USCDI+ Clinical Trials Matching Implementation Guide
0.1.0

⚠️ This is a developmental version of the guide and is under active development. Content may change at any time without notice. No official release has been made. The final base canonical URL and hosting location have not yet been determined. This guide should not be used for production implementations.

3.2.3. Procedure-radiotherapy-treatment-summary-chest-wall-jenny-m

{
"resourceType": "Procedure",
"id": "radiotherapy-treatment-summary-chest-wall-jenny-m",
"meta": {
"profile": [
"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary"
]
},
"text": {
"status": "extensions",
--- We have skipped the narrative for better readability of the resource ---
},
"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://snomed.info/sct",
"code": "1156506007",
"display": "External beam radiation therapy using photons (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://snomed.info/sct",
"code": "1162782007",
"display": "Three dimensional external beam radiation therapy (procedure)"
}
]
}
}
],
"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)"
}
]
}
]
}
<Procedure xmlns="http://hl7.org/fhir">
<id value="radiotherapy-treatment-summary-chest-wall-jenny-m" />
<meta>
<profile value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary" />
</meta>
<text>
<status value="extensions" />
--- We have skipped the narrative for better readability of the resource ---
</text>
<extension url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions">
<valueUnsignedInt value="31" />
</extension>
<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>
</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="1156530009" />
<display value="Volumetric Modulated Arc Therapy (procedure)" />
</coding>
</valueCodeableConcept>
</extension>
</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="Teleradiotherapy using electrons" />
</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-dose-delivered-to-volume">
<extension url="volume">
<valueReference>
<reference value="BodyStructure/jenny-m-chest-wall-treatment-volume" />
</valueReference>
</extension>
<extension url="totalDoseDelivered">
<valueQuantity>
<value value="6000" />
<system value="http://unitsofmeasure.org" />
<code value="cGy" />
</valueQuantity>
</extension>
<extension url="fractionsDelivered">
<valueUnsignedInt value="30" />
</extension>
</extension>
<extension url="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume">
<extension url="volume">
<valueReference>
<reference value="BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume" />
</valueReference>
</extension>
<extension url="totalDoseDelivered">
<valueQuantity>
<value value="5000" />
<system value="http://unitsofmeasure.org" />
<code value="cGy" />
</valueQuantity>
</extension>
<extension url="fractionsDelivered">
<valueUnsignedInt value="25" />
</extension>
</extension>
<status value="completed" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="1217123003" />
</coding>
</code>
<subject>
<reference value="Patient/cancer-patient-jenny-m" />
</subject>
<performedPeriod>
<start value="2018-08-15" />
<end value="2018-10-25" />
</performedPeriod>
<asserter>
<reference value="Practitioner/us-core-practitioner-kyle-anydoc" />
</asserter>
<reasonCode>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm" />
<code value="C50.811" />
<display value="Malignant neoplasm of overlapping sites of right female breast" />
</coding>
</reasonCode>
<bodySite>
<coding>
<system value="http://snomed.info/sct" />
<code value="78904004" />
<display value="Chest Wall Structure (body structure)" />
</coding>
</bodySite>
</Procedure>
Procedure
Procedure.id[0]radiotherapy-treatment-summary-chest-wall-jenny-m
Procedure.meta[0].profile[0]http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary
Procedure.text[0].status[0]extensions
Procedure.text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Procedure radiotherapy-treatment-summary-chest-wall-jenny-m</b></p><a name="radiotherapy-treatment-summary-chest-wall-jenny-m"> </a><a name="hcradiotherapy-treatment-summary-chest-wall-jenny-m"> </a><a name="radiotherapy-treatment-summary-chest-wall-jenny-m-en-US"> </a><p><b>Radiotherapy Number of Sessions Extension</b>: 31</p><p><b>Procedure Intent Extension</b>: <span title="Codes:{http://snomed.info/sct 373808002}">Curative - procedure intent</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 1156530009}">Volumetric Modulated Arc 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}">Teleradiotherapy using electrons</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 Dose Delivered To Volume Extension</b></p><ul><li>volume: <a href="BodyStructure-jenny-m-chest-wall-treatment-volume.html">BodyStructure: identifier = 1.2.246.352…1 (use: usual, ); location = Chest wall structure (body structure); locationQualifier = Entire (qualifier value); description = Chest Wall</a></li><li>totalDoseDelivered: 6000 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM codecGy = 'cGy')</span></li><li>fractionsDelivered: 30</li></ul></blockquote><blockquote><p><b>Radiotherapy Dose Delivered To Volume Extension</b></p><ul><li>volume: <a href="BodyStructure-jenny-m-chest-wall-lymph-nodes-treatment-volume.html">BodyStructure: identifier = 1.2.246.352…2 (use: usual, ); location = Mediastinal lymph node structure (body structure); locationQualifier = Right and left (qualifier value); description = Chest Wall Lymph Nodes</a></li><li>totalDoseDelivered: 5000 cGy<span style="background: LightGoldenRodYellow"> (Details: UCUM codecGy = 'cGy')</span></li><li>fractionsDelivered: 25</li></ul></blockquote><p><b>status</b>: Completed</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-cancer-patient-jenny-m.html">Jenny M Female, DoB: 1965-01-01 ( Medical Record Number: MRN1234 (use: usual, ))</a></p><p><b>performed</b>: 2018-08-15 --&gt; 2018-10-25</p><p><b>asserter</b>: <a href="Practitioner-us-core-practitioner-kyle-anydoc.html">Practitioner Kyle Anydoc </a></p><p><b>reasonCode</b>: <span title="Codes:{http://hl7.org/fhir/sid/icd-10-cm C50.811}">Malignant neoplasm of overlapping sites of right female breast</span></p><p><b>bodySite</b>: <span title="Codes:{http://snomed.info/sct 78904004}">Chest Wall Structure (body structure)</span></p></div>
Procedure.extension[0].url[0]http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions
Procedure.extension[0].value[0]31
Procedure.extension[1].url[0]http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Procedure.extension[1].value[0].coding[0].system[0]http://snomed.info/sct
Procedure.extension[1].value[0].coding[0].code[0]373808002
Procedure.extension[1].value[0].coding[0].display[0]Curative - procedure intent
Procedure.extension[2].extension[0].url[0]http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
Procedure.extension[2].extension[0].value[0].coding[0].system[0]http://snomed.info/sct
Procedure.extension[2].extension[0].value[0].coding[0].code[0]1156506007
Procedure.extension[2].extension[0].value[0].coding[0].display[0]External beam radiation therapy using photons (procedure)
Procedure.extension[2].extension[1].url[0]http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
Procedure.extension[2].extension[1].value[0].coding[0].system[0]http://snomed.info/sct
Procedure.extension[2].extension[1].value[0].coding[0].code[0]1156530009
Procedure.extension[2].extension[1].value[0].coding[0].display[0]Volumetric Modulated Arc Therapy (procedure)
Procedure.extension[2].url[0]http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
Procedure.extension[3].extension[0].url[0]http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
Procedure.extension[3].extension[0].value[0].coding[0].system[0]http://snomed.info/sct
Procedure.extension[3].extension[0].value[0].coding[0].code[0]45643008
Procedure.extension[3].extension[0].value[0].coding[0].display[0]Teleradiotherapy using electrons
Procedure.extension[3].extension[1].url[0]http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
Procedure.extension[3].extension[1].value[0].coding[0].system[0]http://snomed.info/sct
Procedure.extension[3].extension[1].value[0].coding[0].code[0]1162782007
Procedure.extension[3].extension[1].value[0].coding[0].display[0]Three dimensional external beam radiation therapy (procedure)
Procedure.extension[3].url[0]http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
Procedure.extension[4].extension[0].url[0]volume
Procedure.extension[4].extension[0].value[0].reference[0]BodyStructure/jenny-m-chest-wall-treatment-volume
Procedure.extension[4].extension[1].url[0]totalDoseDelivered
Procedure.extension[4].extension[1].value[0].value[0]6000
Procedure.extension[4].extension[1].value[0].system[0]http://unitsofmeasure.org
Procedure.extension[4].extension[1].value[0].code[0]cGy
Procedure.extension[4].extension[2].url[0]fractionsDelivered
Procedure.extension[4].extension[2].value[0]30
Procedure.extension[4].url[0]http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
Procedure.extension[5].extension[0].url[0]volume
Procedure.extension[5].extension[0].value[0].reference[0]BodyStructure/jenny-m-chest-wall-lymph-nodes-treatment-volume
Procedure.extension[5].extension[1].url[0]totalDoseDelivered
Procedure.extension[5].extension[1].value[0].value[0]5000
Procedure.extension[5].extension[1].value[0].system[0]http://unitsofmeasure.org
Procedure.extension[5].extension[1].value[0].code[0]cGy
Procedure.extension[5].extension[2].url[0]fractionsDelivered
Procedure.extension[5].extension[2].value[0]25
Procedure.extension[5].url[0]http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
Procedure.status[0]completed
Procedure.code[0].coding[0].system[0]http://snomed.info/sct
Procedure.code[0].coding[0].code[0]1217123003
Procedure.subject[0].reference[0]Patient/cancer-patient-jenny-m
Procedure.performed[0].start[0]2018-08-15
Procedure.performed[0].end[0]2018-10-25
Procedure.asserter[0].reference[0]Practitioner/us-core-practitioner-kyle-anydoc
Procedure.reasonCode[0].coding[0].system[0]http://hl7.org/fhir/sid/icd-10-cm
Procedure.reasonCode[0].coding[0].code[0]C50.811
Procedure.reasonCode[0].coding[0].display[0]Malignant neoplasm of overlapping sites of right female breast
Procedure.bodySite[0].coding[0].system[0]http://snomed.info/sct
Procedure.bodySite[0].coding[0].code[0]78904004
Procedure.bodySite[0].coding[0].display[0]Chest Wall Structure (body structure)