Example
of
a
Biopsy
{
"resourceType": "Procedure",
"id": "biopsy",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Biopsy of suspected melanoma L) arm</div>"
},
"status": "completed",
"category": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "103693007",
"display": "Diagnostic procedure (procedure)"
}
],
"text": "Diagnostic procedure"
"resourceType" : "Procedure",
"id" : "biopsy",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Biopsy of suspected melanoma L) arm</div>"
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "90105005",
"display": "Biopsy of soft tissue of forearm (Procedure)"
}
],
"text": "Biopsy of suspected melanoma L) arm"
"status" : "completed",
"category" : [{
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "103693007",
"display" : "Diagnostic procedure (procedure)"
}],
"text" : "Diagnostic procedure"
}],
"code" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "90105005",
"display" : "Biopsy of soft tissue of forearm, superficial"
}],
"text" : "Biopsy of suspected melanoma L) arm"
},
"subject": {
"reference": "Patient/example"
"subject" : {
"reference" : "Patient/example"
},
"performedDateTime": "2014-02-03",
"performer": [
{
"actor": {
"reference": "Practitioner/example",
"display": "Dr Bert Biopser"
}
}
],
"reasonCode": [
{
"text": "Dark lesion l) forearm. getting darker last 3 months."
}
],
"bodySite": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "368225008",
"display": "Entire Left Forearm"
}
],
"text": "Left forearm"
"occurrenceDateTime" : "2014-02-03",
"recorded" : "2014-02-03",
"performer" : [{
"actor" : {
"reference" : "Practitioner/example",
"display" : "Dr Bert Biopser"
}
],
"complication": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "67750007",
"display": "Ineffective airway clearance (finding)"
}
],
"text": "Ineffective airway clearance"
}],
"reason" : [{
"concept" : {
"text" : "Dark lesion l) forearm. getting darker last 3 months."
}
],
"followUp": [
{
"text": "Review in clinic"
}],
"bodyStructure" : {
"reference" : "BodyStructure/skin-patch"
},
"complication" : [{
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "67750007",
"display" : "Ineffective airway clearance (finding)"
}],
"text" : "Ineffective airway clearance"
}
],
"note": [
{
"text": "Standard Biopsy"
}],
"followUp" : [{
"concept" : {
"text" : "Review in clinic"
}
],
"usedCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "79068005",
"display": "Needle, device (physical object)"
}
],
"text": "30-guage needle"
}],
"note" : [{
"text" : "Standard Biopsy"
}],
"used" : [{
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "79068005",
"display" : "Needle, device (physical object)"
}],
"text" : "30-guage needle"
}
]
}]
}
Usage
note:
every
effort
has
been
made
to
ensure
that
the
examples
are
correct
and
useful,
but
they
are
not
a
normative
part
of
the
specification.