Draft PH Core Implementation Guide
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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 0.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/eabuenaventura/eab-ph-core/ and changes regularly. See the Directory of published versions

: procedure-single-example

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{
  "resourceType" : "Procedure",
  "id" : "procedure-single-example",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.doh.gov.ph/phcore/StructureDefinition/ph-core-procedure"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Procedure procedure-single-example</b></p><a name=\"procedure-single-example\"> </a><a name=\"hcprocedure-single-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ph-core-procedure.html\">PH Core Procedure</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-DOHProcedureIDNS.html\" title=\"Identifier system for procedures assigned by the Department of Health (DOH) health facilities.\">DOHProcedureID</a>/PROC-2024-000123\u00a0(use:\u00a0usual,\u00a0), <a href=\"NamingSystem-PhilHealthProcedureIDNS.html\" title=\"Identifier system for procedures assigned by PhilHealth for claims and reimbursement purposes.\">PhilHealthProcedureID</a>/PH-APP-789456\u00a0(use:\u00a0secondary,\u00a0)</p><p><b>basedOn</b>: ServiceRequest for emergency appendectomy</p><p><b>partOf</b>: Episode of care for acute abdomen treatment</p><p><b>status</b>: Completed</p><p><b>statusReason</b>: <span title=\"Codes:{http://snomed.info/sct 385669000}\">Successful</span></p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 387713003}\">Surgical procedure</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 80146002}\">Laparoscopic appendectomy</span></p><p><b>subject</b>: <a href=\"Patient-patient-single-example.html\">Juan Jane Dela Fuente Dela Cruz  Male, DoB: 1980-01-01 ( http://philhealth.gov.ph/fhir/Identifier/philhealth-id#PhilHealthID#63-584789845-5)</a></p><p><b>encounter</b>: <a href=\"Encounter-encounter-single-example.html\">Encounter: identifier = http://example.org/encounter-id#ENC-12345; status = finished; class = ambulatory (ActCode#AMB); type = ambulatory; period = 2023-01-01 10:00:00+0000 --&gt; 2023-01-01 11:00:00+0000</a></p><p><b>performed</b>: 2024-01-15 08:30:00+0800 --&gt; 2024-01-15 10:15:00+0800</p><p><b>recorder</b>: <a href=\"Practitioner-practitioner-single-example.html\">Practitioner Maria Clara Santos (official)</a></p><p><b>asserter</b>: <a href=\"RelatedPerson-relatedperson-single-example.html\">RelatedPerson Maria Cruz Santos(official)</a></p><blockquote><p><b>performer</b></p><p><b>function</b>: <span title=\"Codes:{http://snomed.info/sct 223366009}\">Healthcare professional</span></p><p><b>actor</b>: <a href=\"Practitioner-practitioner-single-example.html\">Practitioner Maria Clara Santos (official)</a></p><p><b>onBehalfOf</b>: <a href=\"Organization-organization-single-example.html\">Organization Department of Health - Sattelite Office</a></p></blockquote><blockquote><p><b>performer</b></p><p><b>function</b>: <span title=\"Codes:{http://snomed.info/sct 133932002}\">Caregiver</span></p><p><b>actor</b>: <a href=\"RelatedPerson-relatedperson-single-example.html\">RelatedPerson Maria Cruz Santos(official)</a></p></blockquote><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 74400008}\">Acute appendicitis with peritonitis</span></p><p><b>reasonReference</b>: <a href=\"Condition-condition-single-example.html\">Condition Diabetes mellitus type 2</a></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 66754008}\">Right lower quadrant abdomen</span></p><p><b>outcome</b>: <span title=\"Codes:{http://snomed.info/sct 385669000}\">Procedure completed without complications</span></p><p><b>followUp</b>: <span title=\"Codes:{http://snomed.info/sct 226007004}\">Follow-up visit in 7 days for wound check</span></p><p><b>note</b>: @2024-01-15 10:30:00+0800</p><blockquote><div><p>Patient tolerated procedure well. Minimal blood loss. Appendix was inflamed but intact. No perforation noted.</p>\n</div></blockquote><p><b>usedCode</b>: <span title=\"Codes:{http://snomed.info/sct 261424001}\">Laparoscopic instruments</span></p></div>"
  },
  "identifier" : [
    {
      "use" : "usual",
      "system" : "https://fhir.doh.gov.ph/phcore/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"
    }
  ]
}