Procedure

Overview
- Errors
Terminology Bindings
Search
Retrieve by ID
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Overview

The Procedure resource returns medical and surgical procedures performed on or for a patient during their lifetime. Historical procedures and procedures recorded during a specific visit are returned. Surgical procedures from finalized surgical cases are returned as free-text procedures if the product is configured to write procedures from finalized cases to procedure history.

This resource supports the following HL7 FHIR US Core Implementation Guide STU 4.0.0 profiles:
- US Core Procedure Profile

The following fields are returned if valued:

ID
Status
Code
Subject
- Reference (Patient)
Encounter
Performed Period
- DateTime
- Period
Who recorded
- Reference (Practitioner)
Who performed
- Reference (Practitioner)
Location
Reason procedure performed
- Reference (Condition)
Comment/Note
- Annotation Author
  - Reference (Practitioner)

Note: The examples provided here are non-normative and replaying them in the public sandbox is not guaranteed to yield the results shown on the site.

Errors

The common errors and OperationOutcomes may be returned.

Terminology Bindings

Procedure.status

Description

Codes identifying the lifecycle stage of an event.

Details: EventStatus
System: http://hl7.org/fhir/event-status

Procedure.code

Description

A code to identify a specific procedure.

Details: Procedure Codes (SNOMED CT)
System: https://snomed.info/sct

Details: CPT
System: https://www.ama-assn.org/go/cpt

Details: ICD-10-PCS
System: https://www.icd10data.com/icd10pcs

Procedure.performer.function

Description

A code that distinguishes the type of involvement of the performer in the procedure.

Details: Procedure Performer Role Codes (SNOMED CT)
System: https://snomed.info/sct

Details: Procedure Personnel Relation Type
System: https://fhir.cerner.com/<EHR source id>/codeSet/388

Search

Search for procedures that meet supplied query parameters.

GET /Procedure?:parameters

Authorization Types

Provider | Patient | System

Parameters

Name	Required?	Type	Description
`_id`	Conditionally	`token`	The logical resource ID associated with the resource. This parameter is required if `patient` or `subject` is not used. Example: `_id=7891`
`patient`	Conditionally	`reference`	Who the procedure is for. This parameter is required if `_id` or `subject` is not used. Example: `12345`
`subject`	Conditionally	`reference`	Who the procedure is for. This parameter is required if `_id` or `patient` is not used. Example: `Patient/12345`
`date`	No	`dateTime`	The date range that the procedure’s `performedPeriod` or `performedDateTime` falls within. Example: `date=gt2015-09-24T12:00:00.000Z&date=le2020-07-15T16:00:00.000Z`
`_revinclude`	No	`token`	The Provenance resource entries to be returned as part of the bundle. Example:_revinclude=Provenance:target
`_lastUpdated`	No	`date`	Date range in which the procedures was last updated. Example: `_lastUpdated=gt2014-09-24` or `_lastUpdated=lt2015-09-24T12:00:00.000Z`

Notes:

The date parameter:
- May be provided once with a prefix and time component to imply a date range. Example: date=gt2015-09-24T00:00:00.000Z
- May otherwise be provided twice with le, lt, ge, or gt prefixes and a time component to search for procedures within a specific range. The date and prefix pairs must create a closed range.
The _revinclude parameter:
- May be provided once with the Provenance:target value. Example: _revinclude=Provenance:target
- May be provided in combination with the _id or patient parameter. Example: _id=570007845&_revinclude=Provenance:target or patient=12345&_revinclude=Provenance:target.
- When provided in a request to a closed endpoint, the OAuth2 token must include the user/Provenance.read scope.
Currently, the patient/Provenance.read scope is not supported; hence, _revinclude cannot be used for patient persona.
The _lastUpdated parameters may be provided up to two times, and must use the eq, ge, gt, le, or lt prefixes. When a value is provided without a prefix, an implied eq prefix is used. When provided twice, the lower value must have a ge or gt prefix and the higher value must have an le or lt prefix.
The date and _lastUpdated parameters may not be provided together.

Headers

Accept: application/fhir+json
Authorization: <OAuth2 Bearer Token>

Example

Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure?patient=12724066

Response

Status: 200 OK

{
  "resourceType": "Bundle",
  "id": "3b3b1ce0-3b6e-4a41-bbb4-9696e2f4b8ed",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure?patient=12724066"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure/2572382193",
      "resource": {
        "resourceType": "Procedure",
        "id": "2572382193",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2020-06-11T04:02:54Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Procedure</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Procedure</b>: Appendectomy;</p><p><b>Date</b>: 2002</p><p><b>Status</b>: Completed</p><p><b>Recorder</b>: Cerner Test, Physician - Women&#39;s Health Cerner</p></div>"
        },
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "44950",
              "display": "Appendectomy;",
              "userSelected": true
            }
          ],
          "text": "Appendectomy;"
        },
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "encounter": {
          "reference": "Encounter/97953477"
        },
        "performedDateTime": "2002",
        "recorder": {
          "reference": "Practitioner/4122630",
          "display": "Cerner Test, Physician - Women's Health Cerner"
        }
      }
    },
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure/2572383421",
      "resource": {
        "resourceType": "Procedure",
        "id": "2572383421",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2020-06-16T21:09:27Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Procedure</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Procedure</b>: Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts</p><p><b>Date</b>: 2018</p><p><b>Status</b>: Completed</p><p><b>Recorder</b>: Cerner Test, Physician - Oncology Cerner</p></div>"
        },
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "33534",
              "display": "Coronary artery bypass, using arterial graft(s); two coronary arterial grafts",
              "userSelected": true
            }
          ],
          "text": "Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts"
        },
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "encounter": {
          "reference": "Encounter/97953477"
        },
        "performedDateTime": "2018",
        "recorder": {
          "reference": "Practitioner/763923",
          "display": "Cerner Test, Physician - Oncology Cerner"
        }
      }
    }
  ]
}

Example With RevInclude

Authorization Types

Provider | System

Request

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure?_id=570007845&_revinclude=Provenance:target

Response

Status: 200 OK

{
  "resourceType": "Bundle",
  "id": "e448772d-7265-48b2-a942-99002b44337d",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure?patient=744104&_revinclude=Provenance%3Atarget"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure/570007845",
      "resource": {
        "resourceType": "Procedure",
        "id": "570007845",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2021-05-28T15:02:50Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Procedure</b></p><p><b>Patient</b>: HEATHERJSMITH</p><p><b>Procedure</b>: Adenoid excision (text)</p><p><b>Date</b>: Apr  5, 2019</p><p><b>Status</b>: Completed</p><p><b>Location</b>: Baseline East</p><p><b>Recorder</b>: Powerchart, User</p><p><b>Performer</b>:</p><ul><li>Smith MD, John</li></ul></div>"
        },
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "119954001",
              "display": "Adenoid excision (procedure)",
              "userSelected": true
            }
          ],
          "text": "Adenoid excision (text)"
        },
        "subject": {
          "reference": "Patient/744104",
          "display": "HEATHERJSMITH"
        },
        "encounter": {
          "reference": "Encounter/18245662"
        },
        "performedDateTime": "2019-04-05",
        "recorder": {
          "reference": "Practitioner/1255969",
          "display": "Powerchart, User"
        },
        "performer": [
          {
            "actor": {
              "reference": "Practitioner/2523932",
              "display": "Smith MD, John"
            }
          }
        ],
        "location": {
          "display": "Baseline East"
        },
        "note": [
          {
            "authorReference": {
              "reference": "Practitioner/2523932",
              "display": "Smith MD, John"
            },
            "time": "2019-04-05T20:21:46Z",
            "text": "Procedure comment"
          }
        ]
      },
      "search": {
        "mode": "match"
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Provenance/proc-13511261",
      "resource": {
        "resourceType": "Provenance",
        "id": "proc-13511261",
        "meta": {
          "versionId": "13511261",
          "lastUpdated": "2021-05-28T10:09:59-05:00"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Provenance</b></p><p><b>Target</b>:</p><ul><li>Procedure/570007845</li></ul><p><b>Recorded</b>: Oct 25, 2019  9:57 A.M. CDT</p><p><b>Agents</b>:</p><dl><dt>Unknown</dt><dd><b>Agent Type</b>: Transmitter</dd><dd><b>Agent Role</b>: Source</dd></dl><p><b>Entity Source</b>: DocumentReference/S-201</p></div>"
        },
        "target": [
          {
            "reference": "Procedure/570007845"
          }
        ],
        "recorded": "2019-10-25T09:57:43-05:00",
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
                  "code": "transmitter"
                }
              ],
              "text": "Transmitter"
            },
            "role": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
                    "code": "SOURCE"
                  }
                ],
                "text": "Source"
              }
            ],
            "who": {
              "reference": "Organization/619848",
              "display": "Unknown"
            }
          }
        ],
        "entity": [
          {
            "role": "source",
            "what": {
              "reference": "DocumentReference/S-201"
            }
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    }
  ]
}

Patient Authorization Request

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure?patient=12724066

Response

Status: 200 OK

{
  "resourceType": "Bundle",
  "id": "53ac99d1-c76b-4a07-90f8-73d13a01459b",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "http://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure?patient=12724066"
    }
  ],
  "entry": [
    {
      "fullUrl": "http://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure/2572581295",
      "resource": {
        "resourceType": "Procedure",
        "id": "2572581295",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2020-09-25T20:13:56Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Procedure</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Procedure</b>: Adenoid excision (text)</p><p><b>Date</b>: Apr  5, 2019</p><p><b>Status</b>: Completed</p><p><b>Location</b>: Baseline East</p><p><b>Recorder</b>: SYSTEM, SYSTEM Cerner</p><p><b>Performer</b>:</p><ul><li>Cerner Test, Physician - Women&#39;s Health Cerner</li></ul></div>"
        },
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "119954001",
              "display": "Adenoid excision (procedure)",
              "userSelected": true
            }
          ],
          "text": "Adenoid excision (text)"
        },
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "encounter": {
          "reference": "Encounter/97953477"
        },
        "performedDateTime": "2019-04-05",
        "recorder": {
          "reference": "Practitioner/1",
          "display": "SYSTEM, SYSTEM Cerner"
        },
        "performer": [
          {
            "actor": {
              "reference": "Practitioner/4122630",
              "display": "Cerner Test, Physician - Women's Health Cerner"
            }
          }
        ],
        "location": {
          "display": "Baseline East"
        },
        "note": [
          {
            "authorReference": {
              "reference": "Practitioner/4122630",
              "display": "Cerner Test, Physician - Women's Health Cerner"
            },
            "time": "2019-04-05T20:21:46Z",
            "text": "Procedure comment"
          }
        ]
      }
    },
    {
      "fullUrl": "http://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure/2572476121",
      "resource": {
        "resourceType": "Procedure",
        "id": "2572476121",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2020-08-24T08:42:34Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Procedure</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Procedure</b>: Adenoid excision (text)</p><p><b>Status</b>: Completed</p><p><b>Recorder</b>: SYSTEM, SYSTEM Cerner</p></div>"
        },
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "119954001",
              "display": "Adenoid excision (procedure)",
              "userSelected": true
            }
          ],
          "text": "Adenoid excision (text)"
        },
        "subject": {
          "reference": "Patient/12724066",
          "display": "SMART, NANCY"
        },
        "encounter": {
          "reference": "Encounter/97953477"
        },
        "_performedDateTime": {
          "extension": [
            {
              "valueCode": "unknown",
              "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
            }
          ]
        },
        "recorder": {
          "reference": "Practitioner/1",
          "display": "SYSTEM, SYSTEM Cerner"
        }
      }
    }
  ]
}

Retrieve by ID

List an individual procedure by its ID.

GET /Procedure/:id

Authorization Types

Provider | Patient | System

Headers

Accept: application/fhir+json
Authorization: <OAuth2 Bearer Token>

Example

Request

GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure/2572382193

Response

Status: 200 OK

{
  "resourceType": "Procedure",
  "id": "2572382193",
  "meta": {
    "versionId": "0",
    "lastUpdated": "2020-06-11T04:02:54Z"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Procedure</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Procedure</b>: Appendectomy;</p><p><b>Date</b>: 2002</p><p><b>Status</b>: Completed</p><p><b>Recorder</b>: Cerner Test, Physician - Women&#39;s Health Cerner</p></div>"
  },
  "status": "completed",
  "code": {
    "coding": [
      {
        "system": "http://www.ama-assn.org/go/cpt",
        "code": "44950",
        "display": "Appendectomy;",
        "userSelected": true
      }
    ],
    "text": "Appendectomy;"
  },
  "subject": {
    "reference": "Patient/12724066",
    "display": "SMART, NANCY"
  },
  "encounter": {
    "reference": "Encounter/97953477"
  },
  "performedDateTime": "2002",
  "recorder": {
    "reference": "Practitioner/4122630",
    "display": "Cerner Test, Physician - Women's Health Cerner"
  }
}

Patient Authorization Request

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure/2572581295

Response

Status: 200 OK

{
  "resourceType": "Procedure",
  "id": "2572581295",
  "meta": {
    "versionId": "0",
    "lastUpdated": "2020-09-25T20:13:56Z"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Procedure</b></p><p><b>Patient</b>: SMART, NANCY</p><p><b>Procedure</b>: Adenoid excision (text)</p><p><b>Date</b>: Apr  5, 2019</p><p><b>Status</b>: Completed</p><p><b>Location</b>: Baseline East</p><p><b>Recorder</b>: SYSTEM, SYSTEM Cerner</p><p><b>Performer</b>:</p><ul><li>Cerner Test, Physician - Women&#39;s Health Cerner</li></ul></div>"
  },
  "status": "completed",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "119954001",
        "display": "Adenoid excision (procedure)",
        "userSelected": true
      }
    ],
    "text": "Adenoid excision (text)"
  },
  "subject": {
    "reference": "Patient/12724066",
    "display": "SMART, NANCY"
  },
  "encounter": {
    "reference": "Encounter/97953477"
  },
  "performedDateTime": "2019-04-05",
  "recorder": {
    "reference": "Practitioner/1",
    "display": "SYSTEM, SYSTEM Cerner"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/4122630",
        "display": "Cerner Test, Physician - Women&#39;s Health Cerner"
      }
    }
  ],
  "location": {
    "display": "Baseline East"
  },
  "note": [
    {
      "authorReference": {
        "reference": "Practitioner/4122630",
        "display": "Cerner Test, Physician - Women&#39;s Health Cerner"
      },
      "time": "2019-04-05T20:21:46Z",
      "text": "Procedure comment"
    }
  ]
}

Patient Authorization Request For Entered in Error Status

GET https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure/1788134987

Response

Status: 200 OK

{
  "resourceType": "Procedure",
  "id": "1788134987",
  "meta": {
    "versionId": "0",
    "lastUpdated": "2019-09-05T22:38:38Z"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Procedure</b></p><p><b>Patient</b>: MARSTON, JACK</p><p><b>Procedure</b>: Error</p><p><b>Status</b>: Entered in Error</p></div>"
  },
  "status": "entered-in-error",
  "code": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
        "code": "error",
        "display": "Error"
      }
    ],
    "text": "Error"
  },
  "subject": {
    "reference": "Patient/166045489",
    "display": "MARSTON, JACK"
  }
}

Create

Create a new procedure.

POST /Procedure

Notes

Only the body fields mentioned below are supported. Unsupported fields are ignored.

Authorization Types

Provider | System

Headers

Authorization: <OAuth2 Bearer Token>
Content-Type: application/fhir+json

Body Fields

Name	Required	Type
`resourceType`	Yes	`string`
Description The type of the FHIR resource. Example { "resourceType": "Procedure" } Notes resourceType must be Procedure. top of section
`status`	Yes	`code`
Description Codes identifying the lifecycle stage of an event. Example { "status": "completed" } Notes Only status code `completed` is supported. top of section
`code`	Yes	`CodeableConcept`
Description A code to identify a specific procedure. Example { "coding": [ { "system": "http://snomed.info/sct", "code": "119954001", "display": "Adenoid excision (procedure)", "userSelected": true } ], "text": "Adenoid excision (text)" } Notes Must be provided. top of section
`subject`	Yes	`Reference`
Description Indicates the patient who the procedure record is associated with. Example { "subject": { "reference": "Patient/631923", "display": "Nilsson, Christine" } } Notes Must only include references to Patient. top of section
`encounter`	No	`Reference`
Description Indicates the encounter when the procedure was performed. Example { "encounter": { "reference":"Encounter/26070829" } } Notes Must only include references to Encounter. top of section
`performed[x]`	No	`dateTime`
Description Estimated or actual date or date-time when the procedure was performed. Example { "performedDateTime": "2015-10-14T13:13:20-06:00" } Notes Only a type of dateTime is supported. The dateTime is converted to a GMT date. top of section
`performedPeriod`	No	`Period`
Description Estimated or actual period when the procedure was performed. Example { "performedPeriod": { "start": "2015-10-14T13:13:20-06:00", "end": "2015-10-14T14:12:20-06:00" } } Notes Only a period with valid start and end dateTimes is supported. Either performedPeriod or performedDateTime can be supplied. If both are present, performedPeriod will take precedence. The dateTimes are converted to a GMT date. top of section
`performer`	No	`List` `of` `BackboneElement`
Description Limited to "real" people rather than equipment. Example { "performer": [ { "function": { "coding": [ { "system": "http://snomed.info/sct", "code": "223366009", "display": "Healthcare professional (occupation)", "userSelected": true } ], "text": "Healthcare professional (occupation)" }, "actor": { "reference": "Practitioner/2150097", "display": "Strecker, Bradley" } } ] } top of section
`performer.function`	No	`CodeableConcept`
Description Distinguishes the type of involvement of the performer in the procedure. Example { "function": { "coding": [ { "system": "http://snomed.info/sct", "code": "223366009", "display": "Healthcare professional (occupation)", "userSelected": true } ], "text": "Healthcare professional (occupation)" } } Example { "severity": { "coding": [ { "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/388", "code": "1207", "display": "Anesthesiologist", "userSelected": true } ], "text": "Anesthesiologist" } } top of section
`performer.actor`	Yes	`Reference`
Description The practitioner who was involved in the procedure. Example { "actor": { "reference": "Practitioner/2150097", "display": "Strecker, Bradley" } } Notes Must only include references to Practitioner. top of section
`location`	No	`Reference`
Description The location where the procedure actually happened. Example { "location": { "reference":"Location/1693915", "display": "Baseline East" } } Notes Must only include references to Location. top of section
`note`	No	`List` `of` `Annotation`
Description Any other notes and comments about the procedure. Example { "note": [ { "authorReference": { "reference": "Practitioner/4594011", "display": "Leroux, Erik" }, "text": "Test Comment" } ] } top of section

Example

Request

POST https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure

Body

{
  "resourceType": "Procedure",
  "status": "completed",
  "subject": {
    "reference": "Patient/12724066"
  },
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "119954001",
        "display": "Adenoid excision (procedure)",
        "userSelected": true
      }
    ],
    "text": "Adenoid excision (text)"
  },
  "encounter": {
    "reference": "Encounter/97953477"
  },
  "location": {
    "display": "Baseline East"
  },
  "performedDateTime": "2019-04-05T20:21:46Z",
  "performedPeriod": {
    "start": "2019-04-05T20:21:46Z",
    "end": "2019-04-05T21:21:46Z"
  },
  "performer": [
    {
      "function": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "223366009",
            "display": "Healthcare professional (occupation)",
            "userSelected": true
          }
        ],
        "text": "Healthcare professional (occupation)"
      },
      "actor": {
        "reference": "Practitioner/4122630"
      }
    }
  ],
  "note": [
    {
      "text": "Procedure comment",
      "time": "2019-04-05T20:21:46Z",
      "authorReference": {
        "reference": "Practitioner/4122630"
      }
    }
  ]
}

Response

Status: 201 Created

Cache-Control: no-cache
Content-Length: 0
Content-Type: text/html
Date: Mon, 06 Apr 2020 19:00:43 GMT
Etag: W/"1"
Location: https://fhir-ehr-code.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Procedure/17228728
Last-Modified: Mon, 06 Apr 2020 19:00:43 GMT
Vary: Origin
X-Request-Id: 2e11665d-618d-4017-9a90-c3c1afeeac00

The ETag response header indicates the current If-Match version to use on a subsequent update.

Millennium

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