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

: RadiotherapyTreatedPhase-XRTS-02-22B-01-02-PlanChange - JSON Representation

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{
  "resourceType" : "Procedure",
  "id" : "RadiotherapyTreatedPhase-XRTS-02-22B-01-02-PlanChange",
  "meta" : {
    "versionId" : "5",
    "lastUpdated" : "2021-09-17T13:21:17+01:00",
    "profile" : [
      "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treated-phase"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"RadiotherapyTreatedPhase-XRTS-02-22B-01-02-PlanChange\"> </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;RadiotherapyTreatedPhase-XRTS-02-22B-01-02-PlanChange&quot; Version &quot;5&quot; Updated &quot;2021-09-17 13:21:17+0100&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-codexrt-radiotherapy-treated-phase.html\">Radiotherapy Treated Phase</a></p></div><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>: Intensity modulated radiation therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#441799006)</span></p></blockquote><p><b>Respiratory Motion Management</b>: Radiotherapy without respiratory motion management (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>#721031000124102)</span></p><p><b>Number of Delivered Fractions</b>: 4</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-02-22B-01-Prostate.html\">BodyStructure/RadiotherapyVolume-XRTS-02-22B-01-Prostate: Prostate</a></p><blockquote><p><b>url</b></p><code>totalDoseDelivered</code></blockquote><p><b>value</b>: 800 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p></blockquote><p><b>identifier</b>: id:\u00a0PlanChange\u00a0(use:\u00a0USUAL), id:\u00a0urn:oid:1.2.246.352.73.842418.2121.20150602151.02.01.02.22.1\u00a0(use:\u00a0OFFICIAL)</p><p><b>basedOn</b>: <a href=\"ServiceRequest-RadiotherapyPlannedPhase-XRTS-02-22B-01-02-PlanChange.html\">ServiceRequest/RadiotherapyPlannedPhase-XRTS-02-22B-01-02-PlanChange</a></p><p><b>partOf</b>: <a href=\"Procedure-RadiotherapyCourseSummary-XRTS-02-22B-01-Prostate-2P-1V.html\">Procedure/RadiotherapyCourseSummary-XRTS-02-22B-01-Prostate-2P-1V</a></p><p><b>status</b>: completed</p><p><b>code</b>: Radiotherapy treatment phase (regime/therapy) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1222565005)</span></p><p><b>subject</b>: <a href=\"Patient-Patient-XRTS-02-22B.html\">Patient/Patient-XRTS-02-22B</a> &quot; COUSIN-22B&quot;</p><p><b>performed</b>: 2021-09-13 13:15:17+0100 --&gt; 2021-09-17 13:21:17+0100</p><p><b>bodySite</b>: Prostatic structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#41216001)</span></p></div>"
  },
  "extension" : [
    {
      "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" : "441799006",
                "display" : "Intensity modulated radiation therapy (procedure)"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
    },
    {
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs",
            "code" : "721031000124102",
            "display" : "Radiotherapy without respiratory motion management (regime/therapy)"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered",
      "valueUnsignedInt" : 4
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            "reference" : "BodyStructure/RadiotherapyVolume-XRTS-02-22B-01-Prostate",
            "display" : "Prostate"
          }
        },
        {
          "url" : "totalDoseDelivered",
          "valueQuantity" : {
            "value" : 800,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "system" : "http://varian.com/fhir/identifier/radiotherapyPhaseId",
      "value" : "PlanChange"
    },
    {
      "use" : "official",
      "system" : "urn:dicom:uid",
      "value" : "urn:oid:1.2.246.352.73.842418.2121.20150602151.02.01.02.22.1"
    }
  ],
  "basedOn" : [
    {
      "reference" : "ServiceRequest/RadiotherapyPlannedPhase-XRTS-02-22B-01-02-PlanChange"
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  ],
  "partOf" : [
    {
      "reference" : "Procedure/RadiotherapyCourseSummary-XRTS-02-22B-01-Prostate-2P-1V"
    }
  ],
  "status" : "completed",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "1222565005",
        "display" : "Radiotherapy treatment phase (regime/therapy)"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/Patient-XRTS-02-22B"
  },
  "performedPeriod" : {
    "start" : "2021-09-13T13:15:17+01:00",
    "end" : "2021-09-17T13:21:17+01:00"
  },
  "bodySite" : [
    {
      "coding" : [
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          "system" : "http://snomed.info/sct",
          "code" : "41216001",
          "display" : "Prostatic structure (body structure)"
        }
      ]
    }
  ]
}