Release 4B 5 Ballot

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-ballot: R5 Ballot - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Procedure-example-biopsy.json

Example Procedure/biopsy (JSON)

Patient Care Work Group Maturity Level : N/A Standards Status : Informative Compartments : Encounter , Patient , Practitioner , RelatedPerson

Raw JSON ( canonical form + also see JSON Format Specification )

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"
  },

  "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 (Procedure)"
      }
    ],
    "text": "Biopsy of suspected melanoma L) arm"
  },
  "subject": {
    "reference": "Patient/example"
  },
  "performedDateTime": "2014-02-03",

  "occurrenceDateTime": "2014-02-03",
  "recorded": "2014-02-03",

  "performer": [
    {
      "actor": {
        "reference": "Practitioner/example",
        "display": "Dr Bert Biopser"
      }
    }
  ],
  "reasonCode": [

  "reason": [

    {
      "text": "Dark lesion l) forearm. getting darker last 3 months."

      "concept": {
        "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"
    }
  ],
  "complication": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "67750007",
          "display": "Ineffective airway clearance (finding)"
        }
      ],
      "text": "Ineffective airway clearance"
    }
  ],
  "followUp": [
    {
      "text": "Review in clinic"
    }
  ],
  "note": [
    {
      "text": "Standard Biopsy"
    }
  ],
  "usedCode": [

  "used": [

    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "79068005",
          "display": "Needle, device (physical object)"
        }
      ],
      "text": "30-guage needle"

      "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.