CodeX Radiation Therapy
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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

: RadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Procedure ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "RadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "8" ] ;
fhir:lastUpdated [ fhir:v "2021-09-17T13:21:17+01:00"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-summary"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-summary>     ] [
fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"RadiotherapyCourseSummary-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 Procedure &quot;RadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V&quot; Version &quot;8&quot; Updated &quot;2021-09-17 13:21:17+0100&quot; </p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-codexrt-radiotherapy-course-summary.html\">Radiotherapy Course Summary</a>, <a href=\"http://hl7.org/fhir/us/mcode/STU2.1/StructureDefinition-mcode-radiotherapy-course-summary.html\">Radiotherapy Course Summary Profile</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/STU2.1/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/STU2.1/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>Radiotherapy Modality And Technique Extension</b></p><blockquote><p><b>url</b></p><a href=\"http://hl7.org/fhir/us/mcode/STU2.1/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/STU2.1/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>Radiotherapy Number of Sessions Extension</b>: 8</p><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</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><a href=\"StructureDefinition-codexrt-radiotherapy-uniform-fractionation.html\">Uniform Fractionation</a></blockquote><p><b>value</b>: true</p><blockquote><p><b>url</b></p><code>totalDoseDelivered</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>fractionsDelivered</code></blockquote><p><b>value</b>: 3</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</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><a href=\"StructureDefinition-codexrt-radiotherapy-uniform-fractionation.html\">Uniform Fractionation</a></blockquote><p><b>value</b>: false</p><blockquote><p><b>url</b></p><code>totalDoseDelivered</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>fractionsDelivered</code></blockquote><p><b>value</b>: 7</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</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><a href=\"StructureDefinition-codexrt-radiotherapy-uniform-fractionation.html\">Uniform Fractionation</a></blockquote><p><b>value</b>: true</p><blockquote><p><b>url</b></p><code>totalDoseDelivered</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>fractionsDelivered</code></blockquote><p><b>value</b>: 3</p></blockquote><p><b>identifier</b>: id: C1_Both_Breast (use: USUAL), id: urn:oid:1.2.246.352.72.842418.2121.20150602151.04.01.22.1 (use: OFFICIAL)</p><p><b>basedOn</b>: <a href=\"ServiceRequest-RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V.html\">ServiceRequest/RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V</a></p><p><b>status</b>: completed</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 <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>performed</b>: 2021-09-06 13:15:17+0100 --&gt; 2021-09-17 13:21:17+0100</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>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
a sct:373808002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "373808002" ] ;
fhir:display [ fhir:v "Curative - procedure intent" ]       ] ) ;
fhir:text [ fhir:v "Curative" ]     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
a sct:1156506007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1156506007" ] ;
fhir:display [ fhir:v "External beam radiation therapy using photons (procedure)" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
a sct:1162782007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1162782007" ] ;
fhir:display [ fhir:v "Three dimensional external beam radiation therapy (procedure)" ]         ] )       ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"^^xsd:anyURI ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "721071000124104" ] ;
fhir:display [ fhir:v "Radiotherapy with free breathing (regime/therapy)" ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs"^^xsd:anyURI ] ;
fhir:code [ fhir:v "721061000124106" ] ;
fhir:display [ fhir:v "Radiotherapy with respiratory gating (regime/therapy)" ]       ] )     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
a sct:45643008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "45643008" ] ;
fhir:display [ fhir:v "External beam radiation therapy using electrons (procedure)" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
a sct:1162782007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1162782007" ] ;
fhir:display [ fhir:v "Three dimensional external beam radiation therapy (procedure)" ]         ] )       ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"^^xsd:anyURI ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions"^^xsd:anyURI ] ;
fhir:value [ fhir:v "8"^^xsd:nonNegativeInteger ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "volume"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "BodyStructure/RadiotherapyVolume-XRTS-04-22B-01-LeftBreast" ] ;
fhir:display [ fhir:v "Left Breast" ]       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation"^^xsd:anyURI ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] [
fhir:url [ fhir:v "totalDoseDelivered"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "900"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cGy" ]       ]     ] [
fhir:url [ fhir:v "fractionsDelivered"^^xsd:anyURI ] ;
fhir:value [ fhir:v "3"^^xsd:nonNegativeInteger ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"^^xsd:anyURI ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "volume"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "BodyStructure/RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost" ] ;
fhir:display [ fhir:v "Left Breast Boost" ]       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation"^^xsd:anyURI ] ;
fhir:value [ fhir:v "false"^^xsd:boolean ]     ] [
fhir:url [ fhir:v "totalDoseDelivered"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "1700"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cGy" ]       ]     ] [
fhir:url [ fhir:v "fractionsDelivered"^^xsd:anyURI ] ;
fhir:value [ fhir:v "7"^^xsd:nonNegativeInteger ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"^^xsd:anyURI ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "volume"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "BodyStructure/RadiotherapyVolume-XRTS-04-22B-03-RightBreast" ] ;
fhir:display [ fhir:v "Right Breast" ]       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation"^^xsd:anyURI ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]     ] [
fhir:url [ fhir:v "totalDoseDelivered"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "900"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cGy" ]       ]     ] [
fhir:url [ fhir:v "fractionsDelivered"^^xsd:anyURI ] ;
fhir:value [ fhir:v "3"^^xsd:nonNegativeInteger ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"^^xsd:anyURI ]
  ] ) ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "usual" ] ;
fhir:system [ fhir:v "http://varian.com/fhir/identifier/radiotherapyCourseId"^^xsd:anyURI ] ;
fhir:value [ fhir:v "C1_Both_Breast" ]
  ] [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "urn:dicom:uid"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:1.2.246.352.72.842418.2121.20150602151.04.01.22.1" ]
  ] ) ; # 
  fhir:basedOn ( [
fhir:reference [ fhir:v "ServiceRequest/RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V" ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:category [
    ( fhir:coding [
a sct:108290001 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "108290001" ]     ] )
  ] ; # 
  fhir:code [
    ( fhir:coding [
a sct:1217123003 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1217123003" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/Patient-XRTS-04-22B" ]
  ] ; # 
  fhir:performed [
a fhir:Period ;
fhir:start [ fhir:v "2021-09-06T13:15:17+01:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2021-09-17T13:21:17+01:00"^^xsd:dateTime ]
  ] ; # 
  fhir:reasonCode ( [
    ( fhir:coding [
a sct:353431000119107 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "353431000119107" ] ;
fhir:display [ fhir:v "Primary malignant neoplasm of female left breast (disorder)" ]     ] )
  ] ) ; # 
  fhir:bodySite ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
a sct:51440002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "51440002" ] ;
fhir:display [ fhir:v "Right and left (qualifier value)" ]         ] )       ]     ] ) ;
    ( fhir:coding [
a sct:76752008 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "76752008" ] ;
fhir:display [ fhir:v "Breast structure (body structure)" ]     ] )
  ] ) . #