{
  "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" : "385669000",
      "display" : "Successful"
    }]
  },
  "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" : "66754008",
      "display" : "Appendix structure"
    }],
    "text" : "Right lower quadrant abdomen"
  }],
  "outcome" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "385669000",
      "display" : "Successful"
    }],
    "text" : "Procedure completed without complications"
  },
  "followUp" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "226007004",
      "display" : "Post-surgical 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" : "261424001",
      "display" : "Primary operation"
    }],
    "text" : "Laparoscopic instruments"
  }]
}