QI-Core Implementation Guide: STU 4 (v4.0.0 for FHIR 4.0.1)

QI-Core Implementation Guide - This is the current published version.. See the Directory of published versions

Procedure/example

Formats: Narrative, XML, JSON, Turtle

Raw xml


<Procedure xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>status</b>: completed</p><p><b>code</b>: Excision of appendix (procedure) <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '80146002' = 'Appendectomy', given as 'Excision of appendix (procedure)'})</span></p><p><b>subject</b>: <a href="Patient-example.html">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>encounter</b>: <a href="Encounter-example.html">Generated Summary: id: example; status: in-progress; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span>; <span title="Codes: {http://www.ama-assn.org/go/cpt 99223}">Inpatient Hospital Care</span></a></p><p><b>performed</b>: Apr 5, 2013 1:20:00 PM --&gt; Apr 5, 2013 2:30:00 PM</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href="Practitioner-example.html">Dr Cecil Surgeon. Generated Summary: id: example; 23; active; Adam Careful </a></td></tr></table><p><b>reasonCode</b>: On examination - abdominal pain - right iliac <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '163220003' = 'On examination - abdominal pain - right iliac (finding)', given as 'On examination - abdominal pain - right iliac'})</span></p><p><b>bodySite</b>: Appendix structure <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '66754008' = 'Appendix', given as 'Appendix structure'})</span></p><p><b>report</b>: <a href="DiagnosticReport-example.html">Generated Summary: id: example; status: final; <span title="Codes: {http://terminology.hl7.org/CodeSystem/v2-0074 LAB}">Laboratory</span>; <span title="Codes: {http://loinc.org 58410-2}">Complete blood count (hemogram) panel - Blood by Automated count</span>; effective: Jul 5, 2005 12:00:00 AM; issued: Jul 6, 2005 12:45:33 AM</a></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/procedure-approachBodyStructure">
    <valueReference>
      <reference value="BodyStructure/example"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/procedure-incisionDateTime">
    <valueDateTime value="2013-04-05T09:30:00-04:00"/>
  </extension>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="80146002"/>
      <display value="Excision of appendix (procedure)"/>
    </coding>
    <text value="Excision of appendix (procedure)"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <encounter>
    <reference value="Encounter/example"/>
  </encounter>
  <performedPeriod>
    <start value="2013-04-05T09:20:00-04:00"/>
    <end value="2013-04-05T10:30:00-04:00"/>
  </performedPeriod>
  <performer>
    <actor>
      <reference value="Practitioner/example"/>
      <display value="Dr Cecil Surgeon"/>
    </actor>
  </performer>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="163220003"/>
      <display value="On examination - abdominal pain - right iliac"/>
    </coding>
  </reasonCode>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="66754008"/>
      <display value="Appendix structure"/>
    </coding>
  </bodySite>
  <report>
    <reference value="DiagnosticReport/example"/>
  </report>
</Procedure>