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
<ServiceRequest xmlns="http://hl7.org/fhir">
<id value="RadiotherapyPlannedCourse-XRTS-06-22B-01-Uterus-1P-1V"/>
<meta>
<versionId value="123"/>
<lastUpdated value="2021-10-16T10:07:41.050+02:00"/>
<profile
value="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-course"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</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 ServiceRequest "RadiotherapyPlannedCourse-XRTS-06-22B-01-Uterus-1P-1V" Version "123" Updated "2021-10-16 10:07:41+0200" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-codexrt-radiotherapy-planned-course.html">Radiotherapy Planned Course</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>: High dose brachytherapy (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#394902000)</span></p><p><b>value</b>: Intracavitary brachytherapy (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#384692006)</span></p></blockquote><p><b>Radiotherapy Number of Sessions Extension</b>: 5</p><blockquote><p><b>Dose Planned to Volume</b></p><p><b>value</b>: <a href="BodyStructure-RadiotherapyVolume-XRTS-06-22B-01-Uterus.html">BodyStructure/RadiotherapyVolume-XRTS-06-22B-01-Uterus: Uterus</a></p><p><b>value</b>: 3000 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><p><b>value</b>: 5</p></blockquote><p><b>identifier</b>: id: C1Uterus (USUAL), id: urn:oid:1.2.246.352.74.842419.2121.20150602151.06.01.22.1 (OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: filler-order</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-XRTS-06-22B.html">Patient/Patient-XRTS-06-22B</a> " MOTHER-22B"</p><p><b>reasonCode</b>: Malignant neoplasm of cervix uteri, unspecified <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#C53.9)</span></p><p><b>bodySite</b>: Cervix uteri structure (body structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#71252005)</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="394902000"/>
<display value="High dose brachytherapy (procedure)"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="384692006"/>
<display value="Intracavitary brachytherapy (procedure)"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions">
<valueUnsignedInt value="5"/>
</extension>
<extension
url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume">
<extension url="volume">
<valueReference>
<reference
value="BodyStructure/RadiotherapyVolume-XRTS-06-22B-01-Uterus"/>
<display value="Uterus"/>
</valueReference>
</extension>
<extension url="totalDose">
<valueQuantity>
<value value="3000"/>
<system value="http://unitsofmeasure.org"/>
<code value="cGy"/>
</valueQuantity>
</extension>
<extension url="fractions">
<valuePositiveInt value="5"/>
</extension>
</extension>
<identifier>
<use value="usual"/>
<system value="http://varian.com/fhir/identifier/radiotherapyCourseId"/>
<value value="C1Uterus"/>
</identifier>
<identifier>
<use value="official"/>
<system value="urn:dicom:uid"/>
<value value="urn:oid:1.2.246.352.74.842419.2121.20150602151.06.01.22.1"/>
</identifier>
<status value="completed"/>
<intent value="filler-order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="108290001"/>
<display value="Radiation oncology AND/OR radiotherapy"/>
</coding>
</category>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs"/>
<code value="USCRS-33529"/>
<display value="Radiotherapy Course of Treatment (regime/therapy)"/>
</coding>
</code>
<subject>
<reference value="Patient/Patient-XRTS-06-22B"/>
</subject>
<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="C53.9"/>
<display value="Malignant neoplasm of cervix uteri, unspecified"/>
</coding>
</reasonCode>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="71252005"/>
<display value="Cervix uteri structure (body structure)"/>
</coding>
</bodySite>
</ServiceRequest>