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 Treated Plan

Defining URL:http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treated-plan
Version:1.0.0-ballot
Name:RadiotherapyTreatedPlan
Title:Radiotherapy Treated Plan
Status:Draft as of 2022-08-08 02:42:13+0000
Definition:

A summary of Radiotherapy treatment delivered with a single Radiotherapy Treatment Plan.

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-treated-plan

Formal Views of Profile Content

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

This structure is derived from USCoreProcedureProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure I0..*USCoreProcedureProfileAn action that is being or was performed on a patient
codexrt-procedure-status: Only the following status values are supported for Radiotherapy Summaries: in-progress | not-done | on-hold | stopped | completed
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... modalityAndTechnique S0..1(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)
... fractionsDelivered S0..1unsignedIntNumber of Fractions Delivered
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered
.... extension:totalDoseDelivered 0..1ExtensionExtension
.... extension:fractionsDelivered 0..0
... radiotherapy-dicom-record 0..*(Complex)DICOM Treatment Record
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference
... basedOn S0..*Reference(CarePlan | ServiceRequest)Should Reference a Radiotherapy Treatment Plan
... partOf S0..*Reference(Radiotherapy Treated Phase | Radiotherapy Course Summary)Part of referenced event
... category 0..1CodeableConceptClassification of the procedure
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
... code 1..1CodeableConceptIdentification of the procedure
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/codex-radiation-therapy/CodeSystem/snomed-requested-cs
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: USCRS-33951
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiotherapy Treatment Plan (therapy/regime)
... subject 1..1Reference(Cancer Patient Profile)Who the procedure was performed on
... performed[x] 1..1PeriodWhen the procedure was performed
Slice: Unordered, Open by type:$this
... performedPeriod 1..1PeriodWhen the procedure was performed
.... start S0..1dateTimeThe date and time when the first therapeutic radiation was delivered.
.... end S0..1dateTimeAn end date is expected if the status is 'stopped' or 'completed'
... reasonCode S0..*CodeableConceptCoded reason procedure performed
Binding: Cancer Disorder Value Set (extensible)
... bodySite 0..*CodeableConceptAll body structure(s) treated with this plan
Binding: Radiotherapy Treatment Location Value Set (required)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure I0..*USCoreProcedureProfileAn action that is being or was performed on a patient
codexrt-procedure-status: Only the following status values are supported for Radiotherapy Summaries: in-progress | not-done | on-hold | stopped | completed
... 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 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... modalityAndTechnique SI0..1(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"
... fractionsDelivered S0..1unsignedIntNumber of Fractions Delivered
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered
... doseDeliveredToVolume S0..*(Complex)Radiotherapy Dose Delivered To Volume Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-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 in the body where radiation was delivered
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"volume"
..... value[x] 0..1Reference(Radiotherapy Volume Profile)Value of extension
.... extension:totalDoseDelivered S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"totalDoseDelivered"
..... Slices for value[x] 0..1QuantityValue of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity 0..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
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
... radiotherapy-dicom-record 0..*(Complex)DICOM Treatment Record
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
... instantiatesCanonical Σ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn SΣ0..*Reference(CarePlan | ServiceRequest)Should Reference a Radiotherapy Treatment Plan
... partOf SΣ0..*Reference(Radiotherapy Treated Phase | Radiotherapy Course Summary)Part of referenced event
... status ?!SΣ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required)
... statusReason Σ0..1CodeableConceptReason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ0..1CodeableConceptClassification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.


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
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptIdentification of the procedure
Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure


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/codex-radiation-therapy/CodeSystem/snomed-requested-cs
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: USCRS-33951
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiotherapy Treatment Plan (therapy/regime)
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(Cancer Patient Profile)Who the procedure was performed on
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... Slices for performed[x] SΣ1..1PeriodWhen the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedPeriod SΣ1..1PeriodWhen the procedure was performed
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣI0..1dateTimeThe date and time when the first therapeutic radiation was delivered.
..... end SΣI0..1dateTimeAn end date is expected if the status is 'stopped' or 'completed'
... recorder Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)The reference to the practitioner
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ0..1Reference(Location)Where the procedure happened
... reasonCode SΣ0..*CodeableConceptCoded reason procedure performed
Binding: Cancer Disorder Value Set (extensible)
... reasonReference Σ0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)The justification that the procedure was performed
... bodySite Σ0..*CodeableConceptAll body structure(s) treated with this plan
Binding: Radiotherapy Treatment Location Value Set (required)
... outcome Σ0..1CodeableConceptThe result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
... complication 0..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... complicationDetail 0..*Reference(Condition)A condition that is a result of the procedure
... followUp 0..*CodeableConceptInstructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..*AnnotationAdditional information about the procedure
... focalDevice 0..*BackboneElementManipulated, implanted, or removed device
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action 0..1CodeableConceptKind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Medication | Substance)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.



doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure I0..*USCoreProcedureProfileAn action that is being or was performed on a patient
codexrt-procedure-status: Only the following status values are supported for Radiotherapy Summaries: in-progress | not-done | on-hold | stopped | completed
... modalityAndTechnique I0..1(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)
... fractionsDelivered 0..1unsignedIntNumber of Fractions Delivered
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered
... doseDeliveredToVolume 0..*(Complex)Radiotherapy Dose Delivered To Volume Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... extension:volume 1..1ExtensionVolume in the body where radiation was delivered
.... extension:totalDoseDelivered 0..1ExtensionExtension
... partOf Σ0..*Reference(Radiotherapy Treated Phase | Radiotherapy Course Summary)Part of referenced event
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required)
... code Σ1..1CodeableConceptIdentification of the procedure
Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure


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/codex-radiation-therapy/CodeSystem/snomed-requested-cs
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: USCRS-33951
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiotherapy Treatment Plan (therapy/regime)
... subject Σ1..1Reference(Cancer Patient Profile)Who the procedure was performed on
... Slices for performed[x] Σ1..1PeriodWhen the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedPeriod Σ1..1PeriodWhen the procedure was performed
..... start ΣI0..1dateTimeThe date and time when the first therapeutic radiation was delivered.
..... end ΣI0..1dateTimeAn end date is expected if the status is 'stopped' or 'completed'
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: Cancer Disorder Value Set (extensible)

doco Documentation for this format

Differential View

This structure is derived from USCoreProcedureProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure I0..*USCoreProcedureProfileAn action that is being or was performed on a patient
codexrt-procedure-status: Only the following status values are supported for Radiotherapy Summaries: in-progress | not-done | on-hold | stopped | completed
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... modalityAndTechnique S0..1(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)
... fractionsDelivered S0..1unsignedIntNumber of Fractions Delivered
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered
.... extension:totalDoseDelivered 0..1ExtensionExtension
.... extension:fractionsDelivered 0..0
... radiotherapy-dicom-record 0..*(Complex)DICOM Treatment Record
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference
... basedOn S0..*Reference(CarePlan | ServiceRequest)Should Reference a Radiotherapy Treatment Plan
... partOf S0..*Reference(Radiotherapy Treated Phase | Radiotherapy Course Summary)Part of referenced event
... category 0..1CodeableConceptClassification of the procedure
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
... code 1..1CodeableConceptIdentification of the procedure
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/codex-radiation-therapy/CodeSystem/snomed-requested-cs
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: USCRS-33951
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiotherapy Treatment Plan (therapy/regime)
... subject 1..1Reference(Cancer Patient Profile)Who the procedure was performed on
... performed[x] 1..1PeriodWhen the procedure was performed
Slice: Unordered, Open by type:$this
... performedPeriod 1..1PeriodWhen the procedure was performed
.... start S0..1dateTimeThe date and time when the first therapeutic radiation was delivered.
.... end S0..1dateTimeAn end date is expected if the status is 'stopped' or 'completed'
... reasonCode S0..*CodeableConceptCoded reason procedure performed
Binding: Cancer Disorder Value Set (extensible)
... bodySite 0..*CodeableConceptAll body structure(s) treated with this plan
Binding: Radiotherapy Treatment Location Value Set (required)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure I0..*USCoreProcedureProfileAn action that is being or was performed on a patient
codexrt-procedure-status: Only the following status values are supported for Radiotherapy Summaries: in-progress | not-done | on-hold | stopped | completed
... 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 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... modalityAndTechnique SI0..1(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"
... fractionsDelivered S0..1unsignedIntNumber of Fractions Delivered
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered
... doseDeliveredToVolume S0..*(Complex)Radiotherapy Dose Delivered To Volume Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-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 in the body where radiation was delivered
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"volume"
..... value[x] 0..1Reference(Radiotherapy Volume Profile)Value of extension
.... extension:totalDoseDelivered S0..1ExtensionExtension
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"totalDoseDelivered"
..... Slices for value[x] 0..1QuantityValue of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity 0..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
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
... radiotherapy-dicom-record 0..*(Complex)DICOM Treatment Record
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
... instantiatesCanonical Σ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn SΣ0..*Reference(CarePlan | ServiceRequest)Should Reference a Radiotherapy Treatment Plan
... partOf SΣ0..*Reference(Radiotherapy Treated Phase | Radiotherapy Course Summary)Part of referenced event
... status ?!SΣ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required)
... statusReason Σ0..1CodeableConceptReason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category Σ0..1CodeableConceptClassification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.


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
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptIdentification of the procedure
Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure


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/codex-radiation-therapy/CodeSystem/snomed-requested-cs
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: USCRS-33951
..... display1..1stringRepresentation defined by the system
Fixed Value: Radiotherapy Treatment Plan (therapy/regime)
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(Cancer Patient Profile)Who the procedure was performed on
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... Slices for performed[x] SΣ1..1PeriodWhen the procedure was performed
Slice: Unordered, Closed by type:$this
.... performed[x]:performedPeriod SΣ1..1PeriodWhen the procedure was performed
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣI0..1dateTimeThe date and time when the first therapeutic radiation was delivered.
..... end SΣI0..1dateTimeAn end date is expected if the status is 'stopped' or 'completed'
... recorder Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)The reference to the practitioner
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ0..1Reference(Location)Where the procedure happened
... reasonCode SΣ0..*CodeableConceptCoded reason procedure performed
Binding: Cancer Disorder Value Set (extensible)
... reasonReference Σ0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)The justification that the procedure was performed
... bodySite Σ0..*CodeableConceptAll body structure(s) treated with this plan
Binding: Radiotherapy Treatment Location Value Set (required)
... outcome Σ0..1CodeableConceptThe result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
... complication 0..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... complicationDetail 0..*Reference(Condition)A condition that is a result of the procedure
... followUp 0..*CodeableConceptInstructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..*AnnotationAdditional information about the procedure
... focalDevice 0..*BackboneElementManipulated, implanted, or removed device
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action 0..1CodeableConceptKind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Medication | Substance)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.



doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Procedure.languagepreferredCommonLanguages
Max Binding: AllLanguages
Procedure.extension:modalityAndTechnique.extension:modality.value[x]requiredRadiotherapyModalityVS
Procedure.extension:modalityAndTechnique.extension:technique.value[x]requiredRadiotherapyTechniqueVS
Procedure.statusrequiredEventStatus
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
Procedure.categoryexamplePattern: SNOMED CT code 108290001
Procedure.codeextensiblePattern: USCRS-33951("Radiotherapy Treatment Plan (therapy/regime)")
Procedure.performer.functionexampleProcedurePerformerRoleCodes
Procedure.reasonCodeextensibleCancerDisorderVS
Procedure.bodySiterequiredRadiotherapyTreatmentLocationVS
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
Procedure.usedCodeexampleFHIRDeviceTypes

Constraints

IdGradePathDetailsRequirements
codexrt-procedure-statuserrorProcedureOnly the following status values are supported for Radiotherapy Summaries: in-progress | not-done | on-hold | stopped | completed
: status = 'in-progress' or status = 'not-done' or status = 'on-hold' or status = 'stopped' or status = 'completed'