 ( Medical record number (use: usual, period: 2001-05-06 --> (ongoing)))

encounter: Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.

performed: 2013-04-05 09:20:00-0400 --> 2013-04-05 10:30:00-0400

Performers

-Actor
*Dr Cecil Surgeon

reasonCode: Abdominal pain (finding)

bodySite: Appendix structure

report: Diagnostic Report for 'CBC panel - Blood by Automated count' for '->Peter Chalmers'

Source1

{
  "resourceType": "Procedure",
  "id": "done-example",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-proceduredone"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded",
      "valueDateTime": "2013-04-05T09:35:00-04:00"
    }
  ],
  "status": "completed",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "80146002",
        "display": "Excision of appendix (procedure)"
      }
    ],
    "text": "Excision of appendix (procedure)"
  },
  "subject": {
    "reference": "Patient/example"
  },
  "encounter": {
    "reference": "Encounter/example"
  },
  "performedPeriod": {
    "start": "2013-04-05T09:20:00-04:00",
    "end": "2013-04-05T10:30:00-04:00"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/example",
        "display": "Dr Cecil Surgeon"
      }
    }
  ],
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "21522001",
          "display": "Abdominal pain (finding)"
        }
      ]
    }
  ],
  "bodySite": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "66754008",
          "display": "Appendix structure"
        }
      ]
    }
  ],
  "report": [
    {
      "reference": "DiagnosticReport/example"
    }
  ]
}