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Packagehl7.fhir.us.mcode
Resource TypeProcedure
IdProcedure-radiotherapy-treatment-summary-other-with-text.json
FHIR VersionR4

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Narrative

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

Generated Narrative: Procedure radiotherapy-treatment-summary-other-with-text

Radiotherapy Number of Sessions Extension: 31

Procedure Intent Extension: Curative - procedure intent

Radiotherapy Modality And Technique Extension

  • http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality: Boron neutron capture therapy (procedure)
  • http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique: Volumetric Modulated Arc Therapy (procedure)

Radiotherapy Modality And Technique Extension

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

Radiotherapy Dose Delivered To Volume Extension

Radiotherapy Dose Delivered To Volume Extension

status: Completed

code: Radiotherapy course of treatment

subject: Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))

performed: 2018-08-15 --> 2018-10-25

asserter: Practitioner Kyle Anydoc

reasonCode: Malignant neoplasm of overlapping sites of right female breast

bodySite: Chest Wall Structure (body structure)


Source1

{
  "resourceType": "Procedure",
  "id": "radiotherapy-treatment-summary-other-with-text",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions",
      "valueUnsignedInt": 31
    },
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "373808002",
            "display": "Curative - procedure intent"
          }
        ]
      }
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code": "UNC",
                "display": "un-encoded"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "169317000",
                "display": "Neutron capture therapy (procedure)"
              }
            ],
            "text": "Boron neutron capture therapy (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"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "45643008",
                "display": "Teleradiotherapy using electrons"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                "code": "UNC",
                "display": "un-encoded"
              }
            ],
            "text": "Three dimensional external beam radiation therapy (procedure) - my version"
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/jenny-m-chest-wall-treatment-volume"
          }
        },
        {
          "url": "totalDoseDelivered",
          "valueQuantity": {
            "value": 6000,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "fractionsDelivered",
          "valueUnsignedInt": 30
        }
      ],
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    },
    {
      "extension": [
        {
          "url": "volume",
          "valueReference": {
            "reference": "BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume"
          }
        },
        {
          "url": "totalDoseDelivered",
          "valueQuantity": {
            "value": 5000,
            "system": "http://unitsofmeasure.org",
            "code": "cGy"
          }
        },
        {
          "url": "fractionsDelivered",
          "valueUnsignedInt": 25
        }
      ],
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    }
  ],
  "status": "completed",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "1217123003"
      }
    ]
  },
  "subject": {
    "reference": "Patient/cancer-patient-jenny-m"
  },
  "performedPeriod": {
    "start": "2018-08-15",
    "end": "2018-10-25"
  },
  "asserter": {
    "reference": "Practitioner/us-core-practitioner-kyle-anydoc"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/sid/icd-10-cm",
          "code": "C50.811",
          "display": "Malignant neoplasm of overlapping sites of right female breast"
        }
      ]
    }
  ],
  "bodySite": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "78904004",
          "display": "Chest Wall Structure (body structure)"
        }
      ]
    }
  ]
}