minimal Common Oncology Data Elements (mCODE) Implementation Guide
1.16.0 - STU Release 2 (Ballot Version)

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v1.16.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

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

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{
  "resourceType" : "Procedure",
  "id" : "radiotherapy-treatment-summary-chest-wall-jenny-m",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>Radiotherapy Number of Sessions</b>: 31</p><p><b>Treatment Intent</b>: <span title=\"Codes: {http://snomed.info/sct 373808002}\">Curative - procedure intent</span></p><p><b>Radiotherapy Modality</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/umls C3539769}\">Photon Beam Radiation Therapy</span></p><p><b>Radiotherapy Modality</b>: <span title=\"Codes: {http://snomed.info/sct 45643008}\">Teleradiotherapy using electrons (procedure)</span></p><p><b>Radiotherapy Technique</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/umls C3489631}\">Volumetric Modulated Arc Therapy</span></p><p><b>Radiotherapy Technique</b>: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/radiotherapy 3D}\">Three Dimensional</span></p><blockquote><p><b>Radiotherapy Dose Delivered To Body Volume</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-treatment-volume.html\">Generated Summary: id: 1.2.246.352…1; <span title=\"Codes: {http://snomed.info/sct 78904004}\">Chest wall structure (body structure)</span>; <span title=\"Codes: {http://snomed.info/sct 255503000}\">Entire (qualifier value)</span>; description: Chest Wall</a></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: 6000 cGy</p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: 30</p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Body Volume</b></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: <a href=\"BodyStructure-jenny-m-chest-wall-lymph-nodes-treatment-volume.html\">Generated Summary: id: 1.2.246.352…2; <span title=\"Codes: {http://snomed.info/sct 245276004}\">Mediastinal lymph node group (body structure)</span>; <span title=\"Codes: {http://snomed.info/sct 51440002}\">Right and left (qualifier value)</span>; description: Chest Wall Lymph Nodes</a></p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: 5000 cGy</p><h3>Urls</h3><table class=\"grid\"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>value</b>: 25</p></blockquote><p><b>status</b>: completed</p><p><b>category</b>: <span title=\"Codes: {http://snomed.info/sct 108290001}\">Radiation oncology AND/OR radiotherapy (procedure)</span></p><p><b>code</b>: <span title=\"Codes: {http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs mcode-radiotherapy-course-summary}\">Radiotherapy Course Summary Resource</span></p><p><b>subject</b>: <a href=\"Patient-cancer-patient-jenny-m.html\">Generated Summary: Medical Record Number: MRN1234 (USUAL); Jenny M ; gender: female; birthDate: 1965-01-01</a></p><p><b>performed</b>: 2018-05-01 --&gt; 2018-06-29</p><p><b>asserter</b>: <a href=\"Practitioner-us-core-practitioner-kyle-anydoc.html\">Generated Summary: id: 9988776655; Kyle Anydoc ; gender: male</a></p><p><b>reasonCode</b>: <span title=\"Codes: {http://hl7.org/fhir/sid/icd-10-cm C50.811}\">Malignant neoplasm of overlapping sites of right female breast</span></p><p><b>bodySite</b>: <span title=\"Codes: {http://snomed.info/sct 78904004}\">Chest Wall Structure (body structure)</span></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions",
      "valueUnsignedInt" : 31
    },
    {
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-intent",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "373808002",
            "display" : "Curative - procedure intent"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/umls",
            "code" : "C3539769",
            "display" : "Photon Beam Radiation Therapy"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "45643008",
            "display" : "Teleradiotherapy using electrons (procedure)"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/umls",
            "code" : "C3489631",
            "display" : "Volumetric Modulated Arc Therapy"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/radiotherapy",
            "code" : "3D"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            "reference" : "BodyStructure/jenny-m-chest-wall-treatment-volume"
          }
        },
        {
          "url" : "totalDoseDelivered",
          "valueQuantity" : {
            "value" : 6000,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        },
        {
          "url" : "fractionsDelivered",
          "valueUnsignedInt" : 30
        }
      ],
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            "reference" : "BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume"
          }
        },
        {
          "url" : "totalDoseDelivered",
          "valueQuantity" : {
            "value" : 5000,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        },
        {
          "url" : "fractionsDelivered",
          "valueUnsignedInt" : 25
        }
      ],
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "108290001",
        "display" : "Radiation oncology AND/OR radiotherapy (procedure)"
      }
    ]
  },
  "code" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs",
        "code" : "mcode-radiotherapy-course-summary"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/cancer-patient-jenny-m"
  },
  "performedPeriod" : {
    "start" : "2018-05-01",
    "end" : "2018-06-29"
  },
  "asserter" : {
    "reference" : "Practitioner/us-core-practitioner-kyle-anydoc"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/sid/icd-10-cm",
          "code" : "C50.811",
          "display" : "Malignant neoplasm of overlapping sites of right female breast"
        }
      ]
    }
  ],
  "bodySite" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "78904004",
          "display" : "Chest Wall Structure (body structure)"
        }
      ]
    }
  ]
}