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Packagehl7.fhir.us.codex-radiation-therapy
Resource TypeProcedure
IdProcedure-RadiotherapyCourseSummary-XRTS-07-22B-01-Uterus-1P-1V.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Procedure RadiotherapyCourseSummary-XRTS-07-22B-01-Uterus-1P-1V

version: 1; Last updated: 2021-09-06 13:21:17+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: Internal radiotherapy - permanent seeds (procedure)
  • http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique: Interstitial brachytherapy (procedure)
  • http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope: Iodine-125 (substance)

Radiotherapy Number of Sessions Extension: 1

Radiotherapy Dose Delivered To Volume Extension

  • volume: Uterus
  • http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation: true
  • totalDoseDelivered: 14500 cGy (Details: UCUM codecGy = 'cGy')
  • fractionsDelivered: 1

identifier: http://example.com/varian/fhir/identifier/radiotherapyCourseId/C1Uterus (use: usual, ), DICOM Unique Id/urn:oid:1.2.246.352.72.842419.2121.20150602151.07.01.22.1 (use: official, )

basedOn: ServiceRequest Radiotherapy course of treatment (regime/therapy)

status: Completed

category: Radiotherapy (procedure)

code: Radiotherapy course of treatment

subject: Jane Mother-22B Male, DoB: 1980-11-02 ( Medical Record Number: XRTS-07_22B (use: usual, ))

performed: 2021-09-06 13:15:17+0100 --> 2021-09-06 13:21:17+0100

reasonCode: Malignant neoplasm of cervix uteri, unspecified

bodySite: Cervix uteri structure (body structure)

FocalDevices

-Manipulated
*Device: type = Radioactive seed embedded in mesh (physical object)

Source1

{
  "resourceType": "Procedure",
  "id": "RadiotherapyCourseSummary-XRTS-07-22B-01-Uterus-1P-1V",
  "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": "169359004",
                "display": "Internal radiotherapy - permanent seeds (procedure)"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "113120007",
                "display": "Interstitial brachytherapy (procedure)"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "68630002",
                "display": "Iodine-125 (substance)"
              }
            ]
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
    },
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions",
      "valueUnsignedInt": 1
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-XRTS-07-22B-01-Uterus",
            "display": "Uterus"
          }
        },
        {
          "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation",
          "valueBoolean": true
        },
        {
          "url": "totalDoseDelivered",
          "valueQuantity": {
            "value": 14500,
            "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": "C1Uterus"
    },
    {
      "use": "official",
      "system": "urn:dicom:uid",
      "value": "urn:oid:1.2.246.352.72.842419.2121.20150602151.07.01.22.1"
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/RadiotherapyPlannedCourse-XRTS-07-22B-01-Uterus-1P-1V"
    }
  ],
  "status": "completed",
  "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-07-22B"
  },
  "performedPeriod": {
    "start": "2021-09-06T13:15:17+01:00",
    "end": "2021-09-06T13:21:17+01:00"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/sid/icd-10-cm",
          "code": "C53.9",
          "display": "Malignant neoplasm of cervix uteri, unspecified"
        }
      ]
    }
  ],
  "bodySite": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "71252005",
          "display": "Cervix uteri structure (body structure)"
        }
      ]
    }
  ],
  "focalDevice": [
    {
      "manipulated": {
        "reference": "Device/RadiotherapySeedDevice-Mesh"
      }
    }
  ]
}