minimal Common Oncology Data Elements (mCODE) Implementation Guide
2.0.0 - STU 2

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v2.0.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: radiotherapy-treatment-summary-chest-wall-jenny-m - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Procedure;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "radiotherapy-treatment-summary-chest-wall-jenny-m"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"radiotherapy-treatment-summary-chest-wall-jenny-m\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mcode-radiotherapy-course-summary.html\">Radiotherapy Course Summary Profile</a></p></div><p><b>Radiotherapy Number of Sessions Extension</b>: 31</p><p><b>Procedure Intent Extension</b>: Curative - procedure intent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#373808002)</span></p><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><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><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><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><p><b>value</b>: Teleradiotherapy using electrons <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#45643008)</span></p><p><b>value</b>: Three dimensional external beam radiation therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-snomed-requested-cs.html\">Requested SNOMED Codes Code System</a>#1162782007)</span></p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-treatment-volume.html\">BodyStructure/jenny-m-chest-wall-treatment-volume</a></p><p><b>value</b>: 6000 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><p><b>value</b>: 30</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-lymph-nodes-treatment-volume.html\">BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume</a></p><p><b>value</b>: 5000 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p><p><b>value</b>: 25</p></blockquote><p><b>status</b>: completed</p><p><b>category</b>: Radiation oncology AND/OR radiotherapy (procedure) <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=\"CodeSystem-snomed-requested-cs.html\">Requested SNOMED Codes Code System</a>#USCRS-33529)</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Patient/cancer-patient-jenny-m</a> \" M\"</p><p><b>performed</b>: 2018-08-15 --&gt; 2018-10-25</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Practitioner/us-core-practitioner-kyle-anydoc</a> \" ANYDOC\"</p><p><b>reasonCode</b>: Malignant neoplasm of overlapping sites of right female breast <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#C50.811)</span></p><p><b>bodySite</b>: Chest Wall Structure (body structure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#78904004)</span></p></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions" ];
     fhir:Extension.valueUnsignedInt [ fhir:value "31"^^xsd:nonNegativeInteger ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         a sct:373808002;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "373808002" ];
         fhir:Coding.display [ fhir:value "Curative - procedure intent" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:1156506007;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "1156506007" ];
           fhir:Coding.display [ fhir:value "External beam radiation therapy using photons (procedure)" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:1156530009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "1156530009" ];
           fhir:Coding.display [ fhir:value "Volumetric Modulated Arc Therapy (procedure)" ]         ]       ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique" ]
  ], [
     fhir:index 3;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           a sct:45643008;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "45643008" ];
           fhir:Coding.display [ fhir:value "Teleradiotherapy using electrons" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs" ];
           fhir:Coding.code [ fhir:value "1162782007" ];
           fhir:Coding.display [ fhir:value "Three dimensional external beam radiation therapy (procedure)" ]         ]       ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique" ]
  ], [
     fhir:index 4;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "volume" ];
       fhir:Extension.valueReference [
         fhir:Reference.reference [ fhir:value "BodyStructure/jenny-m-chest-wall-treatment-volume" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "totalDoseDelivered" ];
       fhir:Extension.valueQuantity [
         fhir:Quantity.value [ fhir:value "6000"^^xsd:decimal ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "cGy" ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "fractionsDelivered" ];
       fhir:Extension.valueUnsignedInt [ fhir:value "30"^^xsd:nonNegativeInteger ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ]
  ], [
     fhir:index 5;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "volume" ];
       fhir:Extension.valueReference [
         fhir:Reference.reference [ fhir:value "BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "totalDoseDelivered" ];
       fhir:Extension.valueQuantity [
         fhir:Quantity.value [ fhir:value "5000"^^xsd:decimal ];
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
         fhir:Quantity.code [ fhir:value "cGy" ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "fractionsDelivered" ];
       fhir:Extension.valueUnsignedInt [ fhir:value "25"^^xsd:nonNegativeInteger ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ]
  ];
  fhir:Procedure.status [ fhir:value "completed"];
  fhir:Procedure.category [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:108290001;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "108290001" ];
       fhir:Coding.display [ fhir:value "Radiation oncology AND/OR radiotherapy (procedure)" ]     ]
  ];
  fhir:Procedure.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs" ];
       fhir:Coding.code [ fhir:value "USCRS-33529" ]     ]
  ];
  fhir:Procedure.subject [
     fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
  ];
  fhir:Procedure.performedPeriod [
     fhir:Period.start [ fhir:value "2018-08-15"^^xsd:date ];
     fhir:Period.end [ fhir:value "2018-10-25"^^xsd:date ]
  ];
  fhir:Procedure.asserter [
     fhir:Reference.reference [ fhir:value "Practitioner/us-core-practitioner-kyle-anydoc" ]
  ];
  fhir:Procedure.reasonCode [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "C50.811" ];
       fhir:Coding.display [ fhir:value "Malignant neoplasm of overlapping sites of right female breast" ]     ]
  ];
  fhir:Procedure.bodySite [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a sct:78904004;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
       fhir:Coding.code [ fhir:value "78904004" ];
       fhir:Coding.display [ fhir:value "Chest Wall Structure (body structure)" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.