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: RadiotherapyCourseSummary-101-RTTD-BilateralBreast - JSON Representation

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{
  "resourceType" : "Procedure",
  "id" : "RadiotherapyCourseSummary-101-RTTD-BilateralBreast",
  "meta" : {
    "versionId" : "1233456",
    "lastUpdated" : "2020-10-28T13:22:17+01:00",
    "profile" : [
      "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-summary",
      "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Procedure \"RadiotherapyCourseSummary-101-RTTD-BilateralBreast\" Version \"1233456\" Updated \"2020-10-28 01:22:17+0100\" </p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-codexrt-radiotherapy-course-summary.html\">Radiotherapy Course Summary</a>, <a href=\"http://hl7.org/fhir/us/mcode/STU2/StructureDefinition-mcode-radiotherapy-course-summary.html\">Radiotherapy Course Summary Profile</a></p></div><p><b>Procedure Intent Extension</b>: Curative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373808002 \"Curative - procedure intent\")</span></p><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><p><b>value</b>: External beam radiation therapy using electrons (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#45643008)</span></p><p><b>value</b>: Three dimensional external beam radiation therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/us/mcode/STU2/CodeSystem-snomed-requested-cs.html\">Requested SNOMED Codes Code System</a>#1162782007)</span></p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><p><b>value</b>: <a href=\"BodyStructure-RadiotherapyVolume-101-LeftBreast.html\">BodyStructure/RadiotherapyVolume-101-LeftBreast</a></p><p><b>value</b>: 5000 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><p><b>value</b>: 25</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><p><b>value</b>: <a href=\"BodyStructure-RadiotherapyVolume-102-LeftBreastBoost.html\">BodyStructure/RadiotherapyVolume-102-LeftBreastBoost</a></p><p><b>value</b>: 6000 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><p><b>value</b>: 30</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><p><b>value</b>: <a href=\"BodyStructure-RadiotherapyVolume-103-RightBreast.html\">BodyStructure/RadiotherapyVolume-103-RightBreast</a></p><p><b>value</b>: 5000 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><p><b>value</b>: 25</p></blockquote><p><b>identifier</b>: id: Bilateral Breast (USUAL)</p><p><b>basedOn</b>: <a href=\"ServiceRequest-RadiotherapyCoursePrescription-101-RTTD-BilateralBreast.html\">ServiceRequest/RadiotherapyCoursePrescription-101-RTTD-BilateralBreast</a></p><p><b>status</b>: completed</p><p><b>category</b>: Radiation oncology AND/OR radiotherapy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#108290001)</span></p><p><b>code</b>: Radiotherapy Course of Treatment (regime/therapy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/us/mcode/STU2/CodeSystem-snomed-requested-cs.html\">Requested SNOMED Codes Code System</a>#USCRS-33529)</span></p><p><b>subject</b>: <a href=\"Patient-Patient-101.html\">Patient/Patient-101</a> \" BILATERALBREAST\"</p><p><b>performed</b>: 2020-10-27 01:15:17+0100 --&gt; 2020-10-28 01:21:17+0100</p><p><b>reasonCode</b>: Primary malignant neoplasm of female left breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#353431000119107)</span></p><p><b>reasonReference</b>: <a href=\"Condition-Diagnosis-101-Breast.html\">Condition/Diagnosis-101-Breast</a></p><p><b>bodySite</b>: Breast structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#76752008)</span></p></div>"
  },
  "extension" : [
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      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "373808002",
            "display" : "Curative - procedure intent"
          }
        ],
        "text" : "Curative"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "45643008",
                "display" : "External beam radiation therapy using electrons (procedure)"
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            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs",
                "code" : "1162782007",
                "display" : "Three dimensional external beam radiation therapy (procedure)"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            "reference" : "BodyStructure/RadiotherapyVolume-101-LeftBreast"
          }
        },
        {
          "url" : "totalDoseDelivered",
          "valueQuantity" : {
            "value" : 5000,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        },
        {
          "url" : "fractionsDelivered",
          "valueUnsignedInt" : 25
        }
      ],
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            "reference" : "BodyStructure/RadiotherapyVolume-102-LeftBreastBoost"
          }
        },
        {
          "url" : "totalDoseDelivered",
          "valueQuantity" : {
            "value" : 6000,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        },
        {
          "url" : "fractionsDelivered",
          "valueUnsignedInt" : 30
        }
      ],
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    },
    {
      "extension" : [
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          "url" : "volume",
          "valueReference" : {
            "reference" : "BodyStructure/RadiotherapyVolume-103-RightBreast"
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        },
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            "value" : 5000,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
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        },
        {
          "url" : "fractionsDelivered",
          "valueUnsignedInt" : 25
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      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
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  ],
  "identifier" : [
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      "use" : "usual",
      "system" : "http://varian.com/fhir/identifier/radiotherapyCourseId",
      "value" : "Bilateral Breast"
    }
  ],
  "basedOn" : [
    {
      "reference" : "ServiceRequest/RadiotherapyCoursePrescription-101-RTTD-BilateralBreast"
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
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        "system" : "http://snomed.info/sct",
        "code" : "108290001"
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  "code" : {
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        "system" : "http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs",
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  "subject" : {
    "reference" : "Patient/Patient-101"
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  "performedPeriod" : {
    "start" : "2020-10-27T13:15:17+01:00",
    "end" : "2020-10-28T13:21:17+01:00"
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      "coding" : [
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          "system" : "http://snomed.info/sct",
          "code" : "353431000119107",
          "display" : "Primary malignant neoplasm of female left breast (disorder)"
        }
      ]
    }
  ],
  "reasonReference" : [
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      "reference" : "Condition/Diagnosis-101-Breast"
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  ],
  "bodySite" : [
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      "coding" : [
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          "system" : "http://snomed.info/sct",
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          "display" : "Breast structure (body structure)"
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}