US Core Implementation Guide
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This page is part of the US Core (v7.0.0: STU7) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions. Page versions: STU6.1 STU6 STU5 STU4 STU3

: Procedure Defibrillator Implant Example - XML Representation

Page standards status: Informative

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<Procedure xmlns="http://hl7.org/fhir">
  <id value="defib-implant"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|7.0.0"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Procedure</b><a name="defib-implant"> </a><a name="hcdefib-implant"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Procedure &quot;defib-implant&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-us-core-procedure.html">US Core Procedure Profile (version 7.0.0)</a></p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt 

This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: 

Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff</p><p><b>status</b>: completed</p><p><b>code</b>: Insertion or replacement of permanent implantable defibrillator system with transvenous lead(s), single or dual chamber <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT®)</a>#33249)</span></p><p><b>subject</b>: <a href="Patient-example.html">Patient/example</a> &quot; SHAW&quot;</p><p><b>encounter</b>: <a href="Encounter-example-1.html">Encounter/example-1: Office Visit</a></p><p><b>performed</b>: 2019-03-26 12:55:26-0700 --&gt; 2019-03-26 13:25:26-0700</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Practitioner-practitioner-1.html">Practitioner/practitioner-1</a> &quot; BONE&quot;</td></tr></table><p><b>reasonCode</b>: Ventricular fibrillation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#I49.01)</span></p><h3>FocalDevices</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Manipulated</b></td></tr><tr><td style="display: none">*</td><td><a href="Device-udi-2.html">Device/udi-2</a></td></tr></table></div>
  </text>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff"/>
  </identifier>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://www.ama-assn.org/go/cpt"/>
      <code value="33249"/>
    </coding>
    <text
          value="Insertion or replacement of permanent implantable defibrillator system with transvenous lead(s), single or dual chamber"/>
  </code>
  <subject>🔗 
    <reference value="Patient/example"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/example-1"/>
    <display value="Office Visit"/>
  </encounter>
  <performedPeriod>
    <start value="2019-03-26T12:55:26-07:00"/>
    <end value="2019-03-26T13:25:26-07:00"/>
  </performedPeriod>
  <performer>
    <actor>🔗 
      <reference value="Practitioner/practitioner-1"/>
    </actor>
  </performer>
  <reasonCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
      <code value="I49.01"/>
      <display value="Ventricular fibrillation"/>
    </coding>
    <text value="Ventricular fibrillation"/>
  </reasonCode>
  <focalDevice>
    <manipulated>🔗 
      <reference value="Device/udi-2"/>
    </manipulated>
  </focalDevice>
</Procedure>