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: RadiotherapyPlannedCourse-XRTS-05-22B-02-BrainMets-1P-1V - JSON Representation

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{
  "resourceType" : "ServiceRequest",
  "id" : "RadiotherapyPlannedCourse-XRTS-05-22B-02-BrainMets-1P-1V",
  "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-05-22B-02-BrainMets-1P-1V\"> </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-05-22B-02-BrainMets-1P-1V&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>Course Involves Reirradiation</b>: true</p><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 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>: Volumetric modulated arc therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1156530009)</span></p></blockquote><p><b>Respiratory Motion Management</b>: Radiotherapy without respiratory motion management (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>#721031000124102)</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-05-22B-02-BrainMets.html\">BodyStructure/RadiotherapyVolume-XRTS-05-22B-02-BrainMets: Brain Mets</a></p><blockquote><p><b>url</b></p><code>totalDose</code></blockquote><p><b>value</b>: 2000 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>: 5</p></blockquote><p><b>identifier</b>: id:\u00a0C2BrainMets\u00a0(use:\u00a0USUAL), id:\u00a0urn:oid:1.2.246.352.74.842418.2121.20150602151.05.02.22.1\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-05-22B.html\">Patient/Patient-XRTS-05-22B</a> &quot; DAUGHTER-22B&quot;</p><p><b>reasonCode</b>: Malignant neoplasm of brain, unspecified <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#C71.9)</span></p><p><b>bodySite</b>: Brain structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#12738006)</span></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation",
      "valueBoolean" : true
    },
    {
      "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" : "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" : "1156530009",
                "display" : "Volumetric modulated arc 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" : "721031000124102",
            "display" : "Radiotherapy without respiratory motion management (regime/therapy)"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            "reference" : "BodyStructure/RadiotherapyVolume-XRTS-05-22B-02-BrainMets",
            "display" : "Brain Mets"
          }
        },
        {
          "url" : "totalDose",
          "valueQuantity" : {
            "value" : 2000,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        },
        {
          "url" : "fractions",
          "valuePositiveInt" : 5
        }
      ],
      "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" : "C2BrainMets"
    },
    {
      "use" : "official",
      "system" : "urn:dicom:uid",
      "value" : "urn:oid:1.2.246.352.74.842418.2121.20150602151.05.02.22.1"
    }
  ],
  "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-05-22B"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/sid/icd-10-cm",
          "code" : "C71.9",
          "display" : "Malignant neoplasm of brain, unspecified"
        }
      ]
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "12738006",
          "display" : "Brain structure (body structure)"
        }
      ]
    }
  ]
}