This page is part of the CodeX™ Radiation Therapy (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions
<Procedure xmlns="http://hl7.org/fhir">
<id value="RadiotherapyCourseSummary-101-RTTD-BilateralBreast"/>
<meta>
<versionId value="1233456"/>
<lastUpdated value="2020-10-28T13:22:17+01:00"/>
<profile
value="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-summary"/>
<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>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 --> 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>
</text>
<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>
<text value="Curative"/>
</valueCodeableConcept>
</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="External beam radiation therapy using electrons (procedure)"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs"/>
<code value="1162782007"/>
<display
value="Three dimensional external beam radiation therapy (procedure)"/>
</coding>
</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/RadiotherapyVolume-101-LeftBreast"/>
</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"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume">
<extension url="volume">
<valueReference>
<reference value="BodyStructure/RadiotherapyVolume-102-LeftBreastBoost"/>
</valueReference>
</extension>
<extension url="totalDoseDelivered">
<valueQuantity>
<value value="6000"/>
<system value="http://unitsofmeasure.org"/>
<code value="cGy"/>
</valueQuantity>
</extension>
<extension url="fractionsDelivered">
<valueUnsignedInt value="30"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume">
<extension url="volume">
<valueReference>
<reference value="BodyStructure/RadiotherapyVolume-103-RightBreast"/>
</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"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<system value="http://varian.com/fhir/identifier/radiotherapyCourseId"/>
<value value="Bilateral Breast"/>
</identifier>
<basedOn>
<reference
value="ServiceRequest/RadiotherapyCoursePrescription-101-RTTD-BilateralBreast"/>
</basedOn>
<status value="completed"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="108290001"/>
</coding>
</category>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs"/>
<code value="USCRS-33529"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-101"/>
</subject>
<performedPeriod>
<start value="2020-10-27T13:15:17+01:00"/>
<end value="2020-10-28T13:21:17+01:00"/>
</performedPeriod>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="353431000119107"/>
<display
value="Primary malignant neoplasm of female left breast (disorder)"/>
</coding>
</reasonCode>
<reasonReference>
<reference value="Condition/Diagnosis-101-Breast"/>
</reasonReference>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="76752008"/>
<display value="Breast structure (body structure)"/>
</coding>
</bodySite>
</Procedure>