CodeX Radiation Therapy
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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

: RadiotherapyPlannedPhase-XRTS-03-22B-01-01-Primary - XML Representation

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<ServiceRequest xmlns="http://hl7.org/fhir">
  <id value="RadiotherapyPlannedPhase-XRTS-03-22B-01-01-Primary"/>
  <meta>
    <versionId value="123"/>
    <lastUpdated value="2021-10-16T10:07:41.050+02:00"/>
    <profile
             value="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-phase"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: ServiceRequest</b><a name="RadiotherapyPlannedPhase-XRTS-03-22B-01-01-Primary"> </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;RadiotherapyPlannedPhase-XRTS-03-22B-01-01-Primary&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-phase.html">Radiotherapy Planned Phase</a></p></div><p><b>Number of Planned Fractions</b>: 4</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>: Intensity modulated radiation therapy (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#441799006)</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>Image Guided Radiotherapy Modality</b></p><blockquote><p><b>url</b></p><code>modality</code></blockquote><p><b>value</b>: Plain radiography (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#168537006)</span></p><blockquote><p><b>url</b></p><code>energy</code></blockquote><p><b>value</b>: kV <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://ucum.org">UCUM</a>#kV)</span></p></blockquote><blockquote><p><b>Image Guided Radiotherapy Modality</b></p><blockquote><p><b>url</b></p><code>modality</code></blockquote><p><b>value</b>: Plain radiography (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#168537006)</span></p><blockquote><p><b>url</b></p><code>energy</code></blockquote><p><b>value</b>: MV <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://ucum.org">UCUM</a>#MV)</span></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-03-22B-01-Prostate.html">BodyStructure/RadiotherapyVolume-XRTS-03-22B-01-Prostate: Prostate</a></p><blockquote><p><b>url</b></p><code>fractionDose</code></blockquote><p><b>value</b>: 200 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>totalDose</code></blockquote><p><b>value</b>: 800 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><a href="StructureDefinition-codexrt-radiotherapy-point-dose.html">Point Dose</a></blockquote><p><b>value</b>: false</p><blockquote><p><b>url</b></p><a href="StructureDefinition-codexrt-radiotherapy-primary-plan-dose.html">Primary Plan Dose</a></blockquote><p><b>value</b>: true</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-03-22B-02-PelvNs.html">BodyStructure/RadiotherapyVolume-XRTS-03-22B-02-PelvNs: PelvNs</a></p><blockquote><p><b>url</b></p><code>fractionDose</code></blockquote><p><b>value</b>: 180 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>totalDose</code></blockquote><p><b>value</b>: 720 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><a href="StructureDefinition-codexrt-radiotherapy-point-dose.html">Point Dose</a></blockquote><p><b>value</b>: false</p><blockquote><p><b>url</b></p><a href="StructureDefinition-codexrt-radiotherapy-primary-plan-dose.html">Primary Plan Dose</a></blockquote><p><b>value</b>: false</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-03-22B-03-SemVs.html">BodyStructure/RadiotherapyVolume-XRTS-03-22B-03-SemVs: SemVs</a></p><blockquote><p><b>url</b></p><code>fractionDose</code></blockquote><p><b>value</b>: 200 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>totalDose</code></blockquote><p><b>value</b>: 800 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><a href="StructureDefinition-codexrt-radiotherapy-point-dose.html">Point Dose</a></blockquote><p><b>value</b>: false</p><blockquote><p><b>url</b></p><a href="StructureDefinition-codexrt-radiotherapy-primary-plan-dose.html">Primary Plan Dose</a></blockquote><p><b>value</b>: false</p></blockquote><p><b>identifier</b>: id: Primary (use: USUAL), id: urn:oid:1.2.246.352.75.842418.2121.20150602151.03.01.01.22.1 (use: OFFICIAL)</p><p><b>basedOn</b>: <a href="ServiceRequest-RadiotherapyPlannedCourse-XRTS-03-22B-01-Prostate-1P-3V.html">ServiceRequest/RadiotherapyPlannedCourse-XRTS-03-22B-01-Prostate-1P-3V: C1Prostate</a></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 treatment phase (regime/therapy) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#1222565005)</span></p><p><b>subject</b>: <a href="Patient-Patient-XRTS-03-22B.html">Patient/Patient-XRTS-03-22B</a> &quot; BROTHER-22B&quot;</p><p><b>bodySite</b>: Prostatic structure (body structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#41216001)</span>, Pelvic lymph node group (body structure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#245294005)</span>, Seminal vesicle <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#64739004)</span></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-planned">
    <valuePositiveInt value="4"/>
  </extension>
  <extension
             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 value="http://snomed.info/sct"/>
          <code value="1156506007"/>
          <display
                   value="External beam radiation therapy using photons (procedure)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="441799006"/>
          <display value="Intensity modulated radiation therapy (procedure)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs"/>
        <code value="721031000124102"/>
        <display
                 value="Radiotherapy without respiratory motion management (regime/therapy)"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality">
    <extension url="modality">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="168537006"/>
          <display value="Plain radiography (procedure)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="energy">
      <valueCodeableConcept>
        <coding>
          <system value="http://unitsofmeasure.org"/>
          <code value="kV"/>
          <display value="kV"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality">
    <extension url="modality">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="168537006"/>
          <display value="Plain radiography (procedure)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension url="energy">
      <valueCodeableConcept>
        <coding>
          <system value="http://unitsofmeasure.org"/>
          <code value="MV"/>
          <display value="MV"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume">
    <extension url="volume">
      <valueReference>
        <reference
                   value="BodyStructure/RadiotherapyVolume-XRTS-03-22B-01-Prostate"/>
        <display value="Prostate"/>
      </valueReference>
    </extension>
    <extension url="fractionDose">
      <valueQuantity>
        <value value="200"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="totalDose">
      <valueQuantity>
        <value value="800"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose">
      <valueBoolean value="false"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose">
      <valueBoolean value="true"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume">
    <extension url="volume">
      <valueReference>
        <reference
                   value="BodyStructure/RadiotherapyVolume-XRTS-03-22B-02-PelvNs"/>
        <display value="PelvNs"/>
      </valueReference>
    </extension>
    <extension url="fractionDose">
      <valueQuantity>
        <value value="180"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="totalDose">
      <valueQuantity>
        <value value="720"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose">
      <valueBoolean value="false"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose">
      <valueBoolean value="false"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume">
    <extension url="volume">
      <valueReference>
        <reference
                   value="BodyStructure/RadiotherapyVolume-XRTS-03-22B-03-SemVs"/>
        <display value="SemVs"/>
      </valueReference>
    </extension>
    <extension url="fractionDose">
      <valueQuantity>
        <value value="200"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="totalDose">
      <valueQuantity>
        <value value="800"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose">
      <valueBoolean value="false"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose">
      <valueBoolean value="false"/>
    </extension>
  </extension>
  <identifier>
    <use value="usual"/>
    <system value="http://varian.com/fhir/identifier/radiotherapyPhaseId"/>
    <value value="Primary"/>
  </identifier>
  <identifier>
    <use value="official"/>
    <system value="urn:dicom:uid"/>
    <value
           value="urn:oid:1.2.246.352.75.842418.2121.20150602151.03.01.01.22.1"/>
  </identifier>
  <basedOn>
    <reference
               value="ServiceRequest/RadiotherapyPlannedCourse-XRTS-03-22B-01-Prostate-1P-3V"/>
    <display value="C1Prostate"/>
  </basedOn>
  <status value="completed"/>
  <intent value="filler-order"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="108290001"/>
      <display value="Radiation oncology AND/OR radiotherapy"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1222565005"/>
      <display value="Radiotherapy treatment phase (regime/therapy)"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/Patient-XRTS-03-22B"/>
  </subject>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="41216001"/>
      <display value="Prostatic structure (body structure)"/>
    </coding>
  </bodySite>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="245294005"/>
      <display value="Pelvic lymph node group (body structure)"/>
    </coding>
  </bodySite>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="64739004"/>
      <display value="Seminal vesicle"/>
    </coding>
  </bodySite>
</ServiceRequest>