Procedure Example: procedure-example-biopsy

Narrative

Biopsy of suspected melanoma L) arm

Example XML

<?xml version="1.0" encoding="UTF-8"?>
<Procedure xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/procedure.xsd">
  <id value="biopsy"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">Biopsy of suspected melanoma L) arm</div>
  </text>
  <status value="completed"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="103693007"/>
      <display value="Diagnostic procedure (procedure)"/>
    </coding>
    <text value="Diagnostic procedure"/>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="90105005"/>
      <display value="Biopsy of soft tissue of forearm, superficial"/>
    </coding>
    <text value="Biopsy of suspected melanoma L) arm"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <occurrenceDateTime value="2014-02-03"/>
  <recorded value="2014-02-03"/>
  <performer>
    <actor>
      <reference value="Practitioner/example"/>
      <display value="Dr Bert Biopser"/>
    </actor>
  </performer>
  <reason>
       <concept>
       <text value="Dark lesion l) forearm. getting darker last 3 months."/>
       </concept>
  </reason>
  <!-- 
  <bodySite>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="368225008"/>
        <display value="Entire Left Forearm"/>
      </coding>
      <text value="Left forearm"/>
  </bodySite>
  -->
  <bodyStructure>
    <reference value="BodyStructure/skin-patch"/>
  </bodyStructure>
  <complication>
    <concept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="67750007"/>
          <display value="Ineffective airway clearance (finding)"/>
        </coding>
        <text value="Ineffective airway clearance"/>
    </concept>
  </complication>
  <followUp>
    <concept>
        <text value="Review in clinic"/>
    </concept>
  </followUp>
  <note>
    <text value="Standard Biopsy"/>
  </note> 
  <used>
    <concept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="79068005"/>
        <display value="Needle, device (physical object)"/>
      </coding>
      <text value="30-guage needle"/>
    </concept>
  </used>
</Procedure>
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MELANOMA OF THE SKIN: Biopsy, Excision, Re-Excision
Biospy of the Skin Excision

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