CodeX Radiation Therapy
1.0.0 - STU 1 United States of America flag

This page is part of the CodeX™ Radiation Therapy (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Procedure: RadiotherapyCourseSummary-101-RTTD-BilateralBreast

Generated Narrative: Procedure

Resource Procedure "RadiotherapyCourseSummary-101-RTTD-BilateralBreast" Version "1233456" Updated "2020-10-28 13:22:17+0100"

Profiles: Radiotherapy Course Summary, Radiotherapy Course Summary Profile

Procedure Intent Extension: Curative (SNOMED CT#373808002 "Curative - procedure intent")

Radiotherapy Modality And Technique Extension

url

Radiotherapy Modality Extension

value: External beam radiation therapy using electrons (procedure) (SNOMED CT#45643008)

url

Radiotherapy Technique Extension

value: Three dimensional external beam radiation therapy (procedure) (SNOMED CT#1162782007)

Radiotherapy Dose Delivered To Volume Extension

url

volume

value: BodyStructure/RadiotherapyVolume-101-LeftBreast

url

Uniform Fractionation

value: true

url

totalDoseDelivered

value: 5000 cGy (Details: UCUM code cGy = 'cGy')

url

fractionsDelivered

value: 25

Radiotherapy Dose Delivered To Volume Extension

url

volume

value: BodyStructure/RadiotherapyVolume-102-LeftBreastBoost

url

Uniform Fractionation

value: false

url

totalDoseDelivered

value: 6000 cGy (Details: UCUM code cGy = 'cGy')

url

fractionsDelivered

value: 30

Radiotherapy Dose Delivered To Volume Extension

url

volume

value: BodyStructure/RadiotherapyVolume-103-RightBreast

url

Uniform Fractionation

value: true

url

totalDoseDelivered

value: 5000 cGy (Details: UCUM code cGy = 'cGy')

url

fractionsDelivered

value: 25

identifier: id: Bilateral Breast (use: USUAL), id: urn:oid:2.16.124.113543.1154777499.30246.19789.555.101 (use: OFFICIAL)

basedOn: ServiceRequest/RadiotherapyCoursePrescription-101-RTTD-BilateralBreast

status: completed

category: Radiation oncology AND/OR radiotherapy (SNOMED CT#108290001)

code: Radiotherapy course of treatment (SNOMED CT#1217123003)

subject: Patient/Patient-101 " BILATERALBREAST"

performed: 2020-10-27 13:15:17+0100 --> 2020-10-28 13:21:17+0100

reasonCode: Primary malignant neoplasm of female left breast (disorder) (SNOMED CT#353431000119107)

reasonReference: Condition/Diagnosis-101-Breast

bodySite: Breast structure (body structure) (SNOMED CT#76752008)

Notes:

Instance: RadiotherapyCourseSummary-101-RTTD-BilateralBreast
InstanceOf: Procedure
Title: "RadiotherapyCourseSummary-101-RTTD-BilateralBreast"
Description: "Radiotherapy Course Summary example from Codex RTTD collection, 'Bilateral Breast'."
Usage: #example
* meta
  * versionId = "1233456"
  * lastUpdated = "2020-10-28T13:22:17+01:00"
  * profile[0] = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-summary"
  * profile[+] = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"
* extension[0]
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"
  * valueCodeableConcept = http://snomed.info/sct#373808002 "Curative - procedure intent"
    * text = "Curative"
* extension[+]
  * extension[0]
    * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
    * valueCodeableConcept = http://snomed.info/sct#45643008 "External beam radiation therapy using electrons (procedure)"
  * extension[+]
    * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
    * valueCodeableConcept = http://snomed.info/sct#1162782007 "Three dimensional external beam radiation therapy (procedure)"
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-101-LeftBreast)
  * extension[+]
    * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation"
    * valueBoolean = true
  * extension[+]
    * url = "totalDoseDelivered"
    * valueQuantity = 5000 'cGy'
  * extension[+]
    * url = "fractionsDelivered"
    * valueUnsignedInt = 25
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-102-LeftBreastBoost)
  * extension[+]
    * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation"
    * valueBoolean = false
  * extension[+]
    * url = "totalDoseDelivered"
    * valueQuantity = 6000 'cGy'
  * extension[+]
    * url = "fractionsDelivered"
    * valueUnsignedInt = 30
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-103-RightBreast)
  * extension[+]
    * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation"
    * valueBoolean = true
  * extension[+]
    * url = "totalDoseDelivered"
    * valueQuantity = 5000 'cGy'
  * extension[+]
    * url = "fractionsDelivered"
    * valueUnsignedInt = 25
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
* identifier[0]
  * use = #usual
  * system = "http://varian.com/fhir/identifier/radiotherapyCourseId"
  * value = "Bilateral Breast"
* identifier[+]
  * use = #official
  * system = "urn:dicom:uid"
  * value = "urn:oid:2.16.124.113543.1154777499.30246.19789.555.101"
* basedOn = Reference(RadiotherapyCoursePrescription-101-RTTD-BilateralBreast)
* status = #completed
* category = http://snomed.info/sct#108290001
* code = http://snomed.info/sct#1217123003
* subject = Reference(Patient-101)
* performedPeriod
  * start = "2020-10-27T13:15:17+01:00"
  * end = "2020-10-28T13:21:17+01:00"
* reasonCode = http://snomed.info/sct#353431000119107 "Primary malignant neoplasm of female left breast (disorder)"
* reasonReference = Reference(Diagnosis-101-Breast)
* bodySite = http://snomed.info/sct#76752008 "Breast structure (body structure)"
  * extension
    * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier"
    * valueCodeableConcept = http://snomed.info/sct#51440002 "Right and left (qualifier value)"