CodeX™ Radiation Therapy
1.0.0-ballot - ci-build

This page is part of the CodeX™ Radiation Therapy (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: Radiotherapy Course Cumulative Prescription

Defining URL:http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-prescription
Version:1.0.0-ballot
Name:RadiotherapyCoursePrescription
Title:Radiotherapy Course Cumulative Prescription
Status:Draft as of 2022-08-08 02:42:13+0000
Definition:

A Radiotherapy Course Prescription is a high-level request for a complete Course of Radiotherapy, which may be fulfilled by one or more Phases.

Publisher:HL7 Cross Group Projects Work Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-prescription

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestA request for a service to be performed
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... modalityAndTechnique S0..*(Complex)Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
.... radiotherapyEnergyOrIsotope S0..*SimpleQuantityRadiotherapy Energy or Isotope
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
Binding: Unit to characterize Energy in Radiotherapy (required)
.... radiotherapyTreatmentDevice S0..*(Complex)Treatment Device
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-device
.... radiotherapyTreatmentApplicatorType S0..*CodeableConceptRadiotherapy Treatment Applicator Type
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-applicator-type
Binding: Brachytherapy Applicator Types (extensible)
... treatment-intent S0..1CodeableConceptProcedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (required)
.... extension:fractionDose 0..0
... identifier S0..*IdentifierIdentifiers assigned to this order
.... system S0..1uriThe namespace for the identifier value
.... value S1..1stringThe value that is unique
... replaces S0..*Reference(ServiceRequest)Previous retired request that is replaced by this request
... status S1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Required Pattern: original-order
... Slices for category S1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
.... category:required 1..1CodeableConceptClassification of service
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 108290001
...... display1..1stringRepresentation defined by the system
Fixed Value: Radiation oncology AND/OR radiotherapy
... doNotPerform 0..0
... code S1..1CodeableConceptWhat is being requested/ordered
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: USCRS-33529
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiotherapy Course of Treatment (regime/therapy)
... quantity[x] 0..0
... subject S1..1Reference(US Core Patient Profile)Individual or Entity the service is ordered for
... occurrencePeriod S0..1PeriodWhen service should occur
... asNeeded[x] 0..0
... requester S0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)Who/what is requesting service
... reasonCode S0..*CodeableConceptExplanation/Justification for procedure or service
Binding: Cancer Disorder Value Set (extensible)
... reasonReference S0..*Reference(Condition)Explanation/Justification for service or service
... specimen 0..0
... bodySite S0..*CodeableConceptBody site that is treated with Radiotherapy
Binding: Radiotherapy Treatment Location Value Set (required)
... note S0..*AnnotationComments

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*ServiceRequestA request for a service to be performed
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... modalityAndTechnique SI0..*(Complex)Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... modality S1..1CodeableConceptRadiotherapy Modality Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
..... value[x] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Modality Value Set (required)
.... technique S0..*CodeableConceptRadiotherapy Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
..... value[x] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Technique Value Set (required)
.... radiotherapyEnergyOrIsotope S0..*SimpleQuantityRadiotherapy Energy or Isotope
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
Binding: Unit to characterize Energy in Radiotherapy (required)
.... radiotherapyTreatmentDevice S0..*(Complex)Treatment Device
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-device
.... radiotherapyTreatmentApplicatorType S0..*CodeableConceptRadiotherapy Treatment Applicator Type
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-applicator-type
Binding: Brachytherapy Applicator Types (extensible)
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
... treatment-intent S0..1CodeableConceptProcedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (required)
... radiotherapy-dose-prescribed-to-volume S0..*(Complex)Prescribed Dose to a Dose Reference
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:volume S1..1ExtensionVolume targeted by the prescribed dose
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"volume"
..... value[x] 1..1Reference(Radiotherapy Volume)Value of extension
.... extension:totalDose S0..1ExtensionTotal Radiation Dose Prescribed
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"totalDose"
..... Slices for value[x] 1..1QuantityValue of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity 1..1QuantityValue of extension
Required Pattern: At least the following
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... value0..1decimalNumerical value (with implicit precision)
....... comparator0..1code< | <= | >= | > - how to understand the value
....... unit0..1stringUnit representation
....... system1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code1..1codeCoded form of the unit
Fixed Value: cGy
.... extension:fractions S0..1ExtensionNumber of Prescribed Fractions
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"fractions"
..... value[x] 0..1positiveIntValue of extension
.... url 1..1uri"http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierIdentifiers assigned to this order
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
... replaces SΣ0..*Reference(ServiceRequest)Previous retired request that is replaced by this request
... requisition Σ0..1IdentifierComposite Request ID
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


Required Pattern: original-order
... Slices for category SΣ1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:required Σ1..1CodeableConceptClassification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 108290001
...... display1..1stringRepresentation defined by the system
Fixed Value: Radiation oncology AND/OR radiotherapy
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code SΣ1..1CodeableConceptWhat is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: USCRS-33529
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiotherapy Course of Treatment (regime/therapy)
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... orderDetail ΣI0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... subject SΣ1..1Reference(US Core Patient Profile)Individual or Entity the service is ordered for
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... Slices for occurrence[x] Σ0..1PeriodWhen service should occur
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrencePeriod SΣ0..1PeriodWhen service should occur
... authoredOn Σ0..1dateTimeDate request signed
... requester SΣ0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)Who/what is requesting service
... performerType Σ0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode SΣ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: Cancer Disorder Value Set (extensible)
... reasonReference SΣ0..*Reference(Condition)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... bodySite SΣ0..*CodeableConceptBody site that is treated with Radiotherapy
Binding: Radiotherapy Treatment Location Value Set (required)
... note S0..*AnnotationComments
... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*ServiceRequestA request for a service to be performed
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... modalityAndTechnique I0..*(Complex)Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
.... modality 1..1CodeableConceptRadiotherapy Modality Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
.... technique 0..*CodeableConceptRadiotherapy Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
.... radiotherapyEnergyOrIsotope 0..*SimpleQuantityRadiotherapy Energy or Isotope
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
Binding: Unit to characterize Energy in Radiotherapy (required)
.... radiotherapyTreatmentDevice 0..*(Complex)Treatment Device
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-device
.... radiotherapyTreatmentApplicatorType 0..*CodeableConceptRadiotherapy Treatment Applicator Type
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-applicator-type
Binding: Brachytherapy Applicator Types (extensible)
... treatment-intent 0..1CodeableConceptProcedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (required)
.... extension:volume 1..1ExtensionVolume targeted by the prescribed dose
.... extension:totalDose 0..1ExtensionTotal Radiation Dose Prescribed
.... extension:fractions 0..1ExtensionNumber of Prescribed Fractions
... identifier Σ0..*IdentifierIdentifiers assigned to this order
.... system Σ0..1uriThe namespace for the identifier value
.... value Σ1..1stringThe value that is unique
... replaces Σ0..*Reference(ServiceRequest)Previous retired request that is replaced by this request
... status ?!Σ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!Σ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


Required Pattern: original-order
... category Σ1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


... code Σ1..1CodeableConceptWhat is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: USCRS-33529
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiotherapy Course of Treatment (regime/therapy)
... subject Σ1..1Reference(US Core Patient Profile)Individual or Entity the service is ordered for
... occurrence[x]:occurrencePeriod Σ0..1PeriodWhen service should occur
... requester Σ0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)Who/what is requesting service
... reasonCode Σ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: Cancer Disorder Value Set (extensible)
... reasonReference Σ0..*Reference(Condition)Explanation/Justification for service or service
... bodySite Σ0..*CodeableConceptBody site that is treated with Radiotherapy
Binding: Radiotherapy Treatment Location Value Set (required)
... note 0..*AnnotationComments

doco Documentation for this format

Differential View

This structure is derived from ServiceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest 0..*ServiceRequestA request for a service to be performed
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... modalityAndTechnique S0..*(Complex)Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
.... radiotherapyEnergyOrIsotope S0..*SimpleQuantityRadiotherapy Energy or Isotope
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
Binding: Unit to characterize Energy in Radiotherapy (required)
.... radiotherapyTreatmentDevice S0..*(Complex)Treatment Device
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-device
.... radiotherapyTreatmentApplicatorType S0..*CodeableConceptRadiotherapy Treatment Applicator Type
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-applicator-type
Binding: Brachytherapy Applicator Types (extensible)
... treatment-intent S0..1CodeableConceptProcedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (required)
.... extension:fractionDose 0..0
... identifier S0..*IdentifierIdentifiers assigned to this order
.... system S0..1uriThe namespace for the identifier value
.... value S1..1stringThe value that is unique
... replaces S0..*Reference(ServiceRequest)Previous retired request that is replaced by this request
... status S1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
... intent S1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Required Pattern: original-order
... Slices for category S1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
.... category:required 1..1CodeableConceptClassification of service
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 108290001
...... display1..1stringRepresentation defined by the system
Fixed Value: Radiation oncology AND/OR radiotherapy
... doNotPerform 0..0
... code S1..1CodeableConceptWhat is being requested/ordered
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: USCRS-33529
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiotherapy Course of Treatment (regime/therapy)
... quantity[x] 0..0
... subject S1..1Reference(US Core Patient Profile)Individual or Entity the service is ordered for
... occurrencePeriod S0..1PeriodWhen service should occur
... asNeeded[x] 0..0
... requester S0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)Who/what is requesting service
... reasonCode S0..*CodeableConceptExplanation/Justification for procedure or service
Binding: Cancer Disorder Value Set (extensible)
... reasonReference S0..*Reference(Condition)Explanation/Justification for service or service
... specimen 0..0
... bodySite S0..*CodeableConceptBody site that is treated with Radiotherapy
Binding: Radiotherapy Treatment Location Value Set (required)
... note S0..*AnnotationComments

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest I0..*ServiceRequestA request for a service to be performed
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... modalityAndTechnique SI0..*(Complex)Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... modality S1..1CodeableConceptRadiotherapy Modality Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
..... value[x] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Modality Value Set (required)
.... technique S0..*CodeableConceptRadiotherapy Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
..... value[x] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Technique Value Set (required)
.... radiotherapyEnergyOrIsotope S0..*SimpleQuantityRadiotherapy Energy or Isotope
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
Binding: Unit to characterize Energy in Radiotherapy (required)
.... radiotherapyTreatmentDevice S0..*(Complex)Treatment Device
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-device
.... radiotherapyTreatmentApplicatorType S0..*CodeableConceptRadiotherapy Treatment Applicator Type
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-applicator-type
Binding: Brachytherapy Applicator Types (extensible)
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
... treatment-intent S0..1CodeableConceptProcedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (required)
... radiotherapy-dose-prescribed-to-volume S0..*(Complex)Prescribed Dose to a Dose Reference
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
.... id 0..1stringUnique id for inter-element referencing
.... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:volume S1..1ExtensionVolume targeted by the prescribed dose
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"volume"
..... value[x] 1..1Reference(Radiotherapy Volume)Value of extension
.... extension:totalDose S0..1ExtensionTotal Radiation Dose Prescribed
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"totalDose"
..... Slices for value[x] 1..1QuantityValue of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity 1..1QuantityValue of extension
Required Pattern: At least the following
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... value0..1decimalNumerical value (with implicit precision)
....... comparator0..1code< | <= | >= | > - how to understand the value
....... unit0..1stringUnit representation
....... system1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code1..1codeCoded form of the unit
Fixed Value: cGy
.... extension:fractions S0..1ExtensionNumber of Prescribed Fractions
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"fractions"
..... value[x] 0..1positiveIntValue of extension
.... url 1..1uri"http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier SΣ0..*IdentifierIdentifiers assigned to this order
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system SΣ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(Organization)Organization that issued id (may be just text)
... instantiatesCanonical Σ0..*canonical(ActivityDefinition | PlanDefinition)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest | MedicationRequest)What request fulfills
... replaces SΣ0..*Reference(ServiceRequest)Previous retired request that is replaced by this request
... requisition Σ0..1IdentifierComposite Request ID
... status ?!SΣ1..1codedraft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ1..1codeproposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


Required Pattern: original-order
... Slices for category SΣ1..*CodeableConceptClassification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:required Σ1..1CodeableConceptClassification of service
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.



Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: 108290001
...... display1..1stringRepresentation defined by the system
Fixed Value: Radiation oncology AND/OR radiotherapy
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code SΣ1..1CodeableConceptWhat is being requested/ordered
Binding: ProcedureCodes(SNOMEDCT) (example): Codes for tests or services that can be carried out by a designated individual, organization or healthcare service. For laboratory, LOINC is preferred and a valueset using LOINC Order codes is available here.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: USCRS-33529
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiotherapy Course of Treatment (regime/therapy)
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... orderDetail ΣI0..*CodeableConceptAdditional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... subject SΣ1..1Reference(US Core Patient Profile)Individual or Entity the service is ordered for
... encounter Σ0..1Reference(Encounter)Encounter in which the request was created
... Slices for occurrence[x] Σ0..1PeriodWhen service should occur
Slice: Unordered, Closed by type:$this
.... occurrence[x]:occurrencePeriod SΣ0..1PeriodWhen service should occur
... authoredOn Σ0..1dateTimeDate request signed
... requester SΣ0..1Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)Who/what is requesting service
... performerType Σ0..1CodeableConceptPerformer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... performer Σ0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)Requested performer
... locationCode Σ0..*CodeableConceptRequested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference Σ0..*Reference(Location)Requested location
... reasonCode SΣ0..*CodeableConceptExplanation/Justification for procedure or service
Binding: Cancer Disorder Value Set (extensible)
... reasonReference SΣ0..*Reference(Condition)Explanation/Justification for service or service
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... supportingInfo 0..*Reference(Resource)Additional clinical information
... bodySite SΣ0..*CodeableConceptBody site that is treated with Radiotherapy
Binding: Radiotherapy Treatment Location Value Set (required)
... note S0..*AnnotationComments
... patientInstruction Σ0..1stringPatient or consumer-oriented instructions
... relevantHistory 0..*Reference(Provenance)Request provenance

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
ServiceRequest.languagepreferredCommonLanguages
Max Binding: AllLanguages
ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x]requiredRadiotherapyModalityVS
ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x]requiredRadiotherapyTechniqueVS
ServiceRequest.identifier.userequiredIdentifierUse
ServiceRequest.identifier.typeextensibleIdentifier Type Codes
ServiceRequest.statusrequiredRequestStatus
ServiceRequest.intentrequiredPattern: original-order
ServiceRequest.categoryexampleServiceRequestCategoryCodes
ServiceRequest.category:requiredexamplePattern: SNOMED CT code 108290001("Radiation oncology AND/OR radiotherapy")
ServiceRequest.priorityrequiredRequestPriority
ServiceRequest.codeexamplePattern: USCRS-33529("Radiotherapy Course of Treatment (regime/therapy)")
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
ServiceRequest.performerTypeexampleParticipantRoles
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeextensibleCancerDisorderVS
ServiceRequest.bodySiterequiredRadiotherapyTreatmentLocationVS