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. For a full list of available versions, see the Directory of published versions

Example ServiceRequest: RadiotherapyCoursePrescription-04-Prostate

Generated Narrative: ServiceRequest

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

Profile: Radiotherapy Course Prescription

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)

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 Prescribed to Volume

url

volume

value: BodyStructure/RadiotherapyVolume-03-Prostate

url

totalDose

value: 8300 cGy (Details: UCUM code cGy = 'cGy')

url

fractions

value: 44

Dose Prescribed to Volume

url

volume

value: BodyStructure/RadiotherapyVolume-04-PelvNs

url

totalDose

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

url

fractions

value: 25

Dose Prescribed to Volume

url

volume

value: BodyStructure/RadiotherapyVolume-05-SemVs

url

totalDose

value: 7920 cGy (Details: UCUM code cGy = 'cGy')

url

fractions

value: 44

identifier: id: Prostate-2Phases (use: USUAL), id: urn:oid:2.16.124.113543.1154777499.30246.19789.3503430456.2 (use: OFFICIAL)

status: active

intent: original-order

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

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

subject: Patient/Patient-6: Pater 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: RadiotherapyCoursePrescription-04-Prostate
InstanceOf: RadiotherapyCoursePrescription
Title: "RadiotherapyCoursePrescription-04-Prostate"
Description: "Radiotherapy CoursePrescription with elements of IHE-RO XRTS profile for a prostate example."
Usage: #example
* meta
  * versionId = "219952"
  * lastUpdated = "2020-07-03T10:07:41.050+02:00"
* 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)"
  * 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 = "totalDose"
    * valueQuantity = 8300 'cGy'
  * extension[+]
    * url = "fractions"
    * valuePositiveInt = 44
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-04-PelvNs)
  * extension[+]
    * url = "totalDose"
    * valueQuantity = 4500 'cGy'
  * extension[+]
    * url = "fractions"
    * valuePositiveInt = 25
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-05-SemVs)
  * extension[+]
    * url = "totalDose"
    * valueQuantity = 7920 'cGy'
  * extension[+]
    * url = "fractions"
    * valuePositiveInt = 44
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
* identifier[0]
  * use = #usual
  * system = "http://varian.com/fhir/identifier/radiotherapyCourseId"
  * value = "Prostate-2Phases"
* identifier[+]
  * use = #official
  * system = "urn:dicom:uid"
  * value = "urn:oid:2.16.124.113543.1154777499.30246.19789.3503430456.2"
* status = #active
* intent = #original-order
* category = http://snomed.info/sct#108290001 "Radiation oncology AND/OR radiotherapy"
* code = http://snomed.info/sct#1217123003 "Radiotherapy course of treatment (regime/therapy)"
* subject = Reference(Patient-6) "Pater 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"