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