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

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

Raw json | Download


{
  "resourceType" : "ServiceRequest",
  "id" : "RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V",
  "meta" : {
    "versionId" : "123",
    "lastUpdated" : "2021-10-16T10:07:41.050+02:00",
    "profile" : [
      "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-course"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ServiceRequest</b><a name=\"RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V\"> </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 ServiceRequest &quot;RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V&quot; Version &quot;123&quot; Updated &quot;2021-10-16 10:07:41+0200&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-codexrt-radiotherapy-planned-course.html\">Radiotherapy Planned Course</a></p></div><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 electrons (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#45643008)</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>: Three dimensional external beam radiation therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1162782007)</span></p></blockquote><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>: Three dimensional external beam radiation therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1162782007)</span></p></blockquote><p><b>Respiratory Motion Management</b>: Radiotherapy with free breathing (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>#721071000124104)</span></p><p><b>Free-Breathing Motion Management Technique</b>: Radiotherapy with respiratory gating (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>#721061000124106)</span></p><blockquote><p><b>Dose Planned to Volume</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href=\"BodyStructure-RadiotherapyVolume-XRTS-04-22B-01-LeftBreast.html\">BodyStructure/RadiotherapyVolume-XRTS-04-22B-01-LeftBreast: Left Breast</a></p><blockquote><p><b>url</b></p><code>totalDose</code></blockquote><p><b>value</b>: 900 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>fractions</code></blockquote><p><b>value</b>: 3</p></blockquote><blockquote><p><b>Dose Planned to Volume</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href=\"BodyStructure-RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost.html\">BodyStructure/RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost: Left Breast Boost</a></p><blockquote><p><b>url</b></p><code>totalDose</code></blockquote><p><b>value</b>: 1700 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>fractions</code></blockquote><p><b>value</b>: 7</p></blockquote><blockquote><p><b>Dose Planned to Volume</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href=\"BodyStructure-RadiotherapyVolume-XRTS-04-22B-03-RightBreast.html\">BodyStructure/RadiotherapyVolume-XRTS-04-22B-03-RightBreast: Right Breast</a></p><blockquote><p><b>url</b></p><code>totalDose</code></blockquote><p><b>value</b>: 900 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>fractions</code></blockquote><p><b>value</b>: 3</p></blockquote><p><b>identifier</b>: id:\u00a0C1_Both_Breast\u00a0(use:\u00a0USUAL), id:\u00a0urn:oid:1.2.246.352.74.842418.2121.20150602151.04.01.22.1\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: filler-order</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 (regime/therapy) <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-04-22B.html\">Patient/Patient-XRTS-04-22B</a> &quot; SISTER-22B&quot;</p><p><b>reasonCode</b>: Primary malignant neoplasm of female left breast (disorder) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#353431000119107)</span></p><p><b>bodySite</b>: Breast structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#76752008)</span></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "373808002",
            "display" : "Curative - procedure intent"
          }
        ],
        "text" : "Curative"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "45643008",
                "display" : "External beam radiation therapy using electrons (procedure)"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1162782007",
                "display" : "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/mcode/StructureDefinition/mcode-radiotherapy-modality",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1156506007",
                "display" : "External beam radiation therapy using photons (procedure)"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1162782007",
                "display" : "Three dimensional external beam radiation therapy (procedure)"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
    },
    {
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs",
            "code" : "721071000124104",
            "display" : "Radiotherapy with free breathing (regime/therapy)"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs",
            "code" : "721061000124106",
            "display" : "Radiotherapy with respiratory gating (regime/therapy)"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            "reference" : "BodyStructure/RadiotherapyVolume-XRTS-04-22B-01-LeftBreast",
            "display" : "Left Breast"
          }
        },
        {
          "url" : "totalDose",
          "valueQuantity" : {
            "value" : 900,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        },
        {
          "url" : "fractions",
          "valuePositiveInt" : 3
        }
      ],
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            "reference" : "BodyStructure/RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost",
            "display" : "Left Breast Boost"
          }
        },
        {
          "url" : "totalDose",
          "valueQuantity" : {
            "value" : 1700,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        },
        {
          "url" : "fractions",
          "valuePositiveInt" : 7
        }
      ],
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            "reference" : "BodyStructure/RadiotherapyVolume-XRTS-04-22B-03-RightBreast",
            "display" : "Right Breast"
          }
        },
        {
          "url" : "totalDose",
          "valueQuantity" : {
            "value" : 900,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        },
        {
          "url" : "fractions",
          "valuePositiveInt" : 3
        }
      ],
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "system" : "http://varian.com/fhir/identifier/radiotherapyCourseId",
      "value" : "C1_Both_Breast"
    },
    {
      "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" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "108290001",
          "display" : "Radiation oncology AND/OR radiotherapy"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "1217123003",
        "display" : "Radiotherapy course of treatment (regime/therapy)"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/Patient-XRTS-04-22B"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "353431000119107",
          "display" : "Primary malignant neoplasm of female left breast (disorder)"
        }
      ]
    }
  ],
  "bodySite" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "51440002",
                "display" : "Right and left (qualifier value)"
              }
            ]
          }
        }
      ],
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "76752008",
          "display" : "Breast structure (body structure)"
        }
      ]
    }
  ]
}