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

<id value="physical-therapy"/>
<meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>

<basedOn>
      <reference value="ServiceRequest/physical-therapy"/> 
  <display value="Order for the assessment of passive range of motion"/> 
</basedOn>
<status value="completed"/>
<category>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="386053000"/>
    <display value="Evaluation procedure (procedure)"/>
  </coding>
  <text value="Evaluation"/>
</category>
<code>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="710830005"/>
    <display value="Assessment of passive range of motion (procedure)"/>
  </coding>
  <text value="Assessment of passive range of motion"/>
</code>
<subject>
      <reference value="Patient/example"/>
</subject>
<performedDateTime value="2016-09-27"/>
<performer>
  <actor>
    <display value="Paul Therapist, PT"/>
  </actor>
</performer> 
<location>
  <display value="Sawbones Orthopedic Clinic"/>
</location>    
<reasonCode>
    <text value="assessment of mobility limitations due to osteoarthritis"/>
</reasonCode>  
<bodySite>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="36701003"/>
    <display value="Both knees (body structure)"/>
  </coding>
  <text value="Both knees"/>
</bodySite>

</Procedure>