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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Procedure: RadiotherapyCourseSummary-XRTS-02-22B-01-Prostate-2P-1V

Generated Narrative: Procedure

Resource Procedure "RadiotherapyCourseSummary-XRTS-02-22B-01-Prostate-2P-1V" Version "9" Updated "2021-09-17 13:21:17+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 photons (procedure) (SNOMED CT#1156506007)

url

Radiotherapy Technique Extension

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

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

Image Guided Radiotherapy Modality

url

modality

value: Cone beam computed tomography (procedure) (SNOMED CT#717193008)

url

energy

value: kV (UCUM#kV)

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: Intensity modulated radiation therapy (procedure) (SNOMED CT#441799006)

Radiotherapy Number of Sessions Extension: 9

Radiotherapy Dose Delivered To Volume Extension

url

volume

value: BodyStructure/RadiotherapyVolume-XRTS-02-22B-01-Prostate: Prostate

url

Uniform Fractionation

value: false

url

totalDoseDelivered

value: 1340 cGy (Details: UCUM code cGy = 'cGy')

url

fractionsDelivered

value: 7

identifier: id: C1Prostate (use: USUAL), id: urn:oid:1.2.246.352.72.842418.2121.20150602151.02.01.22.1 (use: OFFICIAL)

basedOn: ServiceRequest/RadiotherapyPlannedCourse-XRTS-02-22B-01-Prostate-2P-1V

status: completed

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

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

subject: Patient/Patient-XRTS-02-22B " COUSIN-22B"

performed: 2021-09-06 13:15:17+0100 --> 2021-09-17 13:21:17+0100

reasonCode: Malignant neoplasm of prostate (International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)#C61)

bodySite: Prostatic structure (body structure) (SNOMED CT#41216001)

Notes:

Instance: RadiotherapyCourseSummary-XRTS-02-22B-01-Prostate-2P-1V
InstanceOf: Procedure
Title: "RadiotherapyCourseSummary-XRTS-02-22B-01-Prostate-2P-1V"
Description: "Radiotherapy Course Summary example from Codex XRTS collection, test case XRTS-02 completely treated."
Usage: #example
* meta
  * versionId = "9"
  * lastUpdated = "2021-09-17T13:21:17+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#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#1162782007 "Three dimensional external beam radiation 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[+]
  * extension[0]
    * url = "modality"
    * valueCodeableConcept = http://snomed.info/sct#717193008 "Cone beam computed tomography (procedure)"
  * extension[+]
    * url = "energy"
    * valueCodeableConcept = http://unitsofmeasure.org#kV "kV"
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality"
* 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#441799006 "Intensity modulated radiation therapy (procedure)"
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
* extension[+]
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions"
  * valueUnsignedInt = 9
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-XRTS-02-22B-01-Prostate) "Prostate"
  * extension[+]
    * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation"
    * valueBoolean = false
  * extension[+]
    * url = "totalDoseDelivered"
    * valueQuantity = 1340 'cGy'
  * extension[+]
    * url = "fractionsDelivered"
    * valueUnsignedInt = 7
  * 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 = "C1Prostate"
* identifier[+]
  * use = #official
  * system = "urn:dicom:uid"
  * value = "urn:oid:1.2.246.352.72.842418.2121.20150602151.02.01.22.1"
* basedOn = Reference(RadiotherapyPlannedCourse-XRTS-02-22B-01-Prostate-2P-1V)
* status = #completed
* category = http://snomed.info/sct#108290001
* code = http://snomed.info/sct#1217123003
* subject = Reference(Patient-XRTS-02-22B)
* performedPeriod
  * start = "2021-09-06T13:15:17+01:00"
  * end = "2021-09-17T13:21:17+01:00"
* reasonCode = http://hl7.org/fhir/sid/icd-10-cm#C61 "Malignant neoplasm of prostate"
* bodySite = http://snomed.info/sct#41216001 "Prostatic structure (body structure)"