This page is part of the CodeX™ Radiation Therapy (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
<ServiceRequest xmlns="http://hl7.org/fhir">
<id value="RadiotherapyPhasePrescription-102-RTTD-LeftBreastBoost"/>
<meta>
<profile
value="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-phase-prescription"/>
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<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</b><a name="RadiotherapyPhasePrescription-102-RTTD-LeftBreastBoost"> </a><a name="hcRadiotherapyPhasePrescription-102-RTTD-LeftBreastBoost"> </a></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 "RadiotherapyPhasePrescription-102-RTTD-LeftBreastBoost" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-codexrt-radiotherapy-phase-prescription.html">Radiotherapy Phase Prescription</a></p></div><p><b>Number of Prescribed Fractions</b>: 5</p><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><blockquote><p><b>url</b></p><a href="http://hl7.org/fhir/us/mcode/STU3/StructureDefinition-mcode-radiotherapy-modality.html">Radiotherapy Modality Extension</a></blockquote><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><blockquote><p><b>url</b></p><a href="http://hl7.org/fhir/us/mcode/STU3/StructureDefinition-mcode-radiotherapy-technique.html">Radiotherapy Technique Extension</a></blockquote><p><b>value</b>: Three dimensional external beam radiation therapy (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1162782007)</span></p></blockquote><blockquote><p><b>Dose Prescribed to Volume</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href="BodyStructure-RadiotherapyVolume-102-LeftBreastBoost.html">BodyStructure/RadiotherapyVolume-102-LeftBreastBoost</a></p><blockquote><p><b>url</b></p><code>fractionDose</code></blockquote><p><b>value</b>: 200 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>totalDose</code></blockquote><p><b>value</b>: 1000 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p></blockquote><p><b>identifier</b>: <code>http://varian.com/fhir/identifier/radiotherapyPhaseId</code>/Left Breast Boost (use: usual), <a href="http://terminology.hl7.org/3.1.0/NamingSystem-dui.html" title="An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of "urn:oid:". See https://www.dicomstandard.org/">DUI</a>/urn:oid:2.16.124.113543.1154777499.30246.19789.333.102 (use: official)</p><p><b>basedOn</b>: <a href="ServiceRequest-RadiotherapyCoursePrescription-101-RTTD-BilateralBreast.html">ServiceRequest/RadiotherapyCoursePrescription-101-RTTD-BilateralBreast</a></p><p><b>status</b>: active</p><p><b>intent</b>: original-order</p><p><b>category</b>: Radiotherapy (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-snomed-requested-cs.html">Requested SNOMED Codes Code System</a>#1287742003)</span></p><p><b>code</b>: Radiotherapy treatment phase (regime/therapy) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1222565005)</span></p><p><b>subject</b>: <a href="Patient-Patient-101.html">Patient/Patient-101</a> " BILATERALBREAST"</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/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed">
<valuePositiveInt value="5"/>
</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://snomed.info/sct"/>
<code value="1162782007"/>
<display
value="Three dimensional external beam radiation therapy (procedure)"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume">
<extension url="volume">
<valueReference>🔗
<reference
value="BodyStructure/RadiotherapyVolume-102-LeftBreastBoost"/>
</valueReference>
</extension>
<extension url="fractionDose">
<valueQuantity>
<value value="200"/>
<system value="http://unitsofmeasure.org"/>
<code value="cGy"/>
</valueQuantity>
</extension>
<extension url="totalDose">
<valueQuantity>
<value value="1000"/>
<system value="http://unitsofmeasure.org"/>
<code value="cGy"/>
</valueQuantity>
</extension>
</extension>
<identifier>
<use value="usual"/>
<system value="http://varian.com/fhir/identifier/radiotherapyPhaseId"/>
<value value="Left Breast Boost"/>
</identifier>
<identifier>
<use value="official"/>
<system value="urn:dicom:uid"/>
<value value="urn:oid:2.16.124.113543.1154777499.30246.19789.333.102"/>
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<basedOn>🔗
<reference
value="ServiceRequest/RadiotherapyCoursePrescription-101-RTTD-BilateralBreast"/>
</basedOn>
<status value="active"/>
<intent value="original-order"/>
<category>
<coding>
<system
value="http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs"/>
<code value="1287742003"/>
<display value="Radiotherapy (procedure)"/>
</coding>
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<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1222565005"/>
<display value="Radiotherapy treatment phase (regime/therapy)"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/Patient-101"/>
</subject>
<bodySite>
<extension
url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="7771000"/>
<display value="Left (qualifier value)"/>
</coding>
</valueCodeableConcept>
</extension>
<coding>
<system value="http://snomed.info/sct"/>
<code value="76752008"/>
<display value="Breast structure (body structure)"/>
</coding>
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