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Packagehl7.fhir.us.codex-radiation-therapy.r4
Resource TypeServiceRequest
IdServiceRequest-RadiotherapyPlannedPhase-05-Prostate-Phase2.json
FHIR VersionR4

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Narrative

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

Generated Narrative: ServiceRequest RadiotherapyPlannedPhase-05-Prostate-Phase2

version: 219952; Last updated: 2020-07-03 10:07:41+0200

Profile: Radiotherapy Planned Phase

Number of Planned Fractions: 19

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

Dose Planned to Volume

Dose Planned to Volume

identifier: http://varian.com/fhir/identifier/radiotherapyPlanId/Prostate-Phase2 (use: usual, ), DICOM Unique Id/urn:oid:2.16.124.113543.1154777499.30246.19789.3503430456 (use: official, )

basedOn:

status: Active

intent: Filler Order

category: Radiotherapy (procedure)

code: Radiotherapy treatment phase (regime/therapy)

subject: Peter Venkman

authoredOn: 2020-07-02 00:00:00+0200

requester: aria\user1

locationReference: Location Joe's Radiotherapy Clinic

reasonCode: Malignant neoplasm of prostate

reasonReference: Condition Malignant neoplasm of prostate

bodySite: Prostate


Source1

{
  "resourceType": "ServiceRequest",
  "id": "RadiotherapyPlannedPhase-05-Prostate-Phase2",
  "meta": {
    "versionId": "219952",
    "lastUpdated": "2020-07-03T10:07:41.050+02:00",
    "profile": [
      "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-phase"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-planned",
      "valuePositiveInt": 19
    },
    {
      "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"
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-03-Prostate"
          }
        },
        {
          "url": "fractionDose",
          "valueQuantity": {
            "value": 200,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "totalDose",
          "valueQuantity": {
            "value": 3800,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume"
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-05-SemVs"
          }
        },
        {
          "url": "fractionDose",
          "valueQuantity": {
            "value": 180,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "totalDose",
          "valueQuantity": {
            "value": 3420,
            "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://varian.com/fhir/identifier/radiotherapyPlanId",
      "value": "Prostate-Phase2"
    },
    {
      "use": "official",
      "system": "urn:dicom:uid",
      "value": "urn:oid:2.16.124.113543.1154777499.30246.19789.3503430456"
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/RadiotherapyPlannedCourse-04-Prostate",
      "display": "Prostate-2Phases"
    },
    {
      "reference": "ServiceRequest/RadiotherapyPhasePrescription-05-Prostate-Phase2",
      "display": "Prostate-Phase2"
    }
  ],
  "status": "active",
  "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-6",
    "display": "Peter Venkman"
  },
  "authoredOn": "2020-07-02T00:00:00+02:00",
  "requester": {
    "reference": "Practitioner/Practitioner-1005",
    "display": "aria\\user1"
  },
  "locationReference": [
    {
      "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": "Prostatic structure (body structure)"
        }
      ],
      "text": "Prostate"
    }
  ]
}