minimal Common Oncology Data Elements (mCODE) Implementation Guide
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This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v3.0.0: STU 3) 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-other-with-text - XML Representation

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<Procedure xmlns="http://hl7.org/fhir">
  <id value="radiotherapy-treatment-summary-other-with-text"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Procedure</b><a name="radiotherapy-treatment-summary-other-with-text"> </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 Procedure &quot;radiotherapy-treatment-summary-other-with-text&quot; </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><blockquote><p><b>url</b></p><a href="StructureDefinition-mcode-radiotherapy-modality.html">Radiotherapy Modality Extension</a></blockquote><p><b>value</b>: Boron neutron capture therapy (procedure) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-NullFlavor.html">NullFlavor</a>#UNC &quot;un-encoded&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#169317000 &quot;Neutron capture therapy (procedure)&quot;)</span></p><blockquote><p><b>url</b></p><a href="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><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-mcode-radiotherapy-modality.html">Radiotherapy Modality Extension</a></blockquote><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><blockquote><p><b>url</b></p><a href="StructureDefinition-mcode-radiotherapy-technique.html">Radiotherapy Technique Extension</a></blockquote><p><b>value</b>: Three dimensional external beam radiation therapy (procedure) - my version <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-NullFlavor.html">NullFlavor</a>#UNC &quot;un-encoded&quot;)</span></p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href="BodyStructure-jenny-m-chest-wall-treatment-volume.html">BodyStructure/jenny-m-chest-wall-treatment-volume</a></p><blockquote><p><b>url</b></p><code>totalDoseDelivered</code></blockquote><p><b>value</b>: 6000 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>fractionsDelivered</code></blockquote><p><b>value</b>: 30</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><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><blockquote><p><b>url</b></p><code>totalDoseDelivered</code></blockquote><p><b>value</b>: 5000 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM code cGy = 'cGy')</span></p><blockquote><p><b>url</b></p><code>fractionsDelivered</code></blockquote><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>: 1217123003 <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-cancer-patient-jenny-m.html">Patient/cancer-patient-jenny-m</a> &quot; M&quot;</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> &quot; ANYDOC&quot;</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/5.3.0/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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions">
    <valueUnsignedInt value="31"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="373808002"/>
        <display value="Curative - procedure intent"/>
      </coding>
    </valueCodeableConcept>
  </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://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
          <code value="UNC"/>
          <display value="un-encoded"/>
        </coding>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="169317000"/>
          <display value="Neutron capture therapy (procedure)"/>
        </coding>
        <text value="Boron neutron capture therapy (procedure)"/>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="1156530009"/>
          <display value="Volumetric Modulated Arc Therapy (procedure)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </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="45643008"/>
          <display value="Teleradiotherapy using electrons"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
          <code value="UNC"/>
          <display value="un-encoded"/>
        </coding>
        <text
              value="Three dimensional external beam radiation therapy (procedure) - my version"/>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume">
    <extension url="volume">
      <valueReference>
        <reference value="BodyStructure/jenny-m-chest-wall-treatment-volume"/>
      </valueReference>
    </extension>
    <extension url="totalDoseDelivered">
      <valueQuantity>
        <value value="6000"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="fractionsDelivered">
      <valueUnsignedInt value="30"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume">
    <extension url="volume">
      <valueReference>
        <reference
                   value="BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume"/>
      </valueReference>
    </extension>
    <extension url="totalDoseDelivered">
      <valueQuantity>
        <value value="5000"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="fractionsDelivered">
      <valueUnsignedInt value="25"/>
    </extension>
  </extension>
  <status value="completed"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="108290001"/>
      <display value="Radiation oncology AND/OR radiotherapy (procedure)"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1217123003"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/cancer-patient-jenny-m"/>
  </subject>
  <performedPeriod>
    <start value="2018-08-15"/>
    <end value="2018-10-25"/>
  </performedPeriod>
  <asserter>
    <reference value="Practitioner/us-core-practitioner-kyle-anydoc"/>
  </asserter>
  <reasonCode>
    <coding>
      <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
      <code value="C50.811"/>
      <display
               value="Malignant neoplasm of overlapping sites of right female breast"/>
    </coding>
  </reasonCode>
  <bodySite>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="78904004"/>
      <display value="Chest Wall Structure (body structure)"/>
    </coding>
  </bodySite>
</Procedure>