<?xml version="1.0" encoding="UTF-8"?>

<Procedure xmlns="http://hl7.org/fhir">
  <id value="RadiotherapyTreatmentProcedureExample"/>
  <meta>
    <profile value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-radiotherapy-treatment-procedure"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p>First fraction delivery of adjuvant left breast radiotherapy; 2 Gy delivered, cumulative dose 2 Gy</p></div>
  </text>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-fraction-number-extension">
    <valueInteger value="1"/>
  </extension>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-total-fractions-extension">
    <valueInteger value="25"/>
  </extension>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-dose-per-fraction-extension">
    <valueQuantity>
      <value value="2"/>
      <unit value="Gy"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="Gy"/>
    </valueQuantity>
  </extension>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-cumulative-dose-extension">
    <valueQuantity>
      <value value="2"/>
      <unit value="Gy"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="Gy"/>
    </valueQuantity>
  </extension>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-beam-type-extension">
    <valueCode value="PHOTON-X-RAY"/>
  </extension>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-treatment-technique-extension">
    <valueCode value="THREE-D-CRT"/>
  </extension>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-rt-treatment-machine-extension">
    <valueString value="Varian TrueBeam #1 — KNH"/>
  </extension>
  <basedOn>
    <reference value="CarePlan/example-rt-careplan"/>
  </basedOn>
  <status value="completed"/>
  <category>
    <coding>
      <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"/>
      <code value="SHA-RT-ADJUVANT"/>
      <display value="SHA: Radiotherapy — Adjuvant"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/sha-interventions-cs"/>
      <code value="SHA-RT-ADJUVANT"/>
      <display value="SHA: Radiotherapy — Adjuvant"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/example-patient"/>
  </subject>
  <encounter>
    <reference value="Encounter/example-encounter"/>
  </encounter>
  <performedDateTime value="2026-02-03T10:15:00Z"/>
  <performer>
    <actor>
      <reference value="Practitioner/example-radiation-therapist"/>
    </actor>
  </performer>
  <bodySite>
    <coding>
      <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/cancer-primary-site-cs"/>
      <code value="BREAST"/>
      <display value="Breast"/>
    </coding>
  </bodySite>
</Procedure>