Draft PH Core Implementation Guide
0.2.0 - ci-build
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 xmlns="http://hl7.org/fhir">
<id value="procedure-single-example"/>
<meta>
<profile
value="https://fhir.doh.gov.ph/phcore/StructureDefinition/ph-core-procedure"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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 (use: usual, ), <a href="NamingSystem-PhilHealthProcedureIDNS.html" title="Identifier system for procedures assigned by PhilHealth for claims and reimbursement purposes.">PhilHealthProcedureID</a>/PH-APP-789456 (use: secondary, )</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 --> 2023-01-01 11:00:00+0000</a></p><p><b>performed</b>: 2024-01-15 08:30:00+0800 --> 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>
</div></blockquote><p><b>usedCode</b>: <span title="Codes:{http://snomed.info/sct 261424001}">Laparoscopic instruments</span></p></div>
</text>
<identifier>
<use value="usual"/>
<system value="https://fhir.doh.gov.ph/phcore/NamingSystem/procedure-id"/>
<value value="PROC-2024-000123"/>
</identifier>
<identifier>
<use value="secondary"/>
<system value="http://philhealth.gov.ph/procedure"/>
<value value="PH-APP-789456"/>
</identifier>
<basedOn>
<display value="ServiceRequest for emergency appendectomy"/>
</basedOn>
<partOf>
<display value="Episode of care for acute abdomen treatment"/>
</partOf>
<status value="completed"/>
<statusReason>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385669000"/>
<display value="Successful"/>
</coding>
</statusReason>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="387713003"/>
<display value="Surgical procedure"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="80146002"/>
<display value="Appendectomy"/>
</coding>
<text value="Laparoscopic appendectomy"/>
</code>
<subject>🔗
<reference value="Patient/patient-single-example"/>
</subject>
<encounter>🔗
<reference value="Encounter/encounter-single-example"/>
</encounter>
<performedPeriod>
<start value="2024-01-15T08:30:00+08:00"/>
<end value="2024-01-15T10:15:00+08:00"/>
</performedPeriod>
<recorder>🔗
<reference value="Practitioner/practitioner-single-example"/>
</recorder>
<asserter>🔗
<reference value="RelatedPerson/relatedperson-single-example"/>
</asserter>
<performer>
<function>
<coding>
<system value="http://snomed.info/sct"/>
<code value="223366009"/>
<display value="Healthcare professional"/>
</coding>
</function>
<actor>🔗
<reference value="Practitioner/practitioner-single-example"/>
</actor>
<onBehalfOf>🔗
<reference value="Organization/organization-single-example"/>
</onBehalfOf>
</performer>
<performer>
<function>
<coding>
<system value="http://snomed.info/sct"/>
<code value="133932002"/>
<display value="Caregiver"/>
</coding>
</function>
<actor>🔗
<reference value="RelatedPerson/relatedperson-single-example"/>
</actor>
</performer>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="74400008"/>
<display value="Appendicitis"/>
</coding>
<text value="Acute appendicitis with peritonitis"/>
</reasonCode>
<reasonReference>🔗
<reference value="Condition/condition-single-example"/>
</reasonReference>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="66754008"/>
<display value="Appendix structure"/>
</coding>
<text value="Right lower quadrant abdomen"/>
</bodySite>
<outcome>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385669000"/>
<display value="Successful"/>
</coding>
<text value="Procedure completed without complications"/>
</outcome>
<followUp>
<coding>
<system value="http://snomed.info/sct"/>
<code value="226007004"/>
<display value="Post-surgical wound care"/>
</coding>
<text value="Follow-up visit in 7 days for wound check"/>
</followUp>
<note>
<time value="2024-01-15T10:30:00+08:00"/>
<text
value="Patient tolerated procedure well. Minimal blood loss. Appendix was inflamed but intact. No perforation noted."/>
</note>
<usedCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="261424001"/>
<display value="Primary operation"/>
</coding>
<text value="Laparoscopic instruments"/>
</usedCode>
</Procedure>