Release 4

Procedure-example-f004-tracheotomy.xml

Patient Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner, RelatedPerson

Raw XML (canonical form + also see XML Format Specification)

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Real-world procedure example (id = "f004")

<?xml version="1.0" encoding="UTF-8"?>

<Procedure xmlns="http://hl7.org/fhir">
  <id value="f004"/> 
    <text> <status value="generated"/> <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> </text> <status value="completed"/> 
    <code> 
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="48387007"/> 
            <display value="Tracheotomy"/> 
        </coding> 
    </code> 
  <subject> 
        <reference value="Patient/f001"/> 
        <display value="P. van de Heuvel"/> 
    </subject> 
  <encounter> 
        <reference value="Encounter/f003"/> 
    </encounter> 
    <performedPeriod> 
        <start value="2013-03-22T09:30:10+01:00"/> 
        <end value="2013-03-22T10:30:10+01:00"/> 
    </performedPeriod> 
    <performer> 
        <function> 
            <coding> 
                <system value="urn:oid:2.16.840.1.113883.2.4.15.111"/>  <!--    "AssignedRoleType" coding system    -->
                <code value="01.000"/> 
                <display value="Arts"/> 
            </coding> 
            <text value="Care role"/> 
        </function> 
    <actor> 
            <reference value="Practitioner/f005"/> 
            <display value="A. Langeveld"/> 
        </actor> 
    </performer> 
    <reasonCode> 
      <text value="ensure breathing during surgery"/> 
    </reasonCode> 
    <bodySite>         
        <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="83030008"/> 
            <display value="Retropharyngeal area"/> 
        </coding>     
    </bodySite> 
    <outcome> 
      <text value="removal of the retropharyngeal abscess"/> 
    </outcome> 
    <report> 
        <reference value="DiagnosticReport/f001"/> 
        <display value="???????????"/> 
    </report> 
    <followUp> 
      <text value="described in care plan"/> 
    </followUp> 
</Procedure> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.