<?xml version=“1.0” encoding=“UTF-8”?> <Procedure xmlns=“hl7.org/fhir”>

<id value="example-implant"/>
<meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<status value="completed"/>
<code>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="25267002"/>
    <display value="Insertion of intracardiac pacemaker (procedure)"/>
  </coding>
  <text value="Implant Pacemaker"/>
</code>
<subject>
  <reference value="Patient/example"/>
</subject>
<performedDateTime value="2015-04-05"/>
<performer>
  <actor>
    <reference value="Practitioner/example"/>
    <display value="Dr Cecil Surgeon"/>
  </actor>
</performer>
<reasonCode>
  <text value="Bradycardia"/>
</reasonCode> 
<followUp>
    <text value="ROS 5 days  - 2013-04-10"/>
</followUp>
<note> <text value="Routine Appendectomy. Appendix was inflamed and in retro-caecal position"/>
</note>
<focalDevice>
  <action>
    <coding>
      <system value="http://hl7.org/fhir/device-action"/>
      <code value="implanted"/>
    </coding>
  </action>
  <manipulated>
    <reference value="Device/example-pacemaker"/>
  </manipulated>
</focalDevice>

</Procedure>