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-XRTS-05-22B-02-BrainMets-1P-1V

Generated Narrative: Procedure

Resource Procedure "RadiotherapyCourseSummary-XRTS-05-22B-02-BrainMets-1P-1V" Version "5" Updated "2021-10-16 10:07:41+0200"

Profiles: Radiotherapy Course Summary, Radiotherapy Course Summary Profile

Course Involves Reirradiation: true

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 photons (procedure) (SNOMED CT#1156506007)

url

Radiotherapy Technique Extension

value: Volumetric modulated arc therapy (procedure) (SNOMED CT#1156530009)

Respiratory Motion Management: Radiotherapy without respiratory motion management (regime/therapy) (Requested SNOMED Codes Code System#721031000124102)

Radiotherapy Number of Sessions Extension: 5

Radiotherapy Dose Delivered To Volume Extension

url

volume

value: BodyStructure/RadiotherapyVolume-XRTS-05-22B-02-BrainMets: Brain Mets

url

Uniform Fractionation

value: true

url

totalDoseDelivered

value: 2000 cGy (Details: UCUM code cGy = 'cGy')

url

fractionsDelivered

value: 5

identifier: id: C2BrainMets (use: USUAL), id: urn:oid:1.2.246.352.72.842418.2121.20150602151.05.02.22.1 (use: OFFICIAL)

basedOn: ServiceRequest/RadiotherapyPlannedCourse-XRTS-05-22B-02-BrainMets-1P-1V

status: completed

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

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

subject: Patient/Patient-XRTS-05-22B " DAUGHTER-22B"

performed: 2021-09-20 13:15:17+0100 --> 2021-09-24 13:21:17+0100

reasonCode: Malignant neoplasm of brain, unspecified (International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)#C71.9)

bodySite: Brain structure (body structure) (SNOMED CT#12738006)

Notes:

Instance: RadiotherapyCourseSummary-XRTS-05-22B-02-BrainMets-1P-1V
InstanceOf: Procedure
Title: "RadiotherapyCourseSummary-XRTS-05-22B-02-BrainMets-1P-1V"
Description: "Radiotherapy Course Summary example, test case XRTS-05, Course 2 completely treated."
Usage: #example
* meta
  * versionId = "5"
  * lastUpdated = "2021-10-16T10:07:41.050+02:00"
  * 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/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation"
  * valueBoolean = true
* extension[+]
  * 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#1156506007 "External beam radiation therapy using photons (procedure)"
  * extension[+]
    * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
    * valueCodeableConcept = http://snomed.info/sct#1156530009 "Volumetric modulated arc therapy (procedure)"
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
* extension[+]
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management"
  * valueCodeableConcept = SnomedRequestedCS#USCRS-34886 "Radiotherapy without respiratory motion management (regime/therapy)"
* extension[+]
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions"
  * valueUnsignedInt = 5
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-XRTS-05-22B-02-BrainMets) "Brain Mets"
  * extension[+]
    * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation"
    * valueBoolean = true
  * extension[+]
    * url = "totalDoseDelivered"
    * valueQuantity = 2000 'cGy'
  * extension[+]
    * url = "fractionsDelivered"
    * valueUnsignedInt = 5
  * 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 = "C2BrainMets"
* identifier[+]
  * use = #official
  * system = "urn:dicom:uid"
  * value = "urn:oid:1.2.246.352.72.842418.2121.20150602151.05.02.22.1"
* basedOn = Reference(RadiotherapyPlannedCourse-XRTS-05-22B-02-BrainMets-1P-1V)
* status = #completed
* category = http://snomed.info/sct#108290001
* code = http://snomed.info/sct#1217123003
* subject = Reference(Patient-XRTS-05-22B)
* performedPeriod
  * start = "2021-09-20T13:15:17+01:00"
  * end = "2021-09-24T13:21:17+01:00"
* reasonCode = http://hl7.org/fhir/sid/icd-10-cm#C71.9 "Malignant neoplasm of brain, unspecified"
* bodySite = http://snomed.info/sct#12738006 "Brain structure (body structure)"