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Packagehl7.fhir.us.codex-radiation-therapy
Resource TypeProcedure
IdProcedure-RadiotherapyTreatedPhase-XRTS-05-22B-02-01-Primary.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Procedure RadiotherapyTreatedPhase-XRTS-05-22B-02-01-Primary

version: 5; Last updated: 2021-09-24 13:21:17+0100; Language: en

Profile: Radiotherapy Treated Phase

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: Volumetric modulated arc therapy (procedure)

Respiratory Motion Management: External beam radiotherapy without respiratory motion management (procedure)

Number of Delivered Fractions: 5

Radiotherapy Dose Delivered To Volume Extension

  • volume: Brain Mets
  • totalDoseDelivered: 2000 cGy (Details: UCUM codecGy = 'cGy')

identifier: http://example.com/varian/fhir/identifier/radiotherapyPhaseId/Primary (use: usual, ), DICOM Unique Id/urn:oid:1.2.246.352.73.842418.2121.20150602151.05.02.01.22.1 (use: official, )

basedOn: ServiceRequest Radiotherapy treatment phase (regime/therapy)

partOf: Procedure Radiotherapy course of treatment

status: Completed

category: Radiotherapy (procedure)

code: Radiotherapy treatment phase (regime/therapy)

subject: Joan Daughter-22B Female, DoB: 1960-02-05 ( Medical Record Number: XRTS-05_22B (use: usual, ))

performed: 2021-09-20 13:15:17+0100 --> 2021-09-24 13:21:17+0100

bodySite: Brain structure (body structure)

Source1

{
  "resourceType": "Procedure",
  "id": "RadiotherapyTreatedPhase-XRTS-05-22B-02-01-Primary",
  "meta": {
    "versionId": "5",
    "lastUpdated": "2021-09-24T13:21:17+01:00",
    "profile": [
      "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treated-phase"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "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": "1156530009",
                "display": "Volumetric modulated arc 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": "721031000124102",
            "display": "External beam radiotherapy without respiratory motion management (procedure)"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered",
      "valueUnsignedInt": 5
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-XRTS-05-22B-02-BrainMets",
            "display": "Brain Mets"
          }
        },
        {
          "url": "totalDoseDelivered",
          "valueQuantity": {
            "value": 2000,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    }
  ],
  "identifier": [
    {
      "use": "usual",
      "system": "http://example.com/varian/fhir/identifier/radiotherapyPhaseId",
      "value": "Primary"
    },
    {
      "use": "official",
      "system": "urn:dicom:uid",
      "value": "urn:oid:1.2.246.352.73.842418.2121.20150602151.05.02.01.22.1"
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/RadiotherapyPlannedPhase-XRTS-05-22B-02-01-Primary"
    }
  ],
  "partOf": [
    {
      "reference": "Procedure/RadiotherapyCourseSummary-XRTS-05-22B-02-BrainMets-1P-1V"
    }
  ],
  "status": "completed",
  "category": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "1287742003",
        "display": "Radiotherapy (procedure)"
      }
    ]
  },
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "1222565005",
        "display": "Radiotherapy treatment phase (regime/therapy)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/Patient-XRTS-05-22B"
  },
  "performedPeriod": {
    "start": "2021-09-20T13:15:17+01:00",
    "end": "2021-09-24T13:21:17+01:00"
  },
  "bodySite": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "12738006",
          "display": "Brain structure (body structure)"
        }
      ]
    }
  ]
}