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 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

: RadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V - XML Representation

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<Procedure xmlns="http://hl7.org/fhir">
  <id value="RadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V"/>
  <meta>
    <versionId value="8"/>
    <lastUpdated value="2021-09-17T13:21:17+01:00"/>
    <profile
             value="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-summary"/>
    <profile
             value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Procedure RadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V</b></p><a name="RadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V"> </a><a name="hcRadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V"> </a><a name="RadiotherapyCourseSummary-XRTS-04-22B-01-Breast-2P-3V-en-US"> </a><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">version: 8; Last updated: 2021-09-17 13:21:17+0100</p><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-codexrt-radiotherapy-course-summary.html">Radiotherapy Course Summary</a>, <a href="https://build.fhir.org/ig/HL7/fhir-mCODE-ig/StructureDefinition-mcode-radiotherapy-course-summary.html">Radiotherapy Course Summary Profile</a></p></div><p><b>Procedure Intent Extension</b>: <span title="Codes:{http://snomed.info/sct 373808002}">Curative</span></p><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><ul><li>http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality: <span title="Codes:{http://snomed.info/sct 1156506007}">External beam radiation therapy using photons (procedure)</span></li><li>http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique: <span title="Codes:{http://snomed.info/sct 1162782007}">Three dimensional external beam radiation therapy (procedure)</span></li></ul></blockquote><blockquote><p><b>Radiotherapy Modality And Technique Extension</b></p><ul><li>http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality: <span title="Codes:{http://snomed.info/sct 45643008}">External beam radiation therapy using electrons (procedure)</span></li><li>http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique: <span title="Codes:{http://snomed.info/sct 1162782007}">Three dimensional external beam radiation therapy (procedure)</span></li></ul></blockquote><p><b>Respiratory Motion Management</b>: <span title="Codes:{http://snomed.info/sct 721071000124104}">External beam radiotherapy with free breathing (procedure)</span></p><p><b>Free-Breathing Motion Management Technique</b>: <span title="Codes:{http://snomed.info/sct 721061000124106}">External beam radiotherapy with respiratory gating (procedure)</span></p><p><b>Radiotherapy Number of Sessions Extension</b>: 8</p><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><ul><li>volume: <a href="BodyStructure-RadiotherapyVolume-XRTS-04-22B-01-LeftBreast.html">Left Breast</a></li><li>http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation: true</li><li>totalDoseDelivered: 900 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM  codecGy = 'cGy')</span></li><li>fractionsDelivered: 3</li></ul></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><ul><li>volume: <a href="BodyStructure-RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost.html">Left Breast Boost</a></li><li>http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation: false</li><li>totalDoseDelivered: 1700 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM  codecGy = 'cGy')</span></li><li>fractionsDelivered: 7</li></ul></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><ul><li>volume: <a href="BodyStructure-RadiotherapyVolume-XRTS-04-22B-03-RightBreast.html">Right Breast</a></li><li>http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation: true</li><li>totalDoseDelivered: 900 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM  codecGy = 'cGy')</span></li><li>fractionsDelivered: 3</li></ul></blockquote><p><b>identifier</b>: <code>http://varian.com/fhir/identifier/radiotherapyCourseId</code>/C1_Both_Breast (use: usual, ), <a href="http://terminology.hl7.org/5.5.0/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/">DICOM Unique Id</a>/urn:oid:1.2.246.352.72.842418.2121.20150602151.04.01.22.1 (use: official, )</p><p><b>basedOn</b>: <a href="ServiceRequest-RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V.html">ServiceRequest Radiotherapy course of treatment (regime/therapy)</a></p><p><b>status</b>: Completed</p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 1287742003}">Radiotherapy (procedure)</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 1217123003}">Radiotherapy course of treatment</span></p><p><b>subject</b>: <a href="Patient-Patient-XRTS-04-22B.html">Jane Sister-22B  Female, DoB: 1980-03-04 ( Medical Record Number: XRTS-04_22B)</a></p><p><b>performed</b>: 2021-09-06 13:15:17+0100 --&gt; 2021-09-17 13:21:17+0100</p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 254837009}">Malignant neoplasm of breast (disorder)</span></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 76752008}">Breast structure (body structure)</span></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="373808002"/>
        <display value="Curative - procedure intent"/>
      </coding>
      <text value="Curative"/>
    </valueCodeableConcept>
  </extension>
  <extension
             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 value="http://snomed.info/sct"/>
          <code value="1156506007"/>
          <display
                   value="External beam radiation therapy using photons (procedure)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="1162782007"/>
          <display
                   value="Three dimensional external beam radiation therapy (procedure)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="721071000124104"/>
        <display
                 value="External beam radiotherapy with free breathing (procedure)"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="721061000124106"/>
        <display
                 value="External beam radiotherapy with respiratory gating (procedure)"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             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 value="http://snomed.info/sct"/>
          <code value="45643008"/>
          <display
                   value="External beam radiation therapy using electrons (procedure)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="1162782007"/>
          <display
                   value="Three dimensional external beam radiation therapy (procedure)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions">
    <valueUnsignedInt value="8"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume">
    <extension url="volume">
      <valueReference>🔗 
        <reference
                   value="BodyStructure/RadiotherapyVolume-XRTS-04-22B-01-LeftBreast"/>
        <display value="Left Breast"/>
      </valueReference>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation">
      <valueBoolean value="true"/>
    </extension>
    <extension url="totalDoseDelivered">
      <valueQuantity>
        <value value="900"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="fractionsDelivered">
      <valueUnsignedInt value="3"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume">
    <extension url="volume">
      <valueReference>🔗 
        <reference
                   value="BodyStructure/RadiotherapyVolume-XRTS-04-22B-02-LeftBreastBoost"/>
        <display value="Left Breast Boost"/>
      </valueReference>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation">
      <valueBoolean value="false"/>
    </extension>
    <extension url="totalDoseDelivered">
      <valueQuantity>
        <value value="1700"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="fractionsDelivered">
      <valueUnsignedInt value="7"/>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume">
    <extension url="volume">
      <valueReference>🔗 
        <reference
                   value="BodyStructure/RadiotherapyVolume-XRTS-04-22B-03-RightBreast"/>
        <display value="Right Breast"/>
      </valueReference>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation">
      <valueBoolean value="true"/>
    </extension>
    <extension url="totalDoseDelivered">
      <valueQuantity>
        <value value="900"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="cGy"/>
      </valueQuantity>
    </extension>
    <extension url="fractionsDelivered">
      <valueUnsignedInt value="3"/>
    </extension>
  </extension>
  <identifier>
    <use value="usual"/>
    <system value="http://varian.com/fhir/identifier/radiotherapyCourseId"/>
    <value value="C1_Both_Breast"/>
  </identifier>
  <identifier>
    <use value="official"/>
    <system value="urn:dicom:uid"/>
    <value value="urn:oid:1.2.246.352.72.842418.2121.20150602151.04.01.22.1"/>
  </identifier>
  <basedOn>🔗 
    <reference
               value="ServiceRequest/RadiotherapyPlannedCourse-XRTS-04-22B-01-Breast-2P-3V"/>
  </basedOn>
  <status value="completed"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1287742003"/>
      <display value="Radiotherapy (procedure)"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="1217123003"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/Patient-XRTS-04-22B"/>
  </subject>
  <performedPeriod>
    <start value="2021-09-06T13:15:17+01:00"/>
    <end value="2021-09-17T13:21:17+01:00"/>
  </performedPeriod>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="254837009"/>
      <display value="Malignant neoplasm of breast (disorder)"/>
    </coding>
  </reasonCode>
  <bodySite>
    <extension
               url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier">
      <valueCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="51440002"/>
          <display value="Right and left (qualifier value)"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="76752008"/>
      <display value="Breast structure (body structure)"/>
    </coding>
  </bodySite>
</Procedure>