This page is part of the Quality Improvement Core Framework (v3.1.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, 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>: Appendectomy <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '80146002' = 'Appendectomy', given as 'Appendectomy (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); -unknown-(HOME), ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 25/12/1974; </a></p><p><b>context</b>: <a href="Encounter-example.html">Generated Summary: id: example; status: in-progress; <span title="{http://hl7.org/fhir/v3/ActCode IMP}">inpatient encounter</span></a></p><p><b>performed</b>: 05/04/2013 11:20:00 PM --&gt; 06/04/2013 12:30:00 AM</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; 5234342; status: final; <span title="Codes: {http://hl7.org/fhir/v2/0074 HM}">Hematology</span>; <span title="Codes: {http://loinc.org 58410-2}">Complete Blood Count</span>; effective: 04/03/2011 8:30:00 AM; issued: 04/03/2011 11:45:33 AM; </a></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/procedure-approachBodySite">
    <valueReference>
      <reference value="BodySite/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="Appendectomy (Procedure)"/>
    </coding>
    <text value="Appendectomy"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <context>
    <reference value="Encounter/example"/>
  </context>
  <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>