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 ServiceRequest: RadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1

Generated Narrative: ServiceRequest

Resource ServiceRequest "RadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1" Version "219952" Updated "2020-07-03 10:07:41+0200"

Profile: Radiotherapy Treatment Plan

Number of Planned Fractions: 25

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)

url

Energy or Isotope

value: 18 MV (Details: UCUM code MV = 'MV')

Image Guided Radiotherapy Modality

url

modality

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

url

energy

value: kV (UCUM#kV)

Dose Planned to Volume

url

volume

value: BodyStructure/RadiotherapyVolume-03-Prostate

url

fractionDose

value: 180 cGy (Details: UCUM code cGy = 'cGy')

url

totalDose

value: 4500 cGy (Details: UCUM code cGy = 'cGy')

Dose Planned to Volume

url

volume

value: BodyStructure/RadiotherapyVolume-04-PelvNs

url

fractionDose

value: 180 cGy (Details: UCUM code cGy = 'cGy')

url

totalDose

value: 4500 cGy (Details: UCUM code cGy = 'cGy')

Dose Planned to Volume

url

volume

value: BodyStructure/RadiotherapyVolume-05-SemVs

url

fractionDose

value: 180 cGy (Details: UCUM code cGy = 'cGy')

url

totalDose

value: 4500 cGy (Details: UCUM code cGy = 'cGy')

Reference to DICOM SOP Instance

url

instanceUid

value: 1.2.246.352.71.5689073982433245406.1530811633039636638

url

sopClass

value: urn:oid:1.2.840.10008.5.1.4.1.1.481.5 (Details: urn:ietf:rfc:3986 code urn:oid:1.2.840.10008.5.1.4.1.1.481.5 = 'urn:oid:1.2.840.10008.5.1.4.1.1.481.5', stated as 'null')

identifier: id: Prostate-Phase1-Plan1 (use: USUAL), id: urn:oid:2.16.124.113543.1154777499.30246.19789.3503430456 (use: OFFICIAL)

basedOn:

status: active

intent: filler-order

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

code: Radiotherapy treatment plan (regime/therapy) (SNOMED CT#1255724003)

subject: Patient/Patient-6: Peter Venkman " VENKMAN"

authoredOn: 2020-07-02 00:00:00+0200

requester: Practitioner/Practitioner-1005: aria\user1 " SPENGLER"

locationReference: Location/TreatmentLocation-1 "Joe's Radiotherapy Clinic"

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

reasonReference: Condition/Diagnosis-2-Prostate

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

Notes:

Instance: RadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1
InstanceOf: RadiotherapyTreatmentPlan
Title: "RadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1"
Description: "Radiotherapy Treatment Plan to cover IHE-RO XRTS profile for a Prostate example, phase 1, plan 1."
Usage: #example
* meta
  * versionId = "219952"
  * lastUpdated = "2020-07-03T10:07:41.050+02:00"
* extension[0]
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-planned"
  * valuePositiveInt = 25
* 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)"
  * extension[+]
    * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope"
    * valueQuantity = 18 'MV' "MV"
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
* 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 = "volume"
    * valueReference = Reference(RadiotherapyVolume-03-Prostate)
  * extension[+]
    * url = "fractionDose"
    * valueQuantity = 180 'cGy'
  * extension[+]
    * url = "totalDose"
    * valueQuantity = 4500 'cGy'
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-04-PelvNs)
  * extension[+]
    * url = "fractionDose"
    * valueQuantity = 180 'cGy'
  * extension[+]
    * url = "totalDose"
    * valueQuantity = 4500 'cGy'
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-05-SemVs)
  * extension[+]
    * url = "fractionDose"
    * valueQuantity = 180 'cGy'
  * extension[+]
    * url = "totalDose"
    * valueQuantity = 4500 'cGy'
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
* extension[+]
  * extension[0]
    * url = "instanceUid"
    * valueId = "1.2.246.352.71.5689073982433245406.1530811633039636638"
  * extension[+]
    * url = "sopClass"
    * valueCoding = urn:ietf:rfc:3986#urn:oid:1.2.840.10008.5.1.4.1.1.481.5
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference"
* identifier[0]
  * use = #usual
  * system = "http://varian.com/fhir/identifier/radiotherapyPlanId"
  * value = "Prostate-Phase1-Plan1"
* identifier[+]
  * use = #official
  * system = "urn:dicom:uid"
  * value = "urn:oid:2.16.124.113543.1154777499.30246.19789.3503430456"
* basedOn[0] = Reference(RadiotherapyPlannedPhase-04-Prostate-Phase1) "Prostate-Phase1"
* basedOn[+] = Reference(RadiotherapyPlanPrescription-04-Prostate-Phase1-Plan1) "Prostate-Phase1-Plan1"
* status = #active
* intent = #filler-order
* category = http://snomed.info/sct#108290001 "Radiation oncology AND/OR radiotherapy"
* code = http://snomed.info/sct#1255724003 "Radiotherapy treatment plan (regime/therapy)"
* subject = Reference(Patient-6) "Peter Venkman"
* authoredOn = "2020-07-02T00:00:00+02:00"
* requester = Reference(Practitioner-1005) "aria\user1"
* locationReference = Reference(TreatmentLocation-1)
* reasonCode = http://hl7.org/fhir/sid/icd-10-cm#C61 "Malignant neoplasm of prostate"
  * text = "Malignant neoplasm of prostate"
* reasonReference = Reference(Diagnosis-2-Prostate)
* bodySite = http://snomed.info/sct#41216001 "Prostatic structure (body structure)"
  * text = "Prostate"