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

: RadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1 - JSON Representation

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{
  "resourceType" : "ServiceRequest",
  "id" : "RadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1",
  "meta" : {
    "versionId" : "219952",
    "lastUpdated" : "2020-07-03T10:07:41.050+02:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-plan"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"RadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1\"> </a><a name=\"hcRadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1\"> </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;RadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1&quot; Version &quot;219952&quot; Updated &quot;2020-07-03 10:07:41+0200&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-codexrt-radiotherapy-treatment-plan.html\">Radiotherapy Treatment Plan</a></p></div><p><b>Number of Planned Fractions</b>: 25</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 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>url</b></p><a href=\"StructureDefinition-codexrt-radiotherapy-energy-or-isotope.html\">Energy or Isotope</a></blockquote><p><b>value</b>: 18 MV<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code MV = 'MV')</span></p></blockquote><blockquote><p><b>Image Guided Radiotherapy Modality</b></p><blockquote><p><b>url</b></p><code>modality</code></blockquote><p><b>value</b>: Cone beam computed tomography (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#717193008)</span></p><blockquote><p><b>url</b></p><code>energy</code></blockquote><p><b>value</b>: kV <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://ucum.org\">UCUM</a>#kV)</span></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-03-Prostate.html\">BodyStructure/RadiotherapyVolume-03-Prostate</a></p><blockquote><p><b>url</b></p><code>fractionDose</code></blockquote><p><b>value</b>: 180 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>: 4500 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></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-04-PelvNs.html\">BodyStructure/RadiotherapyVolume-04-PelvNs</a></p><blockquote><p><b>url</b></p><code>fractionDose</code></blockquote><p><b>value</b>: 180 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>: 4500 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></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-05-SemVs.html\">BodyStructure/RadiotherapyVolume-05-SemVs</a></p><blockquote><p><b>url</b></p><code>fractionDose</code></blockquote><p><b>value</b>: 180 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>: 4500 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p></blockquote><blockquote><p><b>Reference to DICOM SOP Instance</b></p><blockquote><p><b>url</b></p><code>instanceUid</code></blockquote><p><b>value</b>: 1.2.246.352.71.5689073982433245406.1530811633039636638</p><blockquote><p><b>url</b></p><code>sopClass</code></blockquote><p><b>value</b>: urn:oid:1.2.840.10008.5.1.4.1.1.481.5 (Details: urn:ietf:rfc:3986 code urn:oid:1.2.840.10008.5.1.4.1.1.481.5 = 'urn:oid:1.2.840.10008.5.1.4.1.1.481.5', stated as 'null')</p></blockquote><p><b>identifier</b>: <code>http://varian.com/fhir/identifier/radiotherapyPlanId</code>/Prostate-Phase1-Plan1\u00a0(use:\u00a0usual), <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:2.16.124.113543.1154777499.30246.19789.3503430456\u00a0(use:\u00a0official)</p><p><b>basedOn</b>: </p><ul><li><a href=\"ServiceRequest-RadiotherapyPlannedPhase-04-Prostate-Phase1.html\">ServiceRequest/RadiotherapyPlannedPhase-04-Prostate-Phase1: Prostate-Phase1</a></li><li><a href=\"ServiceRequest-RadiotherapyPlanPrescription-04-Prostate-Phase1-Plan1.html\">ServiceRequest/RadiotherapyPlanPrescription-04-Prostate-Phase1-Plan1: Prostate-Phase1-Plan1</a></li></ul><p><b>status</b>: active</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 treatment plan (regime/therapy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1255724003)</span></p><p><b>subject</b>: <a href=\"Patient-Patient-6.html\">Patient/Patient-6: Peter Venkman</a> &quot; VENKMAN&quot;</p><p><b>authoredOn</b>: 2020-07-02 00:00:00+0200</p><p><b>requester</b>: <a href=\"Practitioner-Practitioner-1005.html\">Practitioner/Practitioner-1005: aria\\user1</a> &quot; SPENGLER&quot;</p><p><b>locationReference</b>: <a href=\"Location-TreatmentLocation-1.html\">Location/TreatmentLocation-1</a> &quot;Joe's Radiotherapy Clinic&quot;</p><p><b>reasonCode</b>: Malignant neoplasm of prostate <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>#C61)</span></p><p><b>reasonReference</b>: <a href=\"Condition-Diagnosis-2-Prostate.html\">Condition/Diagnosis-2-Prostate</a></p><p><b>bodySite</b>: Prostate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#41216001 &quot;Prostatic structure (body structure)&quot;)</span></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-planned",
      "valuePositiveInt" : 25
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1156506007",
                "display" : "External beam radiation therapy using photons (procedure)"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1162782007",
                "display" : "Three dimensional external beam radiation therapy (procedure)"
              }
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          }
        },
        {
          "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope",
          "valueQuantity" : {
            "value" : 18,
            "unit" : "MV",
            "system" : "http://unitsofmeasure.org",
            "code" : "MV"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
    },
    {
      "extension" : [
        {
          "url" : "modality",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "717193008",
                "display" : "Cone beam computed tomography (procedure)"
              }
            ]
          }
        },
        {
          "url" : "energy",
          "valueCodeableConcept" : {
            "coding" : [
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                "system" : "http://unitsofmeasure.org",
                "code" : "kV",
                "display" : "kV"
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            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality"
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            🔗 "reference" : "BodyStructure/RadiotherapyVolume-03-Prostate"
          }
        },
        {
          "url" : "fractionDose",
          "valueQuantity" : {
            "value" : 180,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        },
        {
          "url" : "totalDose",
          "valueQuantity" : {
            "value" : 4500,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            🔗 "reference" : "BodyStructure/RadiotherapyVolume-04-PelvNs"
          }
        },
        {
          "url" : "fractionDose",
          "valueQuantity" : {
            "value" : 180,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        },
        {
          "url" : "totalDose",
          "valueQuantity" : {
            "value" : 4500,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            🔗 "reference" : "BodyStructure/RadiotherapyVolume-05-SemVs"
          }
        },
        {
          "url" : "fractionDose",
          "valueQuantity" : {
            "value" : 180,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        },
        {
          "url" : "totalDose",
          "valueQuantity" : {
            "value" : 4500,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
    },
    {
      "extension" : [
        {
          "url" : "instanceUid",
          "valueId" : "1.2.246.352.71.5689073982433245406.1530811633039636638"
        },
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          "url" : "sopClass",
          "valueCoding" : {
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            "code" : "urn:oid:1.2.840.10008.5.1.4.1.1.481.5"
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        }
      ],
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference"
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "system" : "http://varian.com/fhir/identifier/radiotherapyPlanId",
      "value" : "Prostate-Phase1-Plan1"
    },
    {
      "use" : "official",
      "system" : "urn:dicom:uid",
      "value" : "urn:oid:2.16.124.113543.1154777499.30246.19789.3503430456"
    }
  ],
  "basedOn" : [
    {
      🔗 "reference" : "ServiceRequest/RadiotherapyPlannedPhase-04-Prostate-Phase1",
      "display" : "Prostate-Phase1"
    },
    {
      🔗 "reference" : "ServiceRequest/RadiotherapyPlanPrescription-04-Prostate-Phase1-Plan1",
      "display" : "Prostate-Phase1-Plan1"
    }
  ],
  "status" : "active",
  "intent" : "filler-order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs",
          "code" : "1287742003",
          "display" : "Radiotherapy (procedure)"
        }
      ]
    }
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  "code" : {
    "coding" : [
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        "system" : "http://snomed.info/sct",
        "code" : "1255724003",
        "display" : "Radiotherapy treatment plan (regime/therapy)"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Patient-6",
    "display" : "Peter Venkman"
  },
  "authoredOn" : "2020-07-02T00:00:00+02:00",
  "requester" : {
    🔗 "reference" : "Practitioner/Practitioner-1005",
    "display" : "aria\\user1"
  },
  "locationReference" : [
    {
      🔗 "reference" : "Location/TreatmentLocation-1"
    }
  ],
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/sid/icd-10-cm",
          "code" : "C61",
          "display" : "Malignant neoplasm of prostate"
        }
      ],
      "text" : "Malignant neoplasm of prostate"
    }
  ],
  "reasonReference" : [
    {
      🔗 "reference" : "Condition/Diagnosis-2-Prostate"
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "41216001",
          "display" : "Prostatic structure (body structure)"
        }
      ],
      "text" : "Prostate"
    }
  ]
}