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Narrative

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Source1

{
  "resourceType": "ServiceRequest",
  "id": "RadiotherapyPlannedPhase-XRTS-04-22B-01-02-RightBreastTang",
  "meta": {
    "versionId": "123",
    "lastUpdated": "2021-10-16T10:07:41.050+02:00",
    "profile": [
      "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-phase"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-planned",
      "valuePositiveInt": 3
    },
    {
      "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)"
          }
        ]
      }
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-XRTS-04-22B-03-RightBreast",
            "display": "Right Breast"
          }
        },
        {
          "url": "fractionDose",
          "valueQuantity": {
            "value": 300,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "totalDose",
          "valueQuantity": {
            "value": 900,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
    }
  ],
  "identifier": [
    {
      "use": "usual",
      "system": "http://example.com/varian/fhir/identifier/radiotherapyPhaseId",
      "value": "Right Breast Tangents"
    },
    {
      "use": "official",
      "system": "urn:dicom:uid",
      "value": "urn:oid:1.2.246.352.75.842418.2121.20150602151.04.01.02.22.1"
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V",
      "display": "C1_Both_Breast"
    }
  ],
  "status": "completed",
  "intent": "filler-order",
  "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-04-22B"
  },
  "bodySite": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "24028007",
                "display": "Right (qualifier value)"
              }
            ]
          }
        }
      ],
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "76752008",
          "display": "Breast structure (body structure)"
        }
      ]
    }
  ]
}