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Source1

{
  "resourceType": "Procedure",
  "id": "RadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V-1Fx",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2021-09-06T13:21:17+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/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
    },
    {
      "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "721071000124104",
            "display": "External beam radiotherapy with free breathing (procedure)"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "721061000124106",
            "display": "External beam radiotherapy with respiratory gating (procedure)"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions",
      "valueUnsignedInt": 1
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-XRTS-04-22B-01-LeftBreast",
            "display": "Left Breast"
          }
        },
        {
          "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation",
          "valueBoolean": true
        },
        {
          "url": "totalDoseDelivered",
          "valueQuantity": {
            "value": 300,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "fractionsDelivered",
          "valueUnsignedInt": 1
        }
      ],
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost",
            "display": "Left Breast Boost"
          }
        },
        {
          "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation",
          "valueBoolean": true
        },
        {
          "url": "totalDoseDelivered",
          "valueQuantity": {
            "value": 300,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "fractionsDelivered",
          "valueUnsignedInt": 1
        }
      ],
      "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": "C1_Both_Breast"
    },
    {
      "use": "official",
      "system": "urn:dicom:uid",
      "value": "urn:oid:1.2.246.352.72.842418.2121.20150602151.04.01.22.1"
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V"
    }
  ],
  "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-XRTS-04-22B"
  },
  "performedPeriod": {
    "start": "2021-09-06T13:15:17+01:00",
    "end": "2021-09-06T13:21:17+01:00"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "254837009",
          "display": "Malignant neoplasm of breast (disorder)"
        }
      ]
    }
  ],
  "bodySite": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "7771000",
                "display": "Left (qualifier value)"
              }
            ]
          }
        }
      ],
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "76752008",
          "display": "Breast structure (body structure)"
        }
      ]
    }
  ]
}