CodeX Radiation Therapy
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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

: RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V - XML Representation

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V"/>
  <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><a name="RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V"> </a><a name="hcRadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V"> </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 &quot;RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V&quot; Version &quot;123&quot; Updated &quot;2021-10-16 10:07:41+0200&quot; </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 &quot;Curative - procedure intent&quot;)</span></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>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 photons (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1156506007)</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><p><b>Respiratory Motion Management</b>: Radiotherapy with free breathing (regime/therapy) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-snomed-requested-cs.html">Requested SNOMED Codes Code System</a>#721071000124104)</span></p><p><b>Free-Breathing Motion Management Technique</b>: Radiotherapy with respiratory gating (regime/therapy) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-snomed-requested-cs.html">Requested SNOMED Codes Code System</a>#721061000124106)</span></p><blockquote><p><b>Dose Planned to Volume</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href="BodyStructure-RadiotherapyVolume-XRTS-04-22B-01-LeftBreast.html">BodyStructure/RadiotherapyVolume-XRTS-04-22B-01-LeftBreast: Left Breast</a></p><blockquote><p><b>url</b></p><code>totalDose</code></blockquote><p><b>value</b>: 900 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>fractions</code></blockquote><p><b>value</b>: 3</p></blockquote><blockquote><p><b>Dose Planned to Volume</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href="BodyStructure-RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost.html">BodyStructure/RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost: Left Breast Boost</a></p><blockquote><p><b>url</b></p><code>totalDose</code></blockquote><p><b>value</b>: 1700 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>fractions</code></blockquote><p><b>value</b>: 7</p></blockquote><blockquote><p><b>Dose Planned to Volume</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href="BodyStructure-RadiotherapyVolume-XRTS-04-22B-03-RightBreast.html">BodyStructure/RadiotherapyVolume-XRTS-04-22B-03-RightBreast: Right Breast</a></p><blockquote><p><b>url</b></p><code>totalDose</code></blockquote><p><b>value</b>: 900 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>fractions</code></blockquote><p><b>value</b>: 3</p></blockquote><p><b>identifier</b>: <code>http://varian.com/fhir/identifier/radiotherapyCourseId</code>/C1_Both_Breast (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 &quot;urn:oid:&quot;. See https://www.dicomstandard.org/">DUI</a>/urn:oid:1.2.246.352.74.842418.2121.20150602151.04.01.22.1 (use: official)</p><p><b>status</b>: completed</p><p><b>intent</b>: filler-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 course of treatment (regime/therapy) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1217123003)</span></p><p><b>subject</b>: <a href="Patient-Patient-XRTS-04-22B.html">Patient/Patient-XRTS-04-22B</a> &quot; SISTER-22B&quot;</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>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://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/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="1156506007"/>
          <display
                   value="External beam radiation therapy using photons (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-respiratory-motion-management">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs"/>
        <code value="721071000124104"/>
        <display value="Radiotherapy with free breathing (regime/therapy)"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs"/>
        <code value="721061000124106"/>
        <display
                 value="Radiotherapy with respiratory gating (regime/therapy)"/>
      </coding>
    </valueCodeableConcept>
  </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-04-22B-01-LeftBreast"/>
        <display value="Left Breast"/>
      </valueReference>
    </extension>
    <extension url="totalDose">
      <valueQuantity>
        <value value="900"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="fractions">
      <valuePositiveInt value="3"/>
    </extension>
  </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-04-22B-02-LeftBreastBoost"/>
        <display value="Left Breast Boost"/>
      </valueReference>
    </extension>
    <extension url="totalDose">
      <valueQuantity>
        <value value="1700"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="fractions">
      <valuePositiveInt value="7"/>
    </extension>
  </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-04-22B-03-RightBreast"/>
        <display value="Right Breast"/>
      </valueReference>
    </extension>
    <extension url="totalDose">
      <valueQuantity>
        <value value="900"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="fractions">
      <valuePositiveInt value="3"/>
    </extension>
  </extension>
  <identifier>
    <use value="usual"/>
    <system value="http://varian.com/fhir/identifier/radiotherapyCourseId"/>
    <value value="C1_Both_Breast"/>
  </identifier>
  <identifier>
    <use value="official"/>
    <system value="urn:dicom:uid"/>
    <value value="urn:oid:1.2.246.352.74.842418.2121.20150602151.04.01.22.1"/>
  </identifier>
  <status value="completed"/>
  <intent value="filler-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>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1217123003"/>
      <display value="Radiotherapy course of treatment (regime/therapy)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/Patient-XRTS-04-22B"/>
  </subject>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="353431000119107"/>
      <display
               value="Primary malignant neoplasm of female left breast (disorder)"/>
    </coding>
  </reasonCode>
  <bodySite>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="51440002"/>
          <display value="Right and left (qualifier value)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="76752008"/>
      <display value="Breast structure (body structure)"/>
    </coding>
  </bodySite>
</ServiceRequest>