CodeX Radiation Therapy
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CodeX Radiation Therapy, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/codex-radiation-therapy/ and changes regularly. See the Directory of published versions

: RadiotherapyTreatedFraction-05-Prostate-Phase1-Plan1-Fx2 - JSON Representation

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{
  "resourceType" : "Procedure",
  "id" : "RadiotherapyTreatedFraction-05-Prostate-Phase1-Plan1-Fx2",
  "meta" : {
    "versionId" : "1233456",
    "lastUpdated" : "2020-10-28T13:22:17+01:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treated-fraction"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Procedure</b><a name=\"RadiotherapyTreatedFraction-05-Prostate-Phase1-Plan1-Fx2\"> </a><a name=\"hcRadiotherapyTreatedFraction-05-Prostate-Phase1-Plan1-Fx2\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Procedure &quot;RadiotherapyTreatedFraction-05-Prostate-Phase1-Plan1-Fx2&quot; Version &quot;1233456&quot; Updated &quot;2020-10-28 13:22:17+0100&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-codexrt-radiotherapy-treated-fraction.html\">Radiotherapy Treated Fraction</a></p></div><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><blockquote><p><b>url</b></p><a href=\"http://hl7.org/fhir/us/mcode/STU3/StructureDefinition-mcode-radiotherapy-modality.html\">Radiotherapy Modality Extension</a></blockquote><p><b>value</b>: External beam radiation therapy using photons (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1156506007)</span></p><blockquote><p><b>url</b></p><a href=\"http://hl7.org/fhir/us/mcode/STU3/StructureDefinition-mcode-radiotherapy-technique.html\">Radiotherapy Technique Extension</a></blockquote><p><b>value</b>: Three dimensional external beam radiation therapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#1162782007)</span></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-codexrt-radiotherapy-energy-or-isotope.html\">Energy or Isotope</a></blockquote><p><b>value</b>: 18 MV<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code MV = 'MV')</span></p></blockquote><blockquote><p><b>Image Guided Radiotherapy Modality</b></p><blockquote><p><b>url</b></p><code>modality</code></blockquote><p><b>value</b>: Cone beam computed tomography (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#717193008)</span></p><blockquote><p><b>url</b></p><code>energy</code></blockquote><p><b>value</b>: kV <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://ucum.org\">UCUM</a>#kV)</span></p></blockquote><p><b>Fraction Number in Plan</b>: 2</p><p><b>Fraction Number in Phase</b>: 2</p><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href=\"BodyStructure-RadiotherapyVolume-03-Prostate.html\">BodyStructure/RadiotherapyVolume-03-Prostate</a></p><blockquote><p><b>url</b></p><code>totalDoseDelivered</code></blockquote><p><b>value</b>: 180 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href=\"BodyStructure-RadiotherapyVolume-04-PelvNs.html\">BodyStructure/RadiotherapyVolume-04-PelvNs</a></p><blockquote><p><b>url</b></p><code>totalDoseDelivered</code></blockquote><p><b>value</b>: 180 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><blockquote><p><b>url</b></p><code>volume</code></blockquote><p><b>value</b>: <a href=\"BodyStructure-RadiotherapyVolume-05-SemVs.html\">BodyStructure/RadiotherapyVolume-05-SemVs</a></p><blockquote><p><b>url</b></p><code>totalDoseDelivered</code></blockquote><p><b>value</b>: 180 cGy<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code cGy = 'cGy')</span></p></blockquote><blockquote><p><b>Reference to DICOM SOP Instance</b></p><blockquote><p><b>url</b></p><code>instanceUid</code></blockquote><p><b>value</b>: 1.2.246.352.82.6.4636367585964072832.169625210960980125580.444</p><blockquote><p><b>url</b></p><code>sopClass</code></blockquote><p><b>value</b>: urn:oid:1.2.840.10008.5.1.4.1.1.481.4 (Details: urn:ietf:rfc:3986 code urn:oid:1.2.840.10008.5.1.4.1.1.481.4 = 'urn:oid:1.2.840.10008.5.1.4.1.1.481.4', stated as 'null')</p></blockquote><p><b>identifier</b>: <code>http://varian.com/fhir/identifier/radiotherapyFractionId</code>/2\u00a0(use:\u00a0usual), <a href=\"http://terminology.hl7.org/3.1.0/NamingSystem-dui.html\" title=\"An OID issued under DICOM OID rules. DICOM OIDs are represented as plain OIDs, with a prefix of &quot;urn:oid:&quot;. See https://www.dicomstandard.org/\">DUI</a>/urn:oid:2.16.124.113543.1154777499.30246.19789.555.05.1.1.2\u00a0(use:\u00a0official)</p><p><b>basedOn</b>: </p><ul><li><a href=\"ServiceRequest-RadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1.html\">ServiceRequest/RadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1: Prostate-Phase1-Plan1</a></li><li><a href=\"ServiceRequest-RadiotherapyPlannedPhase-04-Prostate-Phase1.html\">ServiceRequest/RadiotherapyPlannedPhase-04-Prostate-Phase1: Prostate-Phase1</a></li></ul><p><b>partOf</b>: <a href=\"Procedure-RadiotherapyTreatedPhase-05-Prostate-Phase1.html\">Procedure/RadiotherapyTreatedPhase-05-Prostate-Phase1</a></p><p><b>status</b>: completed</p><p><b>category</b>: Radiotherapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-snomed-requested-cs.html\">Requested SNOMED Codes Code System</a>#1287742003)</span></p><p><b>code</b>: Fractionated dose radiotherapy (procedure) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-snomed-requested-cs.html\">Requested SNOMED Codes Code System</a>#1297069006)</span></p><p><b>subject</b>: <a href=\"Patient-Patient-6.html\">Patient/Patient-6: Peter Venkman</a> &quot; VENKMAN&quot;</p><p><b>encounter</b>: <a href=\"Encounter-RadiotherapyTreatmentSession-2.html\">Encounter/RadiotherapyTreatmentSession-2</a></p><p><b>performed</b>: 2020-10-27 13:15:17+0100 --&gt; 2020-10-28 13:21:17+0100</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-Practitioner-1005.html\">Practitioner/Practitioner-1005</a> &quot; SPENGLER&quot;</td></tr></table><p><b>location</b>: <a href=\"Location-TreatmentLocation-1.html\">Location/TreatmentLocation-1</a> &quot;Joe's Radiotherapy Clinic&quot;</p><p><b>reasonCode</b>: Malignant neoplasm of prostate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#C61)</span></p><p><b>reasonReference</b>: <a href=\"Condition-Diagnosis-2-Prostate.html\">Condition/Diagnosis-2-Prostate</a></p><p><b>bodySite</b>: Prostate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#41216001 &quot;Prostatic structure (body structure)&quot;)</span></p></div>"
  },
  "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)"
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            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "1162782007",
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        },
        {
          "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"
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        }
      ],
      "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",
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            ]
          }
        },
        {
          "url" : "energy",
          "valueCodeableConcept" : {
            "coding" : [
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                "code" : "kV",
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        }
      ],
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality"
    },
    {
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fraction-number-in-plan",
      "valuePositiveInt" : 2
    },
    {
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fraction-number-in-phase",
      "valuePositiveInt" : 2
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            🔗 "reference" : "BodyStructure/RadiotherapyVolume-03-Prostate"
          }
        },
        {
          "url" : "totalDoseDelivered",
          "valueQuantity" : {
            "value" : 180,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            🔗 "reference" : "BodyStructure/RadiotherapyVolume-04-PelvNs"
          }
        },
        {
          "url" : "totalDoseDelivered",
          "valueQuantity" : {
            "value" : 180,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    },
    {
      "extension" : [
        {
          "url" : "volume",
          "valueReference" : {
            🔗 "reference" : "BodyStructure/RadiotherapyVolume-05-SemVs"
          }
        },
        {
          "url" : "totalDoseDelivered",
          "valueQuantity" : {
            "value" : 180,
            "system" : "http://unitsofmeasure.org",
            "code" : "cGy"
          }
        }
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      "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
    },
    {
      "extension" : [
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          "url" : "instanceUid",
          "valueId" : "1.2.246.352.82.6.4636367585964072832.169625210960980125580.444"
        },
        {
          "url" : "sopClass",
          "valueCoding" : {
            "system" : "urn:ietf:rfc:3986",
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          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference"
    }
  ],
  "identifier" : [
    {
      "use" : "usual",
      "system" : "http://varian.com/fhir/identifier/radiotherapyFractionId",
      "value" : "2"
    },
    {
      "use" : "official",
      "system" : "urn:dicom:uid",
      "value" : "urn:oid:2.16.124.113543.1154777499.30246.19789.555.05.1.1.2"
    }
  ],
  "basedOn" : [
    {
      🔗 "reference" : "ServiceRequest/RadiotherapyTreatmentPlan-04-Prostate-Phase1-Plan1",
      "display" : "Prostate-Phase1-Plan1"
    },
    {
      🔗 "reference" : "ServiceRequest/RadiotherapyPlannedPhase-04-Prostate-Phase1",
      "display" : "Prostate-Phase1"
    }
  ],
  "partOf" : [
    {
      🔗 "reference" : "Procedure/RadiotherapyTreatedPhase-05-Prostate-Phase1"
    }
  ],
  "status" : "completed",
  "category" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs",
        "code" : "1287742003",
        "display" : "Radiotherapy (procedure)"
      }
    ]
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  "code" : {
    "coding" : [
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        "system" : "http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs",
        "code" : "1297069006",
        "display" : "Fractionated dose radiotherapy (procedure)"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Patient-6",
    "display" : "Peter Venkman"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/RadiotherapyTreatmentSession-2"
  },
  "performedPeriod" : {
    "start" : "2020-10-27T13:15:17+01:00",
    "end" : "2020-10-28T13:21:17+01:00"
  },
  "performer" : [
    {
      "actor" : {
        🔗 "reference" : "Practitioner/Practitioner-1005"
      }
    }
  ],
  "location" : {
    🔗 "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"
    }
  ]
}