<?xml version="1.0" encoding="utf-8"?>
<TreatmentInstruction>
  <SchemaVersion>2.0</SchemaVersion>
  <Identifier>ec4eb68e-cbe8-48fe-b071-df609e4ab071</Identifier>
  <DisplayName>*AOS_Lung_L central SBRT 60Gy 8fx v1</DisplayName>
  <AnatomicalRegion>Thorax</AnatomicalRegion>
  <AnatomicalSite>Lung</AnatomicalSite>
  <Laterality>Left</Laterality>
  <Notes>*AOS_Lung_L central SBRT 60Gy 8fx
AOS sample template - to be copied, reviewed, modified as deemed appropriate, and approved by site physicist

Summary: 8 fx left ultra-central lung SBRT to 60 Gy

Reference: Haasbeck et al JTO 2011, "Outcomes of Stereotactic Ablative Radiotherapy for Centrally Located Early-Stage Lung Cancer",  EORTC LungTech, "Stereotactic Body Radiotherapy (SBRT) of Inoperable Centrally Located NSCLC (LungTech)"


Version 1.4


Created: 11/13/2024    
Last updated: 4/18/2025 (PHH) - Adjusted influencer Priorities and sub-P ordering, corrected OAR label (Bronchus_Main)
*********************************************************************

Rx: Dose to 99% of PTV. 

Structures have been named according to TG 263.

</Notes>
  <OARs>
    <Structure Id="OAR1">
      <Code>5018</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Bones</Meaning>
      <Color>4289396157</Color>
      <Name>Bones</Name>
    </Structure>
    <Structure Id="OAR2">
      <Code>7088</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Heart</Meaning>
      <Color>4294957055</Color>
      <Name>Heart</Name>
    </Structure>
    <Structure Id="OAR3">
      <Code>7131</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Esophagus</Meaning>
      <Color>4289068874</Color>
      <Name>Esophagus</Name>
    </Structure>
    <Structure Id="OAR4">
      <Code>7309</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Lung right</Meaning>
      <Color>4278190284</Color>
      <Name>Lung_R</Name>
    </Structure>
    <Structure Id="OAR5">
      <Code>7310</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Lung left</Meaning>
      <Color>4294967040</Color>
      <Name>Lung_L</Name>
    </Structure>
    <Structure Id="OAR6">
      <Code>45245</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Brachial plexus left</Meaning>
      <Color>4294934720</Color>
      <Name>BrachialPlex_L</Name>
    </Structure>
    <Structure Id="OAR7">
      <Code>45244</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Brachial plexus right</Meaning>
      <Color>4286578943</Color>
      <Name>BrachialPlex_R</Name>
    </Structure>
    <Structure Id="OAR8">
      <Code>T-D3219</Code>
      <Schema>SRT</Schema>
      <SchemaVersion />
      <Meaning>Great vessels of the heart</Meaning>
      <Color>4291454208</Color>
      <Name>GreatVes</Name>
    </Structure>
    <Structure Id="OAR9">
      <Code>7394</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Trachea</Meaning>
      <Color>4278190335</Color>
      <Name>Trachea</Name>
    </Structure>
    <Structure Id="OAR10">
      <Code>264793</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Set of left ribs</Meaning>
      <Color>4278223103</Color>
      <Name>Ribs_L</Name>
    </Structure>
    <Structure Id="OAR11">
      <Code>264792</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Set of right ribs</Meaning>
      <Color>4291624908</Color>
      <Name>Ribs_R</Name>
    </Structure>
    <Structure Id="OAR12">
      <Code>7163</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Skin</Meaning>
      <Color>4286644096</Color>
      <Name>Skin</Name>
      <ContouringProtocol><![CDATA[<StructureArithmetic>
  <Wall>
    <Operands>
      <Structure>
        <Identifier>Body</Identifier>
        <ClassificationCode>
          <Code>BODY</Code>
          <Schema>99VMS_STRUCTCODE</Schema>
          <SchemaVersion>1.0</SchemaVersion>
          <Meaning>Body plus other external items</Meaning>
        </ClassificationCode>
      </Structure>
    </Operands>
    <InnerWallValue>5</InnerWallValue>
    <OuterWallValue>0</OuterWallValue>
  </Wall>
</StructureArithmetic>
]]></ContouringProtocol>
    </Structure>
    <Structure Id="OAR13">
      <Code>7148</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Stomach</Meaning>
      <Color>4294934720</Color>
      <Name>Stomach</Name>
    </Structure>
    <Structure Id="OAR14">
      <Code>9869</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Pericardium</Meaning>
      <Color>4294901888</Color>
      <Name>Pericardium</Name>
    </Structure>
    <Structure Id="OAR15">
      <Code>7197</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Liver</Meaning>
      <Color>4278206464</Color>
      <Name>Liver</Name>
    </Structure>
    <Structure Id="OAR16">
      <Code>7405</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Main bronchus</Meaning>
      <Color>4289986559</Color>
      <Name>Bronchus_Main</Name>
    </Structure>
    <Structure Id="OAR17">
      <Code>68877</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Both lungs</Meaning>
      <Color>4294934528</Color>
      <Name>Lungs</Name>
    </Structure>
    <Structure Id="OAR18">
      <Code>7647</Code>
      <Schema>FMA</Schema>
      <SchemaVersion>3.2</SchemaVersion>
      <Meaning>Spinal cord</Meaning>
      <Color>4278255615</Color>
      <Name>SpinalCord</Name>
    </Structure>
  </OARs>
  <Targets>
    <Structure Id="Target1">
      <Code>GTVp</Code>
      <Schema>99VMS_STRUCTCODE</Schema>
      <SchemaVersion>1.0</SchemaVersion>
      <Meaning>Primary gross tumor volume</Meaning>
      <Color>4285868492</Color>
      <Name>GTV primary</Name>
    </Structure>
    <Structure Id="Target2">
      <Code>ITV</Code>
      <Schema>99VMS_STRUCTCODE</Schema>
      <SchemaVersion>1.0</SchemaVersion>
      <Meaning>Internal target volume</Meaning>
      <Color>4294934528</Color>
      <Name>ITV</Name>
    </Structure>
    <Structure Id="Target3">
      <Code>R-429EC</Code>
      <Schema>SRT</Schema>
      <SchemaVersion />
      <Meaning>Planning target volume</Meaning>
      <Color>4294901760</Color>
      <Name>PTV</Name>
      <ContouringProtocol><![CDATA[<StructureArithmetic>
  <Intersection>
    <Operands>
      <Margin>
        <Operands>
          <Structure>
            <Identifier>Target2</Identifier>
            <ClassificationCode>
              <Code>ITV</Code>
              <Schema>99VMS_STRUCTCODE</Schema>
              <SchemaVersion>1.0</SchemaVersion>
              <Meaning>Internal target volume</Meaning>
            </ClassificationCode>
          </Structure>
        </Operands>
        <MarginValue>3</MarginValue>
      </Margin>
      <Margin>
        <Operands>
          <Structure>
            <Identifier>Body</Identifier>
            <ClassificationCode>
              <Code>BODY</Code>
              <Schema>99VMS_STRUCTCODE</Schema>
              <SchemaVersion>1.0</SchemaVersion>
              <Meaning>Body plus other external items</Meaning>
            </ClassificationCode>
          </Structure>
        </Operands>
        <MarginValue>-2</MarginValue>
      </Margin>
    </Operands>
  </Intersection>
</StructureArithmetic>
]]></ContouringProtocol>
    </Structure>
  </Targets>
  <ControlRegions>
    <Structure Id="ControlRegion1">
      <Code>HealthyTissue</Code>
      <Schema>99VMS_STRUCTCODE</Schema>
      <SchemaVersion>1.0</SchemaVersion>
      <Meaning>Generic healthy tissue</Meaning>
      <Color>4280929353</Color>
      <Name>Lungs-ITV</Name>
      <ContouringProtocol><![CDATA[<StructureArithmetic>
  <Intersection>
    <Operands>
      <Subtraction>
        <Operands>
          <Union>
            <Operands>
              <Structure>
                <Identifier>OAR5</Identifier>
                <ClassificationCode>
                  <Code>7310</Code>
                  <Schema>FMA</Schema>
                  <SchemaVersion>3.2</SchemaVersion>
                  <Meaning>Lung left</Meaning>
                </ClassificationCode>
              </Structure>
              <Structure>
                <Identifier>OAR4</Identifier>
                <ClassificationCode>
                  <Code>7309</Code>
                  <Schema>FMA</Schema>
                  <SchemaVersion>3.2</SchemaVersion>
                  <Meaning>Lung right</Meaning>
                </ClassificationCode>
              </Structure>
            </Operands>
          </Union>
          <Structure>
            <Identifier>Target2</Identifier>
            <ClassificationCode>
              <Code>ITV</Code>
              <Schema>99VMS_STRUCTCODE</Schema>
              <SchemaVersion>1.0</SchemaVersion>
              <Meaning>Internal target volume</Meaning>
            </ClassificationCode>
          </Structure>
        </Operands>
      </Subtraction>
      <Margin>
        <Operands>
          <Structure>
            <Identifier>Body</Identifier>
            <ClassificationCode>
              <Code>BODY</Code>
              <Schema>99VMS_STRUCTCODE</Schema>
              <SchemaVersion>1.0</SchemaVersion>
              <Meaning>Body plus other external items</Meaning>
            </ClassificationCode>
          </Structure>
        </Operands>
        <MarginValue>-5</MarginValue>
      </Margin>
    </Operands>
  </Intersection>
</StructureArithmetic>
]]></ContouringProtocol>
    </Structure>
  </ControlRegions>
  <TargetEvaluationPoints />
  <Phases>
    <Phase Id="1" Adaptive="true" Bolus="false" Stereotactic="true">
      <TreatmentFrequency>
        <OneSessionPerDay />
      </TreatmentFrequency>
      <PrescriptionTargets>
        <PrescriptionTarget>
          <StructureId>Target3</StructureId>
          <FractionDoseGy>7.5</FractionDoseGy>
          <QualityIndices />
          <Objectives>
            <Objective>
              <ClinicalGoal>
                <Type>VolumeDose</Type>
                <Qualifier>ShouldBeMoreOrEqual</Qualifier>
                <Volume>
                  <Value>99</Value>
                  <Unit>Relative</Unit>
                </Volume>
                <Dose>
                  <Value>100</Value>
                  <Unit>Relative</Unit>
                </Dose>
              </ClinicalGoal>
              <AcceptableVariation>
                <Type>VolumeDose</Type>
                <Qualifier>ShouldBeMoreOrEqual</Qualifier>
                <Volume>
                  <Value>95</Value>
                  <Unit>Relative</Unit>
                </Volume>
                <Dose>
                  <Value>100</Value>
                  <Unit>Relative</Unit>
                </Dose>
              </AcceptableVariation>
              <Priority>1</Priority>
              <PriorityWithinGroup>1</PriorityWithinGroup>
            </Objective>
            <Objective>
              <ClinicalGoal>
                <Type>DoseVolume</Type>
                <Qualifier>ShouldBeLessOrEqual</Qualifier>
                <Volume>
                  <Value>0.03</Value>
                  <Unit>Absolute</Unit>
                </Volume>
                <Dose>
                  <Value>140</Value>
                  <Unit>Relative</Unit>
                </Dose>
              </ClinicalGoal>
              <Priority>3</Priority>
              <PriorityWithinGroup>7</PriorityWithinGroup>
            </Objective>
          </Objectives>
        </PrescriptionTarget>
      </PrescriptionTargets>
      <PhaseOARObjectives>
        <Objective>
          <StructureId>OAR2</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>44</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>63</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>3</Priority>
          <PriorityWithinGroup>2</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR2</StructureId>
          <ClinicalGoal>
            <Type>MeanDose</Type>
          </ClinicalGoal>
        </Objective>
        <Objective>
          <StructureId>OAR3</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>40</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>42.5</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>3</Priority>
          <PriorityWithinGroup>4</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR3</StructureId>
          <ClinicalGoal>
            <Type>MeanDose</Type>
          </ClinicalGoal>
        </Objective>
        <Objective>
          <StructureId>OAR4</StructureId>
          <ClinicalGoal>
            <Type>MeanDose</Type>
          </ClinicalGoal>
        </Objective>
        <Objective>
          <StructureId>OAR5</StructureId>
          <ClinicalGoal>
            <Type>MeanDose</Type>
          </ClinicalGoal>
        </Objective>
        <Objective>
          <StructureId>OAR6</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>36.5</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>38</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>2</Priority>
          <PriorityWithinGroup>4</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR7</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>36.5</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>38</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>3</Priority>
          <PriorityWithinGroup>10</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR8</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLess</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>65</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>2</Priority>
          <PriorityWithinGroup>1</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR9</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>44</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>63</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>3</Priority>
          <PriorityWithinGroup>5</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR10</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>52.5</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>3</Priority>
          <PriorityWithinGroup>8</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR11</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>52.5</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>4</Priority>
          <PriorityWithinGroup>1</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR12</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>35</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>4</Priority>
          <PriorityWithinGroup>2</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR13</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>25</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>3</Priority>
          <PriorityWithinGroup>6</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR14</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>44</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>63</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>3</Priority>
          <PriorityWithinGroup>3</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR14</StructureId>
          <ClinicalGoal>
            <Type>MeanDose</Type>
          </ClinicalGoal>
        </Objective>
        <Objective>
          <StructureId>OAR15</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>700</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>17</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>3</Priority>
          <PriorityWithinGroup>9</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR15</StructureId>
          <ClinicalGoal>
            <Type>MeanDose</Type>
          </ClinicalGoal>
        </Objective>
        <Objective>
          <StructureId>OAR16</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>44</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>63</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>3</Priority>
          <PriorityWithinGroup>1</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>OAR18</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>28</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <AcceptableVariation>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>0.03</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>36.5</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </AcceptableVariation>
          <Priority>1</Priority>
          <PriorityWithinGroup>2</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>ControlRegion1</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>1500</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>10.5</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>2</Priority>
          <PriorityWithinGroup>2</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>ControlRegion1</StructureId>
          <ClinicalGoal>
            <Type>DoseVolume</Type>
            <Qualifier>ShouldBeLessOrEqual</Qualifier>
            <Volume>
              <Value>1000</Value>
              <Unit>Absolute</Unit>
            </Volume>
            <Dose>
              <Value>11.4</Value>
              <Unit>Absolute</Unit>
            </Dose>
          </ClinicalGoal>
          <Priority>2</Priority>
          <PriorityWithinGroup>3</PriorityWithinGroup>
        </Objective>
        <Objective>
          <StructureId>ControlRegion1</StructureId>
          <ClinicalGoal>
            <Type>MeanDose</Type>
          </ClinicalGoal>
        </Objective>
      </PhaseOARObjectives>
      <Normalization>
        <Type>NoNormalization</Type>
      </Normalization>
      <MotionManagement IsEnabled="false" />
    </Phase>
  </Phases>
  <PrescribedSessions>
    <Session Id="1">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="2">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="3">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="4">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="5">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="6">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="7">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
    <Session Id="8">
      <ReferencedPhase>1</ReferencedPhase>
      <Imaging>None</Imaging>
    </Session>
  </PrescribedSessions>
</TreatmentInstruction>