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Example Procedure/biopsy (JSON)

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

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

Example of a Biopsy

{
  "resourceType" : "Procedure",
  "id" : "biopsy",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Biopsy of suspected melanoma L) arm</div>"
  },
  "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"
    }
  }]
}

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.