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

<Procedure xmlns="http://hl7.org/fhir">
  <id value="ventilator-setting"/>
  <contained>
    <Device>
      <id value="vent-device-1"/>
      <manufacturer value="Medtronic, Inc"/>
      <lotNumber value="1234-9876"/>
      <type>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="40617009"/>
        </coding>
        <text value="Ventilator, device"/>
      </type>
    </Device>
  </contained>
  <contained>
    <Observation>
      <id value="tidal-volume-obs"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="76222-9"/>
        </coding>
        <text value="Tidal volume Ventilator"/>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <valueQuantity>
        <value value="500"/>
        <unit value="mL"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="mL"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="fio2-obs"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="3150-0"/>
        </coding>
        <text value="Inhaled oxygen concentration"/>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <valueQuantity>
        <value value="40"/>
        <unit value="%"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="%"/>
      </valueQuantity>
    </Observation>
  </contained>
  <contained>
    <Observation>
      <id value="peep-obs"/>
      <status value="final"/>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="76248-4"/>
        </coding>
        <text value="PEEP Ventilator"/>
      </code>
      <subject>
        <reference value="Patient/example"/>
      </subject>
      <valueQuantity>
        <value value="5"/>
        <unit value="cm[H2O]"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cm[H2O]"/>
      </valueQuantity>
    </Observation>
  </contained>
  <status value="completed"/>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1258985005"/>
      <display value="Invasive mechanical ventilation (regime/therapy)"/>
    </coding>
    <text value="Mechanical Ventilation"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <occurrenceDateTime value="2015-04-05"/>
  <performer>
    <actor>
      <reference value="Practitioner/example"/>
      <display value="Dr Cecil Surgeon"/>
    </actor>
  </performer>
  <reason>
    <concept>
      <text value="Acute Respiratory Distress Syndrome (ARDS)"/>
    </concept>
  </reason>
  <outcome>
    <concept>
      <text value="Respiratory rate 24 bpm"/>
    </concept>
  </outcome>
  <outcome>
    <reference>
      <reference value="#tidal-volume-obs"/>
      <display value="Tidal volume 500 mL"/>
    </reference>
  </outcome>
  <outcome>
    <reference>
      <reference value="#fio2-obs"/>
      <display value="FiO2 40%"/>
    </reference>
  </outcome>
  <outcome>
    <reference>
      <reference value="#peep-obs"/>
      <display value="PEEP 5 cmH2O"/>
    </reference>
  </outcome>
  <followUp>
    <concept>
      <text value="Daily chest x-rays and ongoing ventilation monitoring"/>
    </concept>
  </followUp>
  <note>
    <text value="ARDS due to sepsis"/>
  </note>
  <focalDevice>
    <action>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="232679009"/>
        <display value="Nasotracheal intubation (procedure)"/>
      </coding>
    </action>
    <manipulated>
      <reference value="#vent-device-1"/>
    </manipulated>
  </focalDevice>
</Procedure>