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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" : "2018-12-14T02:02:48.614Z"
  },
  "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"
  },
  "performedDateTime" : "2016-09-27",
  "performer" : [
    {
      "actor" : {
        "display" : "Paul Therapist, PT"
      }
    }
  ],
  "location" : {
    "display" : "Sawbones Orthopedic Clinic"
  },
  "reasonCode" : [
    {
      "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" : "2018-12-14T02:02:48.582Z"
  },
  "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"
  },
  "performedDateTime" : "2012-06-02",
  "performer" : [
    {
      "actor" : {
        "display" : "Martha Midwife, RNP"
      }
    }
  ],
  "location" : {
    "display" : "Women’s Hospital"
  },
  "reasonCode" : [
    {
      "text" : "term pregnancy, active labor"
    }
  ],
  "outcome" : {
    "text" : "delivery of healthy male infant"
  }
}

Procedure "HCBS" Version "1"

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Updated: by

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" : "2018-12-14T02:02:48.535Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Personal care services provided at person's home</b>\n&#9;&#9;&#9;</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Based On</b> : Peter's Long Term Services and Supports (LTSS) care plan</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Status</b> : completed</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Beneficiary</b> : Peter James</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Service Name/Code</b> : Personal care services <span> (Details : {HCPCS code 'T1019' = 'Personal care services, per 15 minutes'})</span>\n&#9;&#9;&#9;</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Service Date</b> : Apr 5, 2018</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Service Provider</b> : Adam Careful</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Service Delivery Address</b> : Peter's home</p>\n&#9;&#9;&#9;<p>\n&#9;&#9;&#9;&#9;<b> Service Comment</b> : Assisted with bathing and dressing, doing laundry, and meal preparation</p>\n&#9;&#9;</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"
  },
  "performedDateTime" : "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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Updated: by

Generated Narrative with Details

id: f201

instantiatesCanonical: PlanDefinition/KDN5

status: completed

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

subject: Roel

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

performed: Jan 28, 2013 1:31:00 PM --> Jan 28, 2013 2:27:00 PM

Performers

-FunctionActor
*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.


{
  "resourceType" : "Procedure",
  "id" : "f201",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:48.489Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: f201</p><p><b>instantiatesCanonical</b>: <a>PlanDefinition/KDN5</a></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>encounter</b>: <a>Roel's encounter on January 28th, 2013</a></p><p><b>performed</b>: Jan 28, 2013 1:31:00 PM --&gt; Jan 28, 2013 2:27:00 PM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</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>"
  },
  "instantiatesCanonical" : [
    "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"
  },
  "performedPeriod" : {
    "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"
      }
    }
  ],
  "reasonCode" : [
    {
      "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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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

encounter: Encounter/f003

performed: Mar 22, 2013 9:30:10 AM --> Mar 22, 2013 10:30:10 AM

Performers

-FunctionActor
*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 )


{
  "resourceType" : "Procedure",
  "id" : "f004",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:48.457Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<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>encounter</b>: <a>Encounter/f003</a></p><p><b>performed</b>: Mar 22, 2013 9:30:10 AM --&gt; Mar 22, 2013 10:30:10 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</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>"
  },
  "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"
  },
  "performedPeriod" : {
    "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"
      }
    }
  ],
  "reasonCode" : [
    {
      "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 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

encounter: Encounter/f003

performed: Mar 24, 2013 9:30:10 AM --> Mar 24, 2013 10:30:10 AM

Performers

-FunctionActor
*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 )


{
  "resourceType" : "Procedure",
  "id" : "f003",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:48.410Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<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>encounter</b>: <a>Encounter/f003</a></p><p><b>performed</b>: Mar 24, 2013 9:30:10 AM --&gt; Mar 24, 2013 10:30:10 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</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>"
  },
  "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"
  },
  "performedPeriod" : {
    "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"
      }
    }
  ],
  "reasonCode" : [
    {
      "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 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

encounter: Encounter/f002

performed: Mar 8, 2013 9:00:10 AM --> Mar 8, 2013 9:30:10 AM

Performers

-FunctionActor
*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 )


{
  "resourceType" : "Procedure",
  "id" : "f002",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:48.364Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<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>encounter</b>: <a>Encounter/f002</a></p><p><b>performed</b>: Mar 8, 2013 9:00:10 AM --&gt; Mar 8, 2013 9:30:10 AM</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</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>"
  },
  "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"
  },
  "performedPeriod" : {
    "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"
      }
    }
  ],
  "reasonCode" : [
    {
      "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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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

encounter: Encounter/f001

performed: Jun 26, 2011 --> Jun 27, 2011

Performers

-FunctionActor
*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 )


{
  "resourceType" : "Procedure",
  "id" : "f001",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:48.332Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<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>encounter</b>: <a>Encounter/f001</a></p><p><b>performed</b>: Jun 26, 2011 --&gt; Jun 27, 2011</p><h3>Performers</h3><table><tr><td>-</td><td><b>Function</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>"
  },
  "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"
  },
  "performedPeriod" : {
    "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"
      }
    }
  ],
  "reasonCode" : [
    {
      "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 "example" 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

{
  "resourceType" : "Procedure",
  "id" : "example",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:48.285Z"
  },
  "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"
  },
  "performedDateTime" : "2013-04-05",
  "recorder" : {
    "reference" : "Practitioner/example",
    "display" : "Dr Cecil Surgeon"
  },
  "asserter" : {
    "reference" : "Practitioner/example",
    "display" : "Dr Cecil Surgeon"
  },
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/example",
        "display" : "Dr Cecil Surgeon"
      }
    }
  ],
  "reasonCode" : [
    {
      "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"
    }
  ]
}

Procedure "example-implant" 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 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: Apr 5, 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

{
  "resourceType" : "Procedure",
  "id" : "example-implant",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:48.254Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<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>: Apr 5, 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>"
  },
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "25267002",
        "display" : "Insertion of intracardiac pacemaker (procedure)"
      }
    ],
    "text" : "Implant Pacemaker"
  },
  "subject" : {
    "reference" : "Patient/example"
  },
  "performedDateTime" : "2015-04-05",
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/example",
        "display" : "Dr Cecil Surgeon"
      }
    }
  ],
  "reasonCode" : [
    {
      "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" : "Device/example-pacemaker"
      }
    }
  ]
}

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" : "2018-12-14T02:02:48.207Z"
  },
  "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"
  },
  "performedDateTime" : "2014-08-16",
  "performer" : [
    {
      "actor" : {
        "display" : "Pamela Educator, RN"
      }
    }
  ],
  "location" : {
    "display" : "Southside Community Health Center"
  },
  "reasonCode" : [
    {
      "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" : "2018-12-14T02:02:48.160Z"
  },
  "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"
    }
  ],
  "usedReference" : [
    {
      "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
Updated: by

Biopsy of colon, which was part of colonoscopy

{
  "resourceType" : "Procedure",
  "id" : "colon-biopsy",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:48.114Z"
  },
  "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
Updated: by

Biopsy of suspected melanoma L) arm

{
  "resourceType" : "Procedure",
  "id" : "biopsy",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2018-12-14T02:02:48.082Z"
  },
  "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"
  },
  "performedDateTime" : "2014-02-03",
  "performer" : [
    {
      "actor" : {
        "reference" : "Practitioner/example",
        "display" : "Dr Bert Biopser"
      }
    }
  ],
  "reasonCode" : [
    {
      "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"
    }
  ],
  "usedCode" : [
    {
      "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" : "2018-12-14T02:02:48.036Z"
  },
  "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" : "2018-12-14T02:02:47.989Z"
  },
  "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"
  },
  "reasonReference" : [
    {
      "reference" : "Observation/blood-pressure",
      "display" : "Blood Pressure"
    }
  ]
}