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 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

: RadiotherapyCourseSummary-XRTS-05-22B-01-BrainMets-1P-1V - XML Representation

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<Procedure xmlns="http://hl7.org/fhir">
  <id value="RadiotherapyCourseSummary-XRTS-05-22B-01-BrainMets-1P-1V"/>
  <meta>
    <versionId value="6"/>
    <lastUpdated value="2020-09-14T13:21:17+01:00"/>
    <profile
             value="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-summary"/>
    <profile
             value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Procedure</b><a name="RadiotherapyCourseSummary-XRTS-05-22B-01-BrainMets-1P-1V"> </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-05-22B-01-BrainMets-1P-1V&quot; Version &quot;6&quot; Updated &quot;2020-09-14 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>Course Involves Reirradiation</b>: false</p><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>: 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>Radiotherapy Number of Sessions Extension</b>: 6</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-05-22B-01-BrainMets.html">BodyStructure/RadiotherapyVolume-XRTS-05-22B-01-BrainMets: Brain Mets</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>: 2500 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>: 5</p></blockquote><p><b>identifier</b>: id: C1BrainMets (use: USUAL), id: urn:oid:1.2.246.352.72.842418.2121.20150602151.05.01.22.1 (use: OFFICIAL)</p><p><b>basedOn</b>: <a href="ServiceRequest-RadiotherapyPlannedCourse-XRTS-05-22B-01-BrainMets-1P-1V.html">ServiceRequest/RadiotherapyPlannedCourse-XRTS-05-22B-01-BrainMets-1P-1V</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-05-22B.html">Patient/Patient-XRTS-05-22B</a> &quot; DAUGHTER-22B&quot;</p><p><b>performed</b>: 2020-09-07 13:15:17+0100 --&gt; 2020-09-14 13:21:17+0100</p><p><b>reasonCode</b>: Malignant neoplasm of brain, unspecified <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#C71.9)</span></p><p><b>bodySite</b>: Brain structure (body structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#12738006)</span></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation">
    <valueBoolean value="false"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="373808002"/>
        <display value="Curative - procedure intent"/>
      </coding>
      <text value="Curative"/>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique">
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="1156506007"/>
          <display
                   value="External beam radiation therapy using photons (procedure)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="441799006"/>
          <display value="Intensity modulated radiation therapy (procedure)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs"/>
        <code value="721031000124102"/>
        <display
                 value="Radiotherapy without respiratory motion management (regime/therapy)"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions">
    <valueUnsignedInt value="6"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume">
    <extension url="volume">
      <valueReference>
        <reference
                   value="BodyStructure/RadiotherapyVolume-XRTS-05-22B-01-BrainMets"/>
        <display value="Brain Mets"/>
      </valueReference>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation">
      <valueBoolean value="true"/>
    </extension>
    <extension url="totalDoseDelivered">
      <valueQuantity>
        <value value="2500"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="fractionsDelivered">
      <valueUnsignedInt value="5"/>
    </extension>
  </extension>
  <identifier>
    <use value="usual"/>
    <system value="http://varian.com/fhir/identifier/radiotherapyCourseId"/>
    <value value="C1BrainMets"/>
  </identifier>
  <identifier>
    <use value="official"/>
    <system value="urn:dicom:uid"/>
    <value value="urn:oid:1.2.246.352.72.842418.2121.20150602151.05.01.22.1"/>
  </identifier>
  <basedOn>
    <reference
               value="ServiceRequest/RadiotherapyPlannedCourse-XRTS-05-22B-01-BrainMets-1P-1V"/>
  </basedOn>
  <status value="completed"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="108290001"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1217123003"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/Patient-XRTS-05-22B"/>
  </subject>
  <performedPeriod>
    <start value="2020-09-07T13:15:17+01:00"/>
    <end value="2020-09-14T13:21:17+01:00"/>
  </performedPeriod>
  <reasonCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
      <code value="C71.9"/>
      <display value="Malignant neoplasm of brain, unspecified"/>
    </coding>
  </reasonCode>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="12738006"/>
      <display value="Brain structure (body structure)"/>
    </coding>
  </bodySite>
</Procedure>