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Packagehl7.fhir.us.codex-radiation-therapy.r4b
Resource TypeServiceRequest
IdServiceRequest-RadiotherapyCoursePrescription-101-RTTD-BilateralBreast.json
FHIR VersionR4B

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Narrative

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

Generated Narrative: ServiceRequest RadiotherapyCoursePrescription-101-RTTD-BilateralBreast

Procedure Intent Extension: Curative

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)

Radiotherapy Modality And Technique Extension

  • http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality: External beam radiation therapy using electrons (procedure)
  • http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique: Three dimensional external beam radiation therapy (procedure)

Dose Prescribed to Volume

Dose Prescribed to Volume

Dose Prescribed to Volume

identifier: http://varian.com/fhir/identifier/radiotherapyCourseId/Bilateral Breast (use: usual, ), DICOM Unique Id/urn:oid:2.16.124.113543.1154777499.30246.19789.111.101 (use: official, )

status: Active

intent: Original Order

category: Radiotherapy (procedure)

code: Radiotherapy course of treatment (regime/therapy)

subject: Alice BilateralBreast Female, DoB: 1973-07-25 ( Medical Record Number: 101101101 (use: usual, ))

reasonCode: Malignant neoplasm of breast (disorder)

reasonReference: Condition Malignant neoplasm of breast (disorder)

bodySite: Breast structure (body structure)


Source1

{
  "resourceType": "ServiceRequest",
  "id": "RadiotherapyCoursePrescription-101-RTTD-BilateralBreast",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-prescription"
    ]
  },
  "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"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "45643008",
                "display": "External beam radiation therapy using electrons (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"
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-101-LeftBreast"
          }
        },
        {
          "url": "totalDose",
          "valueQuantity": {
            "value": 5000,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "fractions",
          "valuePositiveInt": 25
        }
      ],
      "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-102-LeftBreastBoost"
          }
        },
        {
          "url": "totalDose",
          "valueQuantity": {
            "value": 6000,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "fractions",
          "valuePositiveInt": 30
        }
      ],
      "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/RadiotherapyVolume-103-RightBreast"
          }
        },
        {
          "url": "totalDose",
          "valueQuantity": {
            "value": 5000,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "fractions",
          "valuePositiveInt": 25
        }
      ],
      "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
    }
  ],
  "identifier": [
    {
      "use": "usual",
      "system": "http://varian.com/fhir/identifier/radiotherapyCourseId",
      "value": "Bilateral Breast"
    },
    {
      "use": "official",
      "system": "urn:dicom:uid",
      "value": "urn:oid:2.16.124.113543.1154777499.30246.19789.111.101"
    }
  ],
  "status": "active",
  "intent": "original-order",
  "category": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "1287742003",
          "display": "Radiotherapy (procedure)"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "1217123003",
        "display": "Radiotherapy course of treatment (regime/therapy)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/Patient-101"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "254837009",
          "display": "Malignant neoplasm of breast (disorder)"
        }
      ]
    }
  ],
  "reasonReference": [
    {
      "reference": "Condition/Diagnosis-101-Breast"
    }
  ],
  "bodySite": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "51440002",
                "display": "Right and left (qualifier value)"
              }
            ]
          }
        }
      ],
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "76752008",
          "display": "Breast structure (body structure)"
        }
      ]
    }
  ]
}