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: RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V

Generated Narrative: ServiceRequest

Resource ServiceRequest "RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V" Version "123" Updated "2021-10-16 10:07:41+0200"

Profile: Radiotherapy Planned Course

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 electrons (procedure) (SNOMED CT#45643008)

url

Radiotherapy Technique Extension

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

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 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)

Dose Planned to Volume

url

volume

value: BodyStructure/RadiotherapyVolume-XRTS-04-22B-01-LeftBreast: Left Breast

url

totalDose

value: 900 cGy (Details: UCUM code cGy = 'cGy')

url

fractions

value: 3

Dose Planned to Volume

url

volume

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

url

totalDose

value: 1700 cGy (Details: UCUM code cGy = 'cGy')

url

fractions

value: 7

Dose Planned to Volume

url

volume

value: BodyStructure/RadiotherapyVolume-XRTS-04-22B-03-RightBreast: Right Breast

url

totalDose

value: 900 cGy (Details: UCUM code cGy = 'cGy')

url

fractions

value: 3

identifier: id: C1_Both_Breast (use: USUAL), id: urn:oid:1.2.246.352.74.842418.2121.20150602151.04.01.22.1 (use: OFFICIAL)

status: completed

intent: filler-order

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

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

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

reasonCode: Primary malignant neoplasm of female left breast (disorder) (SNOMED CT#353431000119107)

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

Notes:

Instance: RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V
InstanceOf: RadiotherapyPlannedCourse
Title: "RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V"
Description: "Radiotherapy Planned Course example from Codex XRTS collection, test case XRTS-04."
Usage: #example
* meta
  * versionId = "123"
  * lastUpdated = "2021-10-16T10:07:41.050+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#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[+]
  * 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-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[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-XRTS-04-22B-01-LeftBreast) "Left Breast"
  * extension[+]
    * url = "totalDose"
    * valueQuantity = 900 'cGy'
  * extension[+]
    * url = "fractions"
    * valuePositiveInt = 3
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost) "Left Breast Boost"
  * extension[+]
    * url = "totalDose"
    * valueQuantity = 1700 'cGy'
  * extension[+]
    * url = "fractions"
    * valuePositiveInt = 7
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
* extension[+]
  * extension[0]
    * url = "volume"
    * valueReference = Reference(RadiotherapyVolume-XRTS-04-22B-03-RightBreast) "Right Breast"
  * extension[+]
    * url = "totalDose"
    * valueQuantity = 900 'cGy'
  * extension[+]
    * url = "fractions"
    * valuePositiveInt = 3
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
* identifier[0]
  * use = #usual
  * system = "http://varian.com/fhir/identifier/radiotherapyCourseId"
  * value = "C1_Both_Breast"
* identifier[+]
  * use = #official
  * system = "urn:dicom:uid"
  * value = "urn:oid:1.2.246.352.74.842418.2121.20150602151.04.01.22.1"
* status = #completed
* intent = #filler-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-XRTS-04-22B)
* reasonCode = http://snomed.info/sct#353431000119107 "Primary malignant neoplasm of female left breast (disorder)"
* 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#51440002 "Right and left (qualifier value)"