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 - 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><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>"
  ];
  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-treatment-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:Extension.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/umls" ];
         fhir:Coding.code [ fhir:value "C3539769" ];
         fhir:Coding.display [ fhir:value "Photon Beam Radiation Therapy" ]       ]     ]
  ], [
     fhir:index 3;
     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 (procedure)" ]       ]     ]
  ], [
     fhir:index 4;
     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://terminology.hl7.org/CodeSystem/umls" ];
         fhir:Coding.code [ fhir:value "C3489631" ];
         fhir:Coding.display [ fhir:value "Volumetric Modulated Arc Therapy" ]       ]     ]
  ], [
     fhir:index 5;
     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://terminology.hl7.org/CodeSystem/radiotherapy" ];
         fhir:Coding.code [ fhir:value "3D" ]       ]     ]
  ], [
     fhir:index 6;
     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 7;
     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/mcode-resource-identifier-cs" ];
       fhir:Coding.code [ fhir:value "mcode-radiotherapy-course-summary" ]     ]
  ];
  fhir:Procedure.subject [
     fhir:Reference.reference [ fhir:value "Patient/cancer-patient-jenny-m" ]
  ];
  fhir:Procedure.performedPeriod [
     fhir:Period.start [ fhir:value "2018-05-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2018-06-29"^^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.