CodeX Radiation Therapy
2.0.0 - STU2 United States of America flag

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 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

Example Observation: cancer-disease-status-22B

Generated Narrative: Observation cancer-disease-status-22B

Cancer Disease Status Evidence Type Extension: Imaging (procedure)

Radiotherapy Volume Extension: BodyStructure: identifier = http://varian.com/fhir/identifier/radiotherapyDoseReferenceId#Prostate (use: usual, ),urn:dicom:uid#DICOM Unique Id#urn:oid:1.2.246.352.71.842418.2121.20150602151825 (use: official, ); morphology = Planning target volume (observable entity)

Radiotherapy Volume Extension: BodyStructure: identifier = http://varian.com/fhir/identifier/radiotherapyDoseReferenceId#Pelv Ns (use: usual, ),urn:dicom:uid#DICOM Unique Id#urn:oid:1.2.246.352.71.842418.2121.20150602151826 (use: official, ); morphology = Planning target volume (observable entity)

Radiotherapy Volume Extension: BodyStructure: identifier = http://varian.com/fhir/identifier/radiotherapyDoseReferenceId#Sem Vs (use: usual, ),urn:dicom:uid#DICOM Unique Id#urn:oid:1.2.246.352.71.842418.2121.20150602151827 (use: official, ); morphology = Planning target volume (observable entity)

partOf: Procedure Radiotherapy course of treatment

status: Final

code: Cancer disease progression

subject: Peter Venkman Male, DoB: 1973-07-25 ( Medical Record Number: 1032706 (use: usual, ))

focus: Condition Malignant neoplasm of prostate

effective: 2020-10-22

performer: Practitioner Egon Spengler

value: Patient's condition worsened (finding)

Notes:

Instance: cancer-disease-status-22B
InstanceOf: RadiotherapyDiseaseStatus
Title: "cancer-disease-status-22B"
Description: "Extended example: example showing disease status (patient's condition regression)"
Usage: #example
* extension[0]
  * url = "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type"
  * valueCodeableConcept = http://snomed.info/sct#363679005 "Imaging (procedure)"
* extension[+]
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-volume-extension"
  * valueReference = Reference(RadiotherapyVolume-03-Prostate)
* extension[+]
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-volume-extension"
  * valueReference = Reference(RadiotherapyVolume-04-PelvNs)
* extension[+]
  * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-volume-extension"
  * valueReference = Reference(RadiotherapyVolume-05-SemVs)
* partOf = Reference(RadiotherapyCourseSummary-04-Prostate)
* status = #final
* code = http://loinc.org#97509-4
* subject = Reference(Patient-6)
* focus = Reference(Diagnosis-2-Prostate)
* effectiveDateTime = "2020-10-22"
* performer = Reference(Practitioner-1005)
* valueCodeableConcept = http://snomed.info/sct#271299001 "Patient's condition worsened (finding)"
  * extension[0]
    * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-progression-qualifier"
    * valueCodeableConcept = http://snomed.info/sct#263820005 "Nodal (qualifier value)"
  * extension[+]
    * url = "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-progression-qualifier"
    * valueCodeableConcept = http://snomed.info/sct#80534008 "Biochemical (qualifier value)"