Implementation Guide
23.0.0 - R4 APIs

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: General Procedure Example with order modifier codes - XML Representation

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<Procedure xmlns="http://hl7.org/fhir">
  <id value="Example2"/>
  <meta>
    <versionId value="2023050282057000"/>
    <lastUpdated value="2024-02-08T22:29:49.067-08:00"/>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure"/>
    <profile
             value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-procedure-profile"/>
    <security>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
      <code value="N"/>
      <display value="Normal"/>
    </security>
    <tag>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
      <code value="Removed"/>
      <display value="Removed"/>
    </tag>
    <tag>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
      <code value="Pen"/>
      <display value="Pen"/>
    </tag>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Procedure Example2</b></p><a name="Example2"> </a><a name="hcExample2"> </a><a name="Example2-en-US"> </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">version: versionId: id (PrimitiveType/Procedure.meta.versionId): element = id -&gt; versionId=id[2023050282057000]; Last updated: 2024-02-08 22:29:49-0800</p><p style="margin-bottom: 0px">Profiles: <a href="http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-procedure.html">US Core Procedure Profile</a>, <a href="StructureDefinition-athena-procedure-profile.html">An action that is being or was performed on a patient</a></p><p style="margin-bottom: 0px">Tags: Removed (Details: EditTags code Removed  = ' Removed ', stated as ' Removed '), Pen (Details: EditTags code Pen  = ' Pen ', stated as ' Pen ')</p><p style="margin-bottom: 0px">Security Label: Normal (Details: Confidentiality code N  = ' normal ', stated as ' Normal ')</p></div><p><b>identifier</b>: Unspecified Identifier/169-3</p><p><b>basedOn</b>: <a href="ServiceRequest/2023050282057000">ServiceRequest/2023050282057000</a></p><p><b>status</b>: Completed</p><p><b>code</b>: <span title="Codes:{http://argonaut.hl7.org/fhir/sid/cdt J7030:24,25,26}">0.9% NS 1000 ml</span></p><p><b>subject</b>: <a href="Patient-Example1.html">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>encounter</b>: <a href="Encounter-Example1.html">Encounter: extension = No display for Extension ,No display for Extension ,No display for Extension ; status = finished; class = ambulatory (ActCode#AMB); type = Office Visit; priority = routine; period = 2020-08-17 21:04:20-0600 --&gt; 2020-08-17 21:07:17-0600</a></p><p><b>performed</b>: 2024-02-08 22:24:42-0800</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Practitioner-Example1.html">Practitioner Harry S. Winston </a></td></tr></table><p><b>reasonReference</b>: <a href="Condition-Example1.html">Condition I10</a></p></div>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="U"/>
        <display value="Unspecified Identifier"/>
      </coding>
      <text value="Unspecified Identifier"/>
    </type>
    <system
            value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/ORDERNUM/1000-4-9390"/>
    <value value="169-3"/>
  </identifier>
  <basedOn>
    <reference value="ServiceRequest/2023050282057000"/>
  </basedOn>
  <status value="completed">
    <extension
               url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode">
      <valueCoding>
        <system
                value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/procedurestatus"/>
        <code value="C"/>
        <display value="Complete"/>
      </valueCoding>
    </extension>
  </status>
  <code>
    <coding>
      <system value="http://argonaut.hl7.org/fhir/sid/cdt"/>
      <code value="J7030:24,25,26"/>
    </coding>
    <text value="0.9% NS 1000 ml"/>
  </code>
  <subject>🔗 
    <reference value="Patient/Example1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/Example1"/>
  </encounter>
  <performedDateTime value="2024-02-08T22:24:42-08:00"/>
  <performer>
    <actor>🔗 
      <reference value="Practitioner/Example1"/>
    </actor>
  </performer>
  <reasonReference>🔗 
    <reference value="Condition/Example1"/>
  </reasonReference>
</Procedure>