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{"resourceType":"Procedure","id":"biopsy","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eBiopsy of suspected melanoma L) arm\u003c/div\u003e"},"status":"completed","category":[{"coding":[{"system":"http://snomed.info/sct","code":"103693007","display":"Diagnostic procedure (procedure)"}],"text":"Diagnostic procedure"}],"code":{"coding":[{"system":"http://snomed.info/sct","code":"90105005","display":"Biopsy of soft tissue of forearm, superficial"}],"text":"Biopsy of suspected melanoma L) arm"},"subject":{"reference":"Patient/example"},"occurrenceDateTime":"2014-02-03","recorded":"2014-02-03","performer":[{"actor":{"reference":"Practitioner/example","display":"Dr Bert Biopser"}}],"reason":[{"concept":{"text":"Dark lesion l) forearm. getting darker last 3 months."}}],"bodyStructure":{"reference":"BodyStructure/skin-patch"},"complication":[{"concept":{"coding":[{"system":"http://snomed.info/sct","code":"67750007","display":"Ineffective airway clearance (finding)"}],"text":"Ineffective airway clearance"}}],"followUp":[{"concept":{"text":"Review in clinic"}}],"note":[{"text":"Standard Biopsy"}],"used":[{"concept":{"coding":[{"system":"http://snomed.info/sct","code":"79068005","display":"Needle, device (physical object)"}],"text":"30-guage needle"}}]}
{"resourceType":"Procedure","id":"HCBS","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Personal care services provided at person\u0027s home\u003c/b\u003e\n\t\t\t\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Based On\u003c/b\u003e : Peter\u0027s Long Term Services and Supports (LTSS) care plan\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Status\u003c/b\u003e : completed\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Beneficiary\u003c/b\u003e : Peter James\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Service Name/Code\u003c/b\u003e : Personal care services \u003cspan\u003e (Details : {HCPCS code \u0027T1019\u0027 \u003d \u0027Personal care services, per 15 minutes\u0027})\u003c/span\u003e\n\t\t\t\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Service Date\u003c/b\u003e : Apr 5, 2018\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Service Provider\u003c/b\u003e : Adam Careful\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Service Delivery Address\u003c/b\u003e : Peter\u0027s home\u003c/p\u003e\n\t\t\t\u003cp\u003e\n\t\t\t\t\u003cb\u003e Service Comment\u003c/b\u003e : Assisted with bathing and dressing, doing laundry, and meal preparation\u003c/p\u003e\n\t\t\u003c/div\u003e"},"basedOn":[{"display":"Peter\u0027s Long Term Service and Supports (LTSS) Care Plan"}],"status":"completed","code":{"coding":[{"system":"https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets/Alpha-Numeric-HCPCS.html","code":"T1019","display":"Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment."}],"text":"Personal care services"},"subject":{"reference":"Patient/example","display":"Peter James"},"occurrenceDateTime":"2018-04-05","performer":[{"actor":{"reference":"Practitioner/example","display":"Adam Careful"}}],"location":{"reference":"Location/ph","display":"Peter\u0027s Home"},"note":[{"text":"Assisted with bathing and dressing, doing laundry, and meal preparation"}]}
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{"resourceType":"Procedure","id":"colon-biopsy","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eBiopsy of colon, which was part of colonoscopy\u003c/div\u003e"},"identifier":[{"value":"12345"}],"partOf":[{"reference":"Procedure/colonoscopy","display":"Colonoscopy"}],"status":"completed","code":{"coding":[{"system":"http://snomed.info/sct","code":"76164006","display":"Biopsy of colon (procedure)"}],"text":"Biopsy of colon"},"subject":{"reference":"Patient/example"},"performer":[{"actor":{"reference":"Practitioner/example","display":"Dr Adam Careful"}}],"location":{"reference":"Location/1","display":"Burgers University Medical Center, South Wing, second floor"}}
{"resourceType":"Procedure","id":"ob","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eVaginal delivery of healthy male infant on June 2, 2012\u003c/div\u003e"},"status":"completed","category":[{"coding":[{"system":"http://snomed.info/sct","code":"386637004","display":"Obstetric procedure (procedure)"}],"text":"OB"}],"code":{"coding":[{"system":"http://snomed.info/sct","code":"22633006","display":"Vaginal delivery, medical personnel present (procedure)"}],"text":"Vaginal delivery"},"subject":{"display":"Jane Doe"},"occurrenceDateTime":"2012-06-02","performer":[{"actor":{"display":"Martha Midwife, RNP"}}],"location":{"display":"Women’s Hospital"},"reason":[{"concept":{"text":"term pregnancy, active labor"}}],"outcome":[{"concept":{"text":"delivery of healthy male infant"}}]}
{"resourceType":"Procedure","id":"f003","status":"completed","code":{"coding":[{"system":"http://snomed.info/sct","code":"172960003","display":"Incision of retropharyngeal abscess"}]},"subject":{"reference":"Patient/f001","display":"P. van de Heuvel"},"encounter":{"reference":"Encounter/f003"},"occurrencePeriod":{"start":"2013-03-24T09:30:10+01:00","end":"2013-03-24T10:30:10+01:00"},"performer":[{"function":{"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.15.111","code":"01.000","display":"Arts"}],"text":"Care role"},"actor":{"reference":"Practitioner/f001","display":"E.M.J.M. van den broek"}}],"reason":[{"concept":{"text":"abcess in retropharyngeal area"}}],"bodySite":[{"coding":[{"system":"http://snomed.info/sct","code":"83030008","display":"Retropharyngeal area"}]}],"outcome":[{"concept":{"text":"removal of the retropharyngeal abscess"}}],"report":[{"reference":"DiagnosticReport/f001","display":"Lab results blood test"}],"followUp":[{"concept":{"text":"described in care plan"}}]}
{"resourceType":"Procedure","id":"appendectomy-narrative","text":{"status":"additional","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eRoutine Appendectomy in April 2013 performed by Dr Cecil Surgeon\u003c/div\u003e"},"status":"completed","subject":{"reference":"Patient/example"}}
{"resourceType":"Procedure","id":"f004","status":"completed","code":{"coding":[{"system":"http://snomed.info/sct","code":"48387007","display":"Tracheotomy"}]},"subject":{"reference":"Patient/f001","display":"P. van de Heuvel"},"encounter":{"reference":"Encounter/f003"},"occurrencePeriod":{"start":"2013-03-22T09:30:10+01:00","end":"2013-03-22T10:30:10+01:00"},"performer":[{"function":{"coding":[{"system":"urn:oid:2.16.840.1.113883.2.4.15.111","code":"01.000","display":"Arts"}],"text":"Care role"},"actor":{"reference":"Practitioner/f005","display":"A. Langeveld"}}],"reason":[{"concept":{"text":"ensure breathing during surgery"}}],"bodySite":[{"coding":[{"system":"http://snomed.info/sct","code":"83030008","display":"Retropharyngeal area"}]}],"outcome":[{"concept":{"text":"removal of the retropharyngeal abscess"}}],"report":[{"reference":"DiagnosticReport/f001","display":"???????????"}],"followUp":[{"concept":{"text":"described in care plan"}}]}
{"resourceType":"Procedure","id":"ambulation","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eAmbulation procedure was not done\u003c/div\u003e"},"identifier":[{"value":"12345"}],"basedOn":[{"reference":"CarePlan/preg","display":"Maternity care plan"}],"status":"not-done","statusReason":{"coding":[{"system":"http://snomed.info/sct","code":"398254007","display":"Pre-eclampsia (disorder)"}],"text":"Pre-eclampsia"},"code":{"coding":[{"system":"http://snomed.info/sct","code":"62013009","display":"Ambulating patient (procedure)"}],"text":"Ambulation"},"subject":{"reference":"Patient/example"},"performer":[{"actor":{"reference":"CareTeam/example","display":"Maternity CareTeam"},"onBehalfOf":{"reference":"Organization/f001","display":"University Medical Hospital"}}],"location":{"reference":"Location/1","display":"Burgers University Medical Center, South Wing, second floor"},"reason":[{"reference":{"reference":"Observation/blood-pressure","display":"Blood Pressure"}}]}
{"resourceType":"Procedure","id":"physical-therapy","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eAssessment of passive range of motion for both knees on Sept 27, 2016 due to osteoarthritis\u003c/div\u003e"},"basedOn":[{"reference":"ServiceRequest/physical-therapy","display":"Order for the assessment of passive range of motion"}],"status":"completed","category":[{"coding":[{"system":"http://snomed.info/sct","code":"386053000","display":"Evaluation procedure (procedure)"}],"text":"Evaluation"}],"code":{"coding":[{"system":"http://snomed.info/sct","code":"710830005","display":"Assessment of passive range of motion (procedure)"}],"text":"Assessment of passive range of motion"},"subject":{"reference":"Patient/example"},"occurrenceDateTime":"2016-09-27","performer":[{"actor":{"display":"Paul Therapist, PT"}}],"location":{"display":"Sawbones Orthopedic Clinic"},"reason":[{"concept":{"text":"assessment of mobility limitations due to osteoarthritis"}}],"bodySite":[{"coding":[{"system":"http://snomed.info/sct","code":"36701003","display":"Both knees (body structure)"}],"text":"Both knees"}]}
{"resourceType":"Procedure","id":"colonoscopy","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eColonoscopy with complication\u003c/div\u003e"},"identifier":[{"value":"12345"}],"status":"completed","code":{"coding":[{"system":"http://snomed.info/sct","code":"73761001","display":"Colonoscopy (procedure)"}],"text":"Colonoscopy"},"subject":{"reference":"Patient/example"},"performer":[{"actor":{"reference":"Practitioner/example","display":"Dr Adam Careful"}}],"location":{"reference":"Location/1","display":"Burgers University Medical Center, South Wing, second floor"},"complication":[{"reference":{"display":"Perforated intestine condition"}}],"used":[{"reference":{"display":"Colonoscope device"}}]}
{"resourceType":"Procedure","id":"physicaltherapy-neck","status":"completed","category":[{"coding":[{"system":"http://snomed.info/sct","code":"119600000","display":"Neck manipulation"}]}],"code":{"coding":[{"system":"http://snomed.info/sct","code":"399010004","display":"Nonsurgical manipulation of cervical spine (procedure)"}]},"subject":{"reference":"Patient/example"},"occurrenceDateTime":"2024-01-12","performer":[{"actor":{"display":"Paul Therapist, PT"}}],"location":{"display":"Sawbones Orthopedic Clinic"},"reason":[{"concept":{"coding":[{"system":"http://snomed.info/sct","code":"298253002","display":"Cervical facet joint pain (finding)"}]}}],"bodySite":[{"coding":[{"system":"http://snomed.info/sct","code":"410737007","display":"Joint structure of sixth cervical vertebra (body structure)"}],"text":"Cervical spine C6 joint"}],"outcome":[{"concept":{"coding":[{"system":"http://snomed.info/sct","code":"298429006","display":"Normal active range of cervical spine right lateral flexion (finding)"}]}},{"concept":{"coding":[{"system":"http://snomed.info/sct","code":"298434005","display":"Normal passive range of cervical spine right lateral flexion (finding)"}]}},{"concept":{"coding":[{"system":"http://snomed.info/sct","code":"298451003","display":"Normal active range of cervical spine right rotation (finding)"}]}},{"concept":{"coding":[{"system":"http://snomed.info/sct","code":"298456008","display":"Normal passive range of cervical spine right rotation (finding)"}]}},{"reference":{"reference":"Observation/example"}}]}
{"resourceType":"Procedure","id":"f201","status":"completed","code":{"coding":[{"system":"http://snomed.info/sct","code":"367336001","display":"Chemotherapy"}]},"subject":{"reference":"Patient/f201","display":"Roel"},"encounter":{"reference":"Encounter/f202","display":"Roel\u0027s encounter on January 28th, 2013"},"occurrencePeriod":{"start":"2013-01-28T13:31:00+01:00","end":"2013-01-28T14:27:00+01:00"},"performer":[{"function":{"coding":[{"system":"http://snomed.info/sct","code":"310512001","display":"Medical oncologist"}]},"actor":{"reference":"Practitioner/f201","display":"Dokter Bronsig"}}],"reason":[{"concept":{"text":"DiagnosticReport/f201"}}],"bodySite":[{"coding":[{"system":"http://snomed.info/sct","code":"272676008","display":"Entire sphenoid bone (body structure)"}]}],"note":[{"text":"Eerste neo-adjuvante TPF-kuur bij groot proces in sphenoid met intracraniale uitbreiding."}]}
{"resourceType":"Procedure","id":"education","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003eHealth education - breast examination for early detection of breast mass\u003c/div\u003e"},"basedOn":[{"reference":"ServiceRequest/education","display":"Order for health education"}],"status":"completed","category":[{"coding":[{"system":"http://snomed.info/sct","code":"311401005","display":"Patient education (procedure)"}],"text":"Education"}],"code":{"coding":[{"system":"http://snomed.info/sct","code":"48023004","display":"Breast self-examination technique education (procedure)"}],"text":"Health education - breast examination"},"subject":{"display":"Jane Doe"},"occurrenceDateTime":"2014-08-16","performer":[{"actor":{"display":"Pamela Educator, RN"}}],"location":{"display":"Southside Community Health Center"},"reason":[{"concept":{"text":"early detection of breast mass"}}]}
{"resourceType":"Procedure","id":"example-implant","contained":[{"resourceType":"Device","id":"example-pacemaker","manufacturer":"Acme Devices, Inc","lotNumber":"1234-5678","type":[{"coding":[{"system":"http://snomed.info/sct","code":"14106009","display":"Cardiac pacemaker, device (physical object)"}]}]}],"status":"completed","code":{"coding":[{"system":"http://snomed.info/sct","code":"25267002","display":"Insertion of intracardiac pacemaker (procedure)"}],"text":"Implant Pacemaker"},"subject":{"reference":"Patient/example"},"occurrenceDateTime":"2015-04-05","performer":[{"actor":{"reference":"Practitioner/example","display":"Dr Cecil Surgeon"}}],"reason":[{"concept":{"text":"Bradycardia"}}],"followUp":[{"concept":{"text":"ROS 5 days  - 2013-04-10"}}],"note":[{"text":"Routine Appendectomy. Appendix was inflamed and in retro-caecal position"}],"focalDevice":[{"action":{"coding":[{"system":"http://hl7.org/fhir/device-action","code":"implanted"}]},"manipulated":{"reference":"#example-pacemaker"}}]}