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Packagehl7.fhir.us.codex-radiation-therapy
Resource TypeProcedure
IdProcedure-RadiotherapyCourseSummary-04-Prostate.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Procedure RadiotherapyCourseSummary-04-Prostate

version: 1233456; Last updated: 2020-10-28 13:22:17+0100; Language: en

Profiles: Radiotherapy Course Summary, Radiotherapy Course Summary Profile

Procedure Intent Extension: Curative

Radiotherapy Modality And Technique Extension

  • http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality: External beam radiation therapy using photons (procedure)
  • http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique: Three dimensional external beam radiation therapy (procedure)
  • http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope: 18 MV (Details: UCUM codeMV = 'MV')

Image Guided Radiotherapy Modality

  • modality: Cone beam computed tomography (procedure)
  • energy: kV

Radiotherapy Number of Sessions Extension: 2

Radiotherapy Dose Delivered To Volume Extension

Radiotherapy Dose Delivered To Volume Extension

Radiotherapy Dose Delivered To Volume Extension

identifier: http://example.com/varian/fhir/identifier/radiotherapyCourseId/Prostate-2Phases (use: usual, ), DICOM Unique Id/urn:oid:2.16.124.113543.1154777499.30246.19789.555.04.1 (use: official, )

basedOn: Prostate-2Phases

status: In Progress

category: Radiotherapy (procedure)

code: Radiotherapy course of treatment

subject: Peter Venkman

performed: 2020-10-27 13:15:17+0100 --> 2020-10-28 13:21:17+0100

Performers

-Actor
*Practitioner Egon Spengler

location: Location Joe's Radiotherapy Clinic

reasonCode: Malignant neoplasm of prostate

reasonReference: Condition Malignant neoplasm of prostate

bodySite: Prostate

Source1

{
  "resourceType": "Procedure",
  "id": "RadiotherapyCourseSummary-04-Prostate",
  "meta": {
    "versionId": "1233456",
    "lastUpdated": "2020-10-28T13:22:17+01:00",
    "profile": [
      "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-summary",
      "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "373808002",
            "display": "Curative - procedure intent"
          }
        ],
        "text": "Curative"
      }
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "1156506007",
                "display": "External beam radiation therapy using photons (procedure)"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "1162782007",
                "display": "Three dimensional external beam radiation therapy (procedure)"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope",
          "valueQuantity": {
            "value": 18,
            "unit": "MV",
            "system": "http://unitsofmeasure.org",
            "code": "MV"
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
    },
    {
      "extension": [
        {
          "url": "modality",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "717193008",
                "display": "Cone beam computed tomography (procedure)"
              }
            ]
          }
        },
        {
          "url": "energy",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://unitsofmeasure.org",
                "code": "kV",
                "display": "kV"
              }
            ]
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality"
    },
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions",
      "valueUnsignedInt": 2
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-03-Prostate"
          }
        },
        {
          "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation",
          "valueBoolean": true
        },
        {
          "url": "totalDoseDelivered",
          "valueQuantity": {
            "value": 360,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "fractionsDelivered",
          "valueUnsignedInt": 2
        }
      ],
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-04-PelvNs"
          }
        },
        {
          "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation",
          "valueBoolean": true
        },
        {
          "url": "totalDoseDelivered",
          "valueQuantity": {
            "value": 360,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "fractionsDelivered",
          "valueUnsignedInt": 2
        }
      ],
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-05-SemVs"
          }
        },
        {
          "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation",
          "valueBoolean": true
        },
        {
          "url": "totalDoseDelivered",
          "valueQuantity": {
            "value": 360,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "fractionsDelivered",
          "valueUnsignedInt": 2
        }
      ],
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    }
  ],
  "identifier": [
    {
      "use": "usual",
      "system": "http://example.com/varian/fhir/identifier/radiotherapyCourseId",
      "value": "Prostate-2Phases"
    },
    {
      "use": "official",
      "system": "urn:dicom:uid",
      "value": "urn:oid:2.16.124.113543.1154777499.30246.19789.555.04.1"
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/RadiotherapyCoursePrescription-04-Prostate",
      "display": "Prostate-2Phases"
    }
  ],
  "status": "in-progress",
  "category": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "1287742003",
        "display": "Radiotherapy (procedure)"
      }
    ]
  },
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "1217123003"
      }
    ]
  },
  "subject": {
    "reference": "Patient/Patient-6",
    "display": "Peter Venkman"
  },
  "performedPeriod": {
    "start": "2020-10-27T13:15:17+01:00",
    "end": "2020-10-28T13:21:17+01:00"
  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/Practitioner-1005"
      }
    }
  ],
  "location": {
    "reference": "Location/TreatmentLocation-1"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/sid/icd-10-cm",
          "code": "C61",
          "display": "Malignant neoplasm of prostate"
        }
      ],
      "text": "Malignant neoplasm of prostate"
    }
  ],
  "reasonReference": [
    {
      "reference": "Condition/Diagnosis-2-Prostate"
    }
  ],
  "bodySite": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "41216001",
          "display": "Structure of prostate (body structure)"
        }
      ],
      "text": "Prostate"
    }
  ]
}