This page is part of the Making EHR Data MOre available for Research and Public Health (MedMorph) Central Cancer Registry Reporting Content IG (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<Procedure xmlns="http://hl7.org/fhir">
<id value="radiotherapy-example"/>
<meta>
<profile
value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Narrative</b></p><p><b>Radiotherapy Number of Sessions</b>: 31</p><p><b>Treatment Intent</b>: <span title="Codes: {http://snomed.info/sct 373808002}">Curative - procedure intent</span></p><p><b>Radiotherapy Modality</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/umls C3539769}">Photon Beam Radiation Therapy</span></p><p><b>Radiotherapy Modality</b>: <span title="Codes: {http://snomed.info/sct 45643008}">Teleradiotherapy using electrons (procedure)</span></p><p><b>Radiotherapy Technique</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/umls C3489631}">Volumetric Modulated Arc Therapy</span></p><p><b>Radiotherapy Technique</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/radiotherapy 3D}">Three Dimensional</span></p><blockquote><p><b>Radiotherapy Dose Delivered To Body Volume</b></p><p><b>total dose delivered value</b>: 6000 cGy</p><p><b>fractions delivered value</b>: 30</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Body Volume</b></p><p><b>total dose delivered value</b>: 5000 cGy</p><p><b>fractions delivered value</b>: 25</p></blockquote><p><b>status</b>: completed</p><p><b>category</b>: <span title="Codes: {http://snomed.info/sct 108290001}">Radiation oncology AND/OR radiotherapy (procedure)</span></p><p><b>code</b>: <span title="Codes: {http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs mcode-radiotherapy-course-summary}">Radiotherapy Course Summary Resource</span></p><p><b>subject</b>: <a href="Patient-example.html">Amy Shaw</a></p><p><b>performed</b>: 2018-05-01 --> 2018-06-29</p><p><b>asserter</b>: <a href="Practitioner-1.html">Joseph Nichols</a></p><p><b>reasonCode</b>: <span title="Codes: {http://hl7.org/fhir/sid/icd-10-cm C50.811}">Malignant neoplasm of overlapping sites of right female breast</span></p><p><b>bodySite</b>: <span title="Codes: {http://snomed.info/sct 78904004}">Chest Wall Structure (body structure)</span></p></div>
</text>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions">
<valueUnsignedInt value="31"/>
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<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373808002"/>
<display value="Curative - procedure intent"/>
</coding>
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</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique">
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="UNC"/>
<display value="un-encoded"/>
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<coding>
<system value="http://snomed.info/sct"/>
<code value="169317000"/>
<display value="Neutron capture therapy (procedure)"/>
</coding>
<text value="Boron neutron capture therapy (procedure)"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1156530009"/>
<display value="Volumetric Modulated Arc Therapy (procedure)"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique">
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="45643008"/>
<display value="Teleradiotherapy using electrons"/>
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<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
<code value="UNC"/>
<display value="un-encoded"/>
</coding>
<text
value="Three dimensional external beam radiation therapy (procedure) - my version"/>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume">
<extension url="volume">
<valueReference>🔗
<reference value="BodyStructure/jenny-m-chest-wall-treatment-volume"/>
</valueReference>
</extension>
<extension url="totalDoseDelivered">
<valueQuantity>
<value value="6000"/>
<system value="http://unitsofmeasure.org"/>
<code value="cGy"/>
</valueQuantity>
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<extension url="fractionsDelivered">
<valueUnsignedInt value="30"/>
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</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume">
<extension url="volume">
<valueReference>🔗
<reference
value="BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume"/>
</valueReference>
</extension>
<extension url="totalDoseDelivered">
<valueQuantity>
<value value="5000"/>
<system value="http://unitsofmeasure.org"/>
<code value="cGy"/>
</valueQuantity>
</extension>
<extension url="fractionsDelivered">
<valueUnsignedInt value="25"/>
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</extension>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="108290001"/>
<display value="Radiation oncology AND/OR radiotherapy (procedure)"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1217123003"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/example"/>
</subject>
<performedPeriod>
<start value="2018-05-01"/>
<end value="2018-06-29"/>
</performedPeriod>
<asserter>🔗
<reference value="Practitioner/1"/>
</asserter>
<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="C50.811"/>
<display
value="Malignant neoplasm of overlapping sites of right female breast"/>
</coding>
</reasonCode>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="78904004"/>
<display value="Chest Wall Structure (body structure)"/>
</coding>
</bodySite>
</Procedure>