Draft PH Core Implementation Guide
0.1.0 - ci-build Philippines

Draft PH Core Implementation Guide, published by UP Manila National TeleHealth Center. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UP-Manila-SILab/ph-core/ and changes regularly. See the Directory of published versions

: procedure-single-example - JSON Representation

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{
  "resourceType" : "Procedure",
  "id" : "procedure-single-example",
  "meta" : {
    "profile" : [
      🔗 "http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-procedure"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Procedure:</b> Laparoscopic appendectomy (SNOMED CT: 80146002)</p><p><b>Subject:</b> Juan Dela Cruz</p><p><b>Status:</b> Completed</p><p><b>Performed:</b> January 15, 2024, 08:30 - 10:15 (Asia/Manila)</p><p><b>Performer:</b> Dr. Maria Clara Santos (Healthcare professional) on behalf of Department of Health - Central Office</p><p><b>Reason:</b> Acute appendicitis with peritonitis (SNOMED CT: 74400008)</p><p><b>Body Site:</b> Entire appendix - Right lower quadrant abdomen</p><p><b>Outcome:</b> Successful - Procedure completed without complications</p><p><b>Follow-up:</b> Postsurgical wound care in 7 days</p><p><b>Notes:</b> Patient tolerated procedure well. Minimal blood loss. Appendix was inflamed but intact.</p></div>"
  },
  "identifier" : [
    {
      "use" : "usual",
      "system" : "http://doh.gov.ph/fhir/ph-core/NamingSystem/procedure-id",
      "value" : "PROC-2024-000123"
    },
    {
      "use" : "secondary",
      "system" : "http://philhealth.gov.ph/procedure",
      "value" : "PH-APP-789456"
    }
  ],
  "basedOn" : [
    {
      "display" : "ServiceRequest for emergency appendectomy"
    }
  ],
  "partOf" : [
    {
      "display" : "Episode of care for acute abdomen treatment"
    }
  ],
  "status" : "completed",
  "statusReason" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "281501002",
        "display" : "Procedure carried out successfully"
      }
    ]
  },
  "category" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "387713003",
        "display" : "Surgical procedure"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "80146002",
        "display" : "Appendectomy"
      }
    ],
    "text" : "Laparoscopic appendectomy"
  },
  "subject" : {
    🔗 "reference" : "Patient/patient-single-example"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/encounter-single-example"
  },
  "performedPeriod" : {
    "start" : "2024-01-15T08:30:00+08:00",
    "end" : "2024-01-15T10:15:00+08:00"
  },
  "recorder" : {
    🔗 "reference" : "Practitioner/practitioner-single-example"
  },
  "asserter" : {
    🔗 "reference" : "RelatedPerson/relatedperson-single-example"
  },
  "performer" : [
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "223366009",
            "display" : "Healthcare professional"
          }
        ]
      },
      "actor" : {
        🔗 "reference" : "Practitioner/practitioner-single-example"
      },
      "onBehalfOf" : {
        🔗 "reference" : "Organization/organization-single-example"
      }
    },
    {
      "function" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "133932002",
            "display" : "Caregiver"
          }
        ]
      },
      "actor" : {
        🔗 "reference" : "RelatedPerson/relatedperson-single-example"
      }
    }
  ],
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "74400008",
          "display" : "Appendicitis"
        }
      ],
      "text" : "Acute appendicitis with peritonitis"
    }
  ],
  "reasonReference" : [
    {
      🔗 "reference" : "Condition/condition-single-example"
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "181250006",
          "display" : "Entire appendix"
        }
      ],
      "text" : "Right lower quadrant abdomen"
    }
  ],
  "outcome" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "385669000",
        "display" : "Successful"
      }
    ],
    "text" : "Procedure completed without complications"
  },
  "complication" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "109721000",
          "display" : "No complication"
        }
      ]
    }
  ],
  "followUp" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "18949003",
          "display" : "Postsurgical wound care"
        }
      ],
      "text" : "Follow-up visit in 7 days for wound check"
    }
  ],
  "note" : [
    {
      "time" : "2024-01-15T10:30:00+08:00",
      "text" : "Patient tolerated procedure well. Minimal blood loss. Appendix was inflamed but intact. No perforation noted."
    }
  ],
  "usedCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "363708005",
          "display" : "Surgical instrument"
        }
      ],
      "text" : "Laparoscopic instruments"
    }
  ]
}