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Type: Searchset, 16 of 16
Procedure/HCBS/_history/1 Modified: 5/28/2019 2:48:52 PM +02:00

Personal care services provided at person's home

Based On : Peter's Long Term Services and Supports (LTSS) care plan

Status : completed

Beneficiary : Peter James

Service Name/Code : Personal care services (Details : {HCPCS code 'T1019' = 'Personal care services, per 15 minutes'})

Service Date : Apr 5, 2018

Service Provider : Adam Careful

Service Delivery Address : Peter's home

Service Comment : Assisted with bathing and dressing, doing laundry, and meal preparation

Procedure/ambulation/_history/1 Modified: 5/28/2019 2:48:51 PM +02:00

Ambulation procedure was not done
Procedure/appendectomy-narrative/_history/1 Modified: 5/28/2019 2:48:51 PM +02:00

Routine Appendectomy in April 2013 performed by Dr Cecil Surgeon
Procedure/biopsy/_history/1 Modified: 5/28/2019 2:48:51 PM +02:00

Biopsy of suspected melanoma L) arm
Procedure/colon-biopsy/_history/1 Modified: 5/28/2019 2:48:51 PM +02:00

Biopsy of colon, which was part of colonoscopy
Procedure/colonoscopy/_history/1 Modified: 5/28/2019 2:48:51 PM +02:00

Colonoscopy with complication
Procedure/education/_history/1 Modified: 5/28/2019 2:48:51 PM +02:00

Health education - breast examination for early detection of breast mass
Procedure/example-implant/_history/1 Modified: 5/28/2019 2:48:52 PM +02:00

Generated Narrative with Details

id: example-implant

status: completed

code: Implant Pacemaker (Details : {SNOMED CT code '25267002' = 'Insertion of intracardiac pacemaker', given as 'Insertion of intracardiac pacemaker (procedure)'})

subject: Patient/example

performed: 05/04/2015

Performers

- Actor
* Dr Cecil Surgeon

reasonCode: Bradycardia (Details )

followUp: ROS 5 days - 2013-04-10 (Details )

note: Routine Appendectomy. Appendix was inflamed and in retro-caecal position

FocalDevices

- Action Manipulated
* Implanted (Details : {http://hl7.org/fhir/device-action code 'implanted' = 'Implanted) Device/example-pacemaker
Procedure/example/_history/1 Modified: 5/28/2019 2:48:51 PM +02:00

Routine Appendectomy
Procedure/f001/_history/1 Modified: 5/28/2019 2:48:51 PM +02:00

Generated Narrative with Details

id: f001

status: completed

code: Heart valve replacement (Details : {SNOMED CT code '34068001' = 'Heart valve replacement', given as 'Heart valve replacement'})

subject: P. van de Heuvel

encounter: Encounter/f001

performed: 26/06/2011 --> 27/06/2011

Performers

- Function Actor
* Care role (Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'}) P. Voigt

reasonCode: Heart valve disorder (Details )

bodySite: Heart valve structure (Details : {SNOMED CT code '17401000' = 'Cardiac valve', given as 'Heart valve structure'})

outcome: improved blood circulation (Details )

report: Lab results blood test

followUp: described in care plan (Details )

Procedure/f002/_history/1 Modified: 5/28/2019 2:48:51 PM +02:00

Generated Narrative with Details

id: f002

status: completed

code: Partial lobectomy of lung (Details : {SNOMED CT code '359615001' = 'Partial lobectomy of lung', given as 'Partial lobectomy of lung'})

subject: P. van de Heuvel

encounter: Encounter/f002

performed: 08/03/2013 9:00:10 AM --> 08/03/2013 9:30:10 AM

Performers

- Function Actor
* Care role (Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'}) M.I.M. Versteegh

reasonCode: Malignant tumor of lung (Details )

bodySite: Lung structure (Details : {SNOMED CT code '39607008' = 'Lung', given as 'Lung structure'})

outcome: improved blood circulation (Details )

report: Lab results blood test

followUp: described in care plan (Details )

Procedure/f003/_history/1 Modified: 5/28/2019 2:48:51 PM +02:00

Generated Narrative with Details

id: f003

status: completed

code: Incision of retropharyngeal abscess (Details : {SNOMED CT code '172960003' = 'Incision of retropharyngeal abscess', given as 'Incision of retropharyngeal abscess'})

subject: P. van de Heuvel

encounter: Encounter/f003

performed: 24/03/2013 9:30:10 AM --> 24/03/2013 10:30:10 AM

Performers

- Function Actor
* Care role (Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'}) E.M.J.M. van den broek

reasonCode: abcess in retropharyngeal area (Details )

bodySite: Retropharyngeal area (Details : {SNOMED CT code '83030008' = 'Retropharyngeal area', given as 'Retropharyngeal area'})

outcome: removal of the retropharyngeal abscess (Details )

report: Lab results blood test

followUp: described in care plan (Details )

Procedure/f004/_history/1 Modified: 5/28/2019 2:48:51 PM +02:00

Generated Narrative with Details

id: f004

status: completed

code: Tracheotomy (Details : {SNOMED CT code '48387007' = 'Incision of trachea', given as 'Tracheotomy'})

subject: P. van de Heuvel

encounter: Encounter/f003

performed: 22/03/2013 9:30:10 AM --> 22/03/2013 10:30:10 AM

Performers

- Function Actor
* Care role (Details : {urn:oid:2.16.840.1.113883.2.4.15.111 code '01.000' = '01.000', given as 'Arts'}) A. Langeveld

reasonCode: ensure breathing during surgery (Details )

bodySite: Retropharyngeal area (Details : {SNOMED CT code '83030008' = 'Retropharyngeal area', given as 'Retropharyngeal area'})

outcome: removal of the retropharyngeal abscess (Details )

report: ???????????

followUp: described in care plan (Details )

Procedure/f201/_history/1 Modified: 5/28/2019 2:48:52 PM +02:00

Generated Narrative with Details

id: f201

instantiatesCanonical: PlanDefinition/KDN5

status: completed

code: Chemotherapy (Details : {SNOMED CT code '367336001' = 'Chemotherapy', given as 'Chemotherapy'})

subject: Roel

encounter: Roel's encounter on January 28th, 2013

performed: 28/01/2013 1:31:00 PM --> 28/01/2013 2:27:00 PM

Performers

- Function Actor
* Medical oncologist (Details : {SNOMED CT code '310512001' = 'Medical oncologist', given as 'Medical oncologist'}) Dokter Bronsig

reasonCode: DiagnosticReport/f201 (Details )

bodySite: Sphenoid bone (Details : {SNOMED CT code '272676008' = 'Entire sphenoid bone', given as 'Sphenoid bone'})

note: Eerste neo-adjuvante TPF-kuur bij groot proces in sphenoid met intracraniale uitbreiding.

Procedure/ob/_history/1 Modified: 5/28/2019 2:48:52 PM +02:00

Vaginal delivery of healthy male infant on June 2, 2012
Procedure/physical-therapy/_history/1 Modified: 5/28/2019 2:48:52 PM +02:00

Assessment of passive range of motion for both knees on Sept 27, 2016 due to osteoarthritis