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: RadiotherapyTreatedPhase-XRTS-04-22B-01-03-LeftBreastBoost

Generated Narrative: Procedure

Resource Procedure "RadiotherapyTreatedPhase-XRTS-04-22B-01-03-LeftBreastBoost" Version "4" Updated "2021-09-17 13:21:17+0100"

Profile: Radiotherapy Treated Phase

Radiotherapy Modality And Technique Extension

url

Radiotherapy Modality Extension

value: External beam radiation therapy using electrons (procedure) (SNOMED CT#45643008)

url

Radiotherapy Technique Extension

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

Respiratory Motion Management: Radiotherapy with free breathing (regime/therapy) (Requested SNOMED Codes Code System#721071000124104)

Free-Breathing Motion Management Technique: Radiotherapy with respiratory gating (regime/therapy) (Requested SNOMED Codes Code System#721061000124106)

Number of Delivered Fractions: 4

Radiotherapy Dose Delivered To Volume Extension

url

volume

value: BodyStructure/RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost: Left Breast Boost

url

totalDoseDelivered

value: 800 cGy (Details: UCUM code cGy = 'cGy')

identifier: id: Left Breast Boost (use: USUAL), id: urn:oid:1.2.246.352.73.842418.2121.20150602151.04.01.03.22.1 (use: OFFICIAL)

basedOn: ServiceRequest/RadiotherapyPlannedPhase-XRTS-04-22B-01-03-LeftBreastBoost

partOf: Procedure/RadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V

status: completed

code: Radiotherapy treatment phase (regime/therapy) (SNOMED CT#1222565005)

subject: Patient/Patient-XRTS-04-22B " SISTER-22B"

performed: 2021-09-14 13:15:17+0100 --> 2021-09-17 13:21:17+0100

bodySite: Breast structure (body structure) (SNOMED CT#76752008)

Notes:

Instance: RadiotherapyTreatedPhase-XRTS-04-22B-01-03-LeftBreastBoost
InstanceOf: RadiotherapyTreatedPhase
Title: "RadiotherapyTreatedPhase-XRTS-04-22B-01-03-LeftBreastBoost"
Description: "Radiotherapy Treated Phase example from Codex XRTS collection, test case XRTS-04, Phase 3 completely treated."
Usage: #example
* meta
  * versionId = "4"
  * lastUpdated = "2021-09-17T13:21:17+01:00"
* extension[0]
  * extension[0]
    * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
    * valueCodeableConcept = http://snomed.info/sct#45643008 "External beam radiation therapy using electrons (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-34883 "Radiotherapy with free breathing (regime/therapy)"
* extension[+]
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique"
  * valueCodeableConcept = SnomedRequestedCS#USCRS-34881 "Radiotherapy with respiratory gating (regime/therapy)"
* extension[+]
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered"
  * valueUnsignedInt = 4
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost) "Left Breast Boost"
  * extension[+]
    * url = "totalDoseDelivered"
    * valueQuantity = 800 'cGy'
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
* identifier[0]
  * use = #usual
  * system = "http://varian.com/fhir/identifier/radiotherapyPhaseId"
  * value = "Left Breast Boost"
* identifier[+]
  * use = #official
  * system = "urn:dicom:uid"
  * value = "urn:oid:1.2.246.352.73.842418.2121.20150602151.04.01.03.22.1"
* basedOn = Reference(RadiotherapyPlannedPhase-XRTS-04-22B-01-03-LeftBreastBoost)
* partOf = Reference(RadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V)
* status = #completed
* code = http://snomed.info/sct#1222565005 "Radiotherapy treatment phase (regime/therapy)"
* subject = Reference(Patient-XRTS-04-22B)
* performedPeriod
  * start = "2021-09-14T13:15:17+01:00"
  * end = "2021-09-17T13:21:17+01:00"
* bodySite = http://snomed.info/sct#76752008 "Breast structure (body structure)"
  * extension
    * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier"
    * valueCodeableConcept = http://snomed.info/sct#7771000 "Left (qualifier value)"