Usage

This profile is used to represent a prescription for a single treatment plan of radiotherapy. An overview of radiotherapy courses, phases, and treatment plans is shown here. In FHIR, the prescription for a treatment plan is represented as an original order, whereas the elaborated treatment plan is represented as filler order. The relationships between the various radiotherapy profiles are shown here.

Conformance

ServiceRequest resource instances whose code is SNOMEDCT 1255724003 (Radiotherapy treatment plan (regime/therapy)) and whose intent is http://hl7.org/fhir/request-intent#original-order “Original Order” MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "Radiotherapy without respiratory motion management (regime/therapy)" codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "Radiotherapy with free breathing (regime/therapy)"
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
respiratoryMotionManagement	S	0..*	CodeableConcept	Respiratory Motion Management URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management Binding: Radiotherapy Respiratory Motion Management Value Set (required)
freeBreathingMotionManagementTechnique	S	0..*	CodeableConcept	Free-Breathing Motion Management Technique URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (required)
modalityAndTechnique	S	0..1	(Complex)	Radiotherapy Modality And Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
radiotherapyEnergyOrIsotope	S	0..*	SimpleQuantity	Radiotherapy Energy or Isotope URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope Binding: Radiotherapy Energy Unit Value Set (required)
radiotherapyTreatmentApplicatorType	S	0..*	CodeableConcept	Radiotherapy Treatment Applicator Type URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type Binding: Brachytherapy Applicator Type Value Set (extensible)
imageGuidedRadiotherapyModality	S	0..*	(Complex)	Image Guided Radiotherapy Modality URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
radiotherapyFractionsPrescribed	S	1..1	positiveInt	Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed
radiotherapyDosePrescribedToVolume	S	0..*	(Complex)	Prescribed Dose to a Dose Reference URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
extension:fractions		0..0
radiotherapyReasonForRevisionOrAdaptation	S	0..*	CodeableConcept	Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (required)
Slices for identifier	S	2..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:use
identifier:displayName	S	1..1	Identifier	The name that is displayed to the user.
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: usual
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier:official	S	1..*	Identifier	A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
Slices for basedOn		0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills Slice: Unordered, Open by profile:$this.resolve()
basedOn:course-prescription	S	0..1	Reference(Radiotherapy Course Prescription)	Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
basedOn:phase-prescription	S	0..1	Reference(Radiotherapy Phase Prescription)	Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
replaces	S	0..*	Reference(Radiotherapy Plan Prescription)	Previous retired prescription that is replaced by this prescription
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: original-order
Slices for category	S	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by pattern:$this
category:required		1..1	CodeableConcept	Classification of service Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108290001
display		1..1	string	Representation defined by the system Fixed Value: Radiation oncology AND/OR radiotherapy
doNotPerform		0..0
code	S	1..1	CodeableConcept	What is being requested/ordered Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1255724003
display		1..1	string	Representation defined by the system Fixed Value: Radiotherapy treatment plan (regime/therapy)
quantity[x]		0..0
subject	S	1..1	Reference(US Core Patient Profile)	Individual or Entity the service is ordered for
asNeeded[x]		0..0
requester		0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)	Who/what is requesting service
Slices for performer	S	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer Slice: Unordered, Open by profile:$this.resolve()
performer:treatmentOrSeedDevice	S	0..*	Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device)	Radiotherapy Treatment Device or Seed Device used as part of therapy.
locationReference	S	0..*	Reference(US Core Location Profile)	Requested location
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Cancer Disorder Value Set (extensible)
reasonReference	S	0..*	Reference(Condition)	Explanation/Justification for service or service
specimen		0..0
bodySite	S	0..*	CodeableConcept	Body site that is treated with radiotherapy Binding: Radiotherapy Treatment Location Value Set (required)
locationQualifier		0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required)
lateralityQualifier		0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ServiceRequest.reasonCode	extensible	CancerDisorderVS
ServiceRequest.bodySite	required	RadiotherapyTreatmentLocationVS

Constraints

Id	Grade	Path(s)	Details	Requirements
codexrt-free-breathing-technique	error	ServiceRequest	The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "Radiotherapy with free breathing (regime/therapy)" : extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique') implies extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721071000124104' and system = 'http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs')))
codexrt-motion-management-none	error	ServiceRequest	If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "Radiotherapy without respiratory motion management (regime/therapy)" : extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721031000124102' and system = 'http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs'))) implies extension.where(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management').count() = 1

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "Radiotherapy without respiratory motion management (regime/therapy)" codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "Radiotherapy with free breathing (regime/therapy)"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
respiratoryMotionManagement	S	0..*	CodeableConcept	Respiratory Motion Management URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management Binding: Radiotherapy Respiratory Motion Management Value Set (required)
freeBreathingMotionManagementTechnique	S	0..*	CodeableConcept	Free-Breathing Motion Management Technique URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (required)
modalityAndTechnique	SC	0..1	(Complex)	Radiotherapy Modality And Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
modality	S	1..1	CodeableConcept	Radiotherapy Modality Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
value[x]		1..1	CodeableConcept	Value of extension Binding: Radiotherapy Modality Value Set (required)
technique	S	0..*	CodeableConcept	Radiotherapy Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
value[x]		1..1	CodeableConcept	Value of extension Binding: Radiotherapy Technique Value Set (required)
radiotherapyEnergyOrIsotope	S	0..*	SimpleQuantity	Radiotherapy Energy or Isotope URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope Binding: Radiotherapy Energy Unit Value Set (required)
radiotherapyTreatmentApplicatorType	S	0..*	CodeableConcept	Radiotherapy Treatment Applicator Type URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type Binding: Brachytherapy Applicator Type Value Set (extensible)
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
imageGuidedRadiotherapyModality	SC	0..*	(Complex)	Image Guided Radiotherapy Modality URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
radiotherapyFractionsPrescribed	S	1..1	positiveInt	Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed
radiotherapyDosePrescribedToVolume	S	0..*	(Complex)	Prescribed Dose to a Dose Reference URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:volume	S	1..1	Extension	Volume targeted by the prescribed dose
extension		0..0
url		1..1	uri	"volume"
value[x]		1..1	Reference(Radiotherapy Volume)	Value of extension
extension:fractionDose	S	0..1	Extension	Radiation Dose Prescribed per Fraction
extension		0..0
url		1..1	uri	"fractionDose"
extension:totalDose	S	0..1	Extension	Total Radiation Dose Prescribed
extension		0..0
url		1..1	uri	"totalDose"
value[x]		1..1	Quantity	Value of extension Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Fixed Value: cGy
url		1..1	uri	"http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
radiotherapyReasonForRevisionOrAdaptation	S	0..*	CodeableConcept	Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	2..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:use
identifier:displayName	SΣ	1..1	Identifier	The name that is displayed to the user.
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:official	SΣ	1..*	Identifier	A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills Slice: Unordered, Open by profile:$this.resolve()
basedOn:course-prescription	SΣ	0..1	Reference(Radiotherapy Course Prescription)	Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
basedOn:phase-prescription	SΣ	0..1	Reference(Radiotherapy Phase Prescription)	Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
replaces	SΣ	0..*	Reference(Radiotherapy Plan Prescription)	Previous retired prescription that is replaced by this prescription
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: original-order
Slices for category	SΣ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:required	Σ	1..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108290001
display		1..1	string	Representation defined by the system Fixed Value: Radiation oncology AND/OR radiotherapy
code	SΣ	1..1	CodeableConcept	​What 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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1255724003
display		1..1	string	Representation defined by the system Fixed Value: Radiotherapy treatment plan (regime/therapy)
subject	SΣ	1..1	Reference(US Core Patient Profile)	Individual or Entity the service is ordered for
requester	Σ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)	Who/what is requesting service
Slices for performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer Slice: Unordered, Open by profile:$this.resolve()
performer:treatmentOrSeedDevice	SΣ	0..*	Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device)	Radiotherapy Treatment Device or Seed Device used as part of therapy.
locationReference	SΣ	0..*	Reference(US Core Location Profile)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Cancer Disorder Value Set (extensible)
reasonReference	SΣ	0..*	Reference(Condition)	Explanation/Justification for service or service
bodySite	SΣ	0..*	CodeableConcept	Body site that is treated with radiotherapy Binding: Radiotherapy Treatment Location Value Set (required)
locationQualifier		0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required)
lateralityQualifier		0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x]	required	RadiotherapyModalityVS
ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x]	required	RadiotherapyTechniqueVS
ServiceRequest.identifier:displayName.use	required	Pattern: usual
ServiceRequest.identifier:official.use	required	Pattern: official
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	Pattern: original-order
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.category:required	example	Pattern: SNOMED CT code 108290001("Radiation oncology AND/OR radiotherapy")
ServiceRequest.code	example	Pattern: SNOMED CT code 1255724003("Radiotherapy treatment plan (regime/therapy)")
ServiceRequest.reasonCode	extensible	CancerDisorderVS
ServiceRequest.bodySite	required	RadiotherapyTreatmentLocationVS

Constraints

Id	Grade	Path(s)	Details	Requirements
codexrt-free-breathing-technique	error	ServiceRequest	The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "Radiotherapy with free breathing (regime/therapy)" : extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique') implies extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721071000124104' and system = 'http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs')))
codexrt-motion-management-none	error	ServiceRequest	If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "Radiotherapy without respiratory motion management (regime/therapy)" : extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721031000124102' and system = 'http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs'))) implies extension.where(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management').count() = 1

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "Radiotherapy without respiratory motion management (regime/therapy)" codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "Radiotherapy with free breathing (regime/therapy)"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
respiratoryMotionManagement	S	0..*	CodeableConcept	Respiratory Motion Management URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management Binding: Radiotherapy Respiratory Motion Management Value Set (required)
freeBreathingMotionManagementTechnique	S	0..*	CodeableConcept	Free-Breathing Motion Management Technique URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (required)
modalityAndTechnique	SC	0..1	(Complex)	Radiotherapy Modality And Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
modality	S	1..1	CodeableConcept	Radiotherapy Modality Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
value[x]		1..1	CodeableConcept	Value of extension Binding: Radiotherapy Modality Value Set (required)
technique	S	0..*	CodeableConcept	Radiotherapy Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
value[x]		1..1	CodeableConcept	Value of extension Binding: Radiotherapy Technique Value Set (required)
radiotherapyEnergyOrIsotope	S	0..*	SimpleQuantity	Radiotherapy Energy or Isotope URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope Binding: Radiotherapy Energy Unit Value Set (required)
radiotherapyTreatmentApplicatorType	S	0..*	CodeableConcept	Radiotherapy Treatment Applicator Type URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type Binding: Brachytherapy Applicator Type Value Set (extensible)
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
imageGuidedRadiotherapyModality	SC	0..*	(Complex)	Image Guided Radiotherapy Modality URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
radiotherapyFractionsPrescribed	S	1..1	positiveInt	Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed
radiotherapyDosePrescribedToVolume	S	0..*	(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..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:volume	S	1..1	Extension	Volume targeted by the prescribed dose
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"volume"
value[x]		1..1	Reference(Radiotherapy Volume)	Value of extension
extension:fractionDose	S	0..1	Extension	Radiation Dose Prescribed per Fraction
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"fractionDose"
value[x]		0..1	Quantity	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Fixed Value: cGy
extension:totalDose	S	0..1	Extension	Total Radiation Dose Prescribed
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"totalDose"
value[x]		1..1	Quantity	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Fixed Value: cGy
url		1..1	uri	"http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
radiotherapyReasonForRevisionOrAdaptation	S	0..*	CodeableConcept	Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	2..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:use
identifier:displayName	SΣ	1..1	Identifier	The name that is displayed to the user.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	0..1	CodeableConcept	Description 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	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:official	SΣ	1..*	Identifier	A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description 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	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills Slice: Unordered, Open by profile:$this.resolve()
basedOn:course-prescription	SΣ	0..1	Reference(Radiotherapy Course Prescription)	Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
basedOn:phase-prescription	SΣ	0..1	Reference(Radiotherapy Phase Prescription)	Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
replaces	SΣ	0..*	Reference(Radiotherapy Plan Prescription)	Previous retired prescription that is replaced by this prescription
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: original-order
Slices for category	SΣ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:required	Σ	1..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108290001
display		1..1	string	Representation defined by the system Fixed Value: Radiation oncology AND/OR radiotherapy
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
code	SΣ	1..1	CodeableConcept	​What 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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1255724003
display		1..1	string	Representation defined by the system Fixed Value: Radiotherapy treatment plan (regime/therapy)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
subject	SΣ	1..1	Reference(US Core Patient Profile)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
Slices for performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer Slice: Unordered, Open by profile:$this.resolve()
performer:treatmentOrSeedDevice	SΣ	0..*	Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device)	Radiotherapy Treatment Device or Seed Device used as part of therapy.
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	SΣ	0..*	Reference(US Core Location Profile)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Cancer Disorder Value Set (extensible)
reasonReference	SΣ	0..*	Reference(Condition)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
bodySite	SΣ	0..*	CodeableConcept	Body site that is treated with radiotherapy Binding: Radiotherapy Treatment Location Value Set (required)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
locationQualifier		0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required)
lateralityQualifier		0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x]	required	RadiotherapyModalityVS
ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x]	required	RadiotherapyTechniqueVS
ServiceRequest.identifier:displayName.use	required	Pattern: usual
ServiceRequest.identifier:displayName.type	extensible	Identifier Type Codes
ServiceRequest.identifier:official.use	required	Pattern: official
ServiceRequest.identifier:official.type	extensible	Identifier Type Codes
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	Pattern: original-order
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.category:required	example	Pattern: SNOMED CT code 108290001("Radiation oncology AND/OR radiotherapy")
ServiceRequest.priority	required	RequestPriority
ServiceRequest.code	example	Pattern: SNOMED CT code 1255724003("Radiotherapy treatment plan (regime/therapy)")
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes
ServiceRequest.performerType	example	ParticipantRoles
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	extensible	CancerDisorderVS
ServiceRequest.bodySite	required	RadiotherapyTreatmentLocationVS

Differential View

This structure is derived from ServiceRequest

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "Radiotherapy without respiratory motion management (regime/therapy)" codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "Radiotherapy with free breathing (regime/therapy)"
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
respiratoryMotionManagement	S	0..*	CodeableConcept	Respiratory Motion Management URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management Binding: Radiotherapy Respiratory Motion Management Value Set (required)
freeBreathingMotionManagementTechnique	S	0..*	CodeableConcept	Free-Breathing Motion Management Technique URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (required)
modalityAndTechnique	S	0..1	(Complex)	Radiotherapy Modality And Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
radiotherapyEnergyOrIsotope	S	0..*	SimpleQuantity	Radiotherapy Energy or Isotope URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope Binding: Radiotherapy Energy Unit Value Set (required)
radiotherapyTreatmentApplicatorType	S	0..*	CodeableConcept	Radiotherapy Treatment Applicator Type URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type Binding: Brachytherapy Applicator Type Value Set (extensible)
imageGuidedRadiotherapyModality	S	0..*	(Complex)	Image Guided Radiotherapy Modality URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
radiotherapyFractionsPrescribed	S	1..1	positiveInt	Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed
radiotherapyDosePrescribedToVolume	S	0..*	(Complex)	Prescribed Dose to a Dose Reference URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
extension:fractions		0..0
radiotherapyReasonForRevisionOrAdaptation	S	0..*	CodeableConcept	Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (required)
Slices for identifier	S	2..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:use
identifier:displayName	S	1..1	Identifier	The name that is displayed to the user.
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: usual
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier:official	S	1..*	Identifier	A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
use		1..1	code	usual | official | temp | secondary | old (If known) Required Pattern: official
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
Slices for basedOn		0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills Slice: Unordered, Open by profile:$this.resolve()
basedOn:course-prescription	S	0..1	Reference(Radiotherapy Course Prescription)	Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
basedOn:phase-prescription	S	0..1	Reference(Radiotherapy Phase Prescription)	Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
replaces	S	0..*	Reference(Radiotherapy Plan Prescription)	Previous retired prescription that is replaced by this prescription
status	S	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown
intent	S	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: original-order
Slices for category	S	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by pattern:$this
category:required		1..1	CodeableConcept	Classification of service Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108290001
display		1..1	string	Representation defined by the system Fixed Value: Radiation oncology AND/OR radiotherapy
doNotPerform		0..0
code	S	1..1	CodeableConcept	What is being requested/ordered Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1255724003
display		1..1	string	Representation defined by the system Fixed Value: Radiotherapy treatment plan (regime/therapy)
quantity[x]		0..0
subject	S	1..1	Reference(US Core Patient Profile)	Individual or Entity the service is ordered for
asNeeded[x]		0..0
requester		0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)	Who/what is requesting service
Slices for performer	S	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer Slice: Unordered, Open by profile:$this.resolve()
performer:treatmentOrSeedDevice	S	0..*	Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device)	Radiotherapy Treatment Device or Seed Device used as part of therapy.
locationReference	S	0..*	Reference(US Core Location Profile)	Requested location
reasonCode	S	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Cancer Disorder Value Set (extensible)
reasonReference	S	0..*	Reference(Condition)	Explanation/Justification for service or service
specimen		0..0
bodySite	S	0..*	CodeableConcept	Body site that is treated with radiotherapy Binding: Radiotherapy Treatment Location Value Set (required)
locationQualifier		0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required)
lateralityQualifier		0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
ServiceRequest.reasonCode	extensible	CancerDisorderVS
ServiceRequest.bodySite	required	RadiotherapyTreatmentLocationVS

Constraints

Id	Grade	Path(s)	Details	Requirements
codexrt-free-breathing-technique	error	ServiceRequest	The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "Radiotherapy with free breathing (regime/therapy)" : extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique') implies extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721071000124104' and system = 'http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs')))
codexrt-motion-management-none	error	ServiceRequest	If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "Radiotherapy without respiratory motion management (regime/therapy)" : extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721031000124102' and system = 'http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs'))) implies extension.where(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management').count() = 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "Radiotherapy without respiratory motion management (regime/therapy)" codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "Radiotherapy with free breathing (regime/therapy)"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
respiratoryMotionManagement	S	0..*	CodeableConcept	Respiratory Motion Management URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management Binding: Radiotherapy Respiratory Motion Management Value Set (required)
freeBreathingMotionManagementTechnique	S	0..*	CodeableConcept	Free-Breathing Motion Management Technique URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (required)
modalityAndTechnique	SC	0..1	(Complex)	Radiotherapy Modality And Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
modality	S	1..1	CodeableConcept	Radiotherapy Modality Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
value[x]		1..1	CodeableConcept	Value of extension Binding: Radiotherapy Modality Value Set (required)
technique	S	0..*	CodeableConcept	Radiotherapy Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
value[x]		1..1	CodeableConcept	Value of extension Binding: Radiotherapy Technique Value Set (required)
radiotherapyEnergyOrIsotope	S	0..*	SimpleQuantity	Radiotherapy Energy or Isotope URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope Binding: Radiotherapy Energy Unit Value Set (required)
radiotherapyTreatmentApplicatorType	S	0..*	CodeableConcept	Radiotherapy Treatment Applicator Type URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type Binding: Brachytherapy Applicator Type Value Set (extensible)
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
imageGuidedRadiotherapyModality	SC	0..*	(Complex)	Image Guided Radiotherapy Modality URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
radiotherapyFractionsPrescribed	S	1..1	positiveInt	Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed
radiotherapyDosePrescribedToVolume	S	0..*	(Complex)	Prescribed Dose to a Dose Reference URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:volume	S	1..1	Extension	Volume targeted by the prescribed dose
extension		0..0
url		1..1	uri	"volume"
value[x]		1..1	Reference(Radiotherapy Volume)	Value of extension
extension:fractionDose	S	0..1	Extension	Radiation Dose Prescribed per Fraction
extension		0..0
url		1..1	uri	"fractionDose"
extension:totalDose	S	0..1	Extension	Total Radiation Dose Prescribed
extension		0..0
url		1..1	uri	"totalDose"
value[x]		1..1	Quantity	Value of extension Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Fixed Value: cGy
url		1..1	uri	"http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
radiotherapyReasonForRevisionOrAdaptation	S	0..*	CodeableConcept	Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	2..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:use
identifier:displayName	SΣ	1..1	Identifier	The name that is displayed to the user.
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:official	SΣ	1..*	Identifier	A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills Slice: Unordered, Open by profile:$this.resolve()
basedOn:course-prescription	SΣ	0..1	Reference(Radiotherapy Course Prescription)	Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
basedOn:phase-prescription	SΣ	0..1	Reference(Radiotherapy Phase Prescription)	Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
replaces	SΣ	0..*	Reference(Radiotherapy Plan Prescription)	Previous retired prescription that is replaced by this prescription
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: original-order
Slices for category	SΣ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:required	Σ	1..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108290001
display		1..1	string	Representation defined by the system Fixed Value: Radiation oncology AND/OR radiotherapy
code	SΣ	1..1	CodeableConcept	​What 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
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1255724003
display		1..1	string	Representation defined by the system Fixed Value: Radiotherapy treatment plan (regime/therapy)
subject	SΣ	1..1	Reference(US Core Patient Profile)	Individual or Entity the service is ordered for
requester	Σ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)	Who/what is requesting service
Slices for performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer Slice: Unordered, Open by profile:$this.resolve()
performer:treatmentOrSeedDevice	SΣ	0..*	Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device)	Radiotherapy Treatment Device or Seed Device used as part of therapy.
locationReference	SΣ	0..*	Reference(US Core Location Profile)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Cancer Disorder Value Set (extensible)
reasonReference	SΣ	0..*	Reference(Condition)	Explanation/Justification for service or service
bodySite	SΣ	0..*	CodeableConcept	Body site that is treated with radiotherapy Binding: Radiotherapy Treatment Location Value Set (required)
locationQualifier		0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required)
lateralityQualifier		0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x]	required	RadiotherapyModalityVS
ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x]	required	RadiotherapyTechniqueVS
ServiceRequest.identifier:displayName.use	required	Pattern: usual
ServiceRequest.identifier:official.use	required	Pattern: official
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	Pattern: original-order
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.category:required	example	Pattern: SNOMED CT code 108290001("Radiation oncology AND/OR radiotherapy")
ServiceRequest.code	example	Pattern: SNOMED CT code 1255724003("Radiotherapy treatment plan (regime/therapy)")
ServiceRequest.reasonCode	extensible	CancerDisorderVS
ServiceRequest.bodySite	required	RadiotherapyTreatmentLocationVS

Constraints

Id	Grade	Path(s)	Details	Requirements
codexrt-free-breathing-technique	error	ServiceRequest	The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "Radiotherapy with free breathing (regime/therapy)" : extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique') implies extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721071000124104' and system = 'http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs')))
codexrt-motion-management-none	error	ServiceRequest	If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "Radiotherapy without respiratory motion management (regime/therapy)" : extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721031000124102' and system = 'http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs'))) implies extension.where(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management').count() = 1

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ServiceRequest	C	0..*	ServiceRequest	A request for a service to be performed codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "Radiotherapy without respiratory motion management (regime/therapy)" codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "Radiotherapy with free breathing (regime/therapy)"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Open by value:url
respiratoryMotionManagement	S	0..*	CodeableConcept	Respiratory Motion Management URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management Binding: Radiotherapy Respiratory Motion Management Value Set (required)
freeBreathingMotionManagementTechnique	S	0..*	CodeableConcept	Free-Breathing Motion Management Technique URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (required)
modalityAndTechnique	SC	0..1	(Complex)	Radiotherapy Modality And Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
modality	S	1..1	CodeableConcept	Radiotherapy Modality Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
value[x]		1..1	CodeableConcept	Value of extension Binding: Radiotherapy Modality Value Set (required)
technique	S	0..*	CodeableConcept	Radiotherapy Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
value[x]		1..1	CodeableConcept	Value of extension Binding: Radiotherapy Technique Value Set (required)
radiotherapyEnergyOrIsotope	S	0..*	SimpleQuantity	Radiotherapy Energy or Isotope URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope Binding: Radiotherapy Energy Unit Value Set (required)
radiotherapyTreatmentApplicatorType	S	0..*	CodeableConcept	Radiotherapy Treatment Applicator Type URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type Binding: Brachytherapy Applicator Type Value Set (extensible)
url		1..1	uri	"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
imageGuidedRadiotherapyModality	SC	0..*	(Complex)	Image Guided Radiotherapy Modality URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
radiotherapyFractionsPrescribed	S	1..1	positiveInt	Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed
radiotherapyDosePrescribedToVolume	S	0..*	(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..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:volume	S	1..1	Extension	Volume targeted by the prescribed dose
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"volume"
value[x]		1..1	Reference(Radiotherapy Volume)	Value of extension
extension:fractionDose	S	0..1	Extension	Radiation Dose Prescribed per Fraction
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"fractionDose"
value[x]		0..1	Quantity	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Fixed Value: cGy
extension:totalDose	S	0..1	Extension	Total Radiation Dose Prescribed
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"totalDose"
value[x]		1..1	Quantity	Value of extension Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		1..1	code	Coded form of the unit Fixed Value: cGy
url		1..1	uri	"http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
radiotherapyReasonForRevisionOrAdaptation	S	0..*	CodeableConcept	Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (required)
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	2..*	Identifier	Identifiers assigned to this order Slice: Unordered, Open by value:use
identifier:displayName	SΣ	1..1	Identifier	The name that is displayed to the user.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: usual
type	Σ	0..1	CodeableConcept	Description 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	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:official	SΣ	1..*	Identifier	A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Required Pattern: official
type	Σ	0..1	CodeableConcept	Description 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	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
instantiatesCanonical	Σ	0..*	canonical(ActivityDefinition | PlanDefinition)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
Slices for basedOn	Σ	0..*	Reference(CarePlan | ServiceRequest | MedicationRequest)	What request fulfills Slice: Unordered, Open by profile:$this.resolve()
basedOn:course-prescription	SΣ	0..1	Reference(Radiotherapy Course Prescription)	Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
basedOn:phase-prescription	SΣ	0..1	Reference(Radiotherapy Phase Prescription)	Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases).
replaces	SΣ	0..*	Reference(Radiotherapy Plan Prescription)	Previous retired prescription that is replaced by this prescription
requisition	Σ	0..1	Identifier	Composite Request ID
status	?!SΣ	1..1	code	draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order.
intent	?!SΣ	1..1	code	proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: original-order
Slices for category	SΣ	1..*	CodeableConcept	Classification of service Slice: Unordered, Open by pattern:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.
category:required	Σ	1..1	CodeableConcept	Classification of service Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 108290001
display		1..1	string	Representation defined by the system Fixed Value: Radiation oncology AND/OR radiotherapy
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
code	SΣ	1..1	CodeableConcept	​What 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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1255724003
display		1..1	string	Representation defined by the system Fixed Value: Radiotherapy treatment plan (regime/therapy)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
orderDetail	ΣC	0..*	CodeableConcept	Additional order information Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.
subject	SΣ	1..1	Reference(US Core Patient Profile)	Individual or Entity the service is ordered for
encounter	Σ	0..1	Reference(Encounter)	Encounter in which the request was created
occurrence[x]	Σ	0..1		When service should occur
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
authoredOn	Σ	0..1	dateTime	Date request signed
requester	Σ	0..1	Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile)	Who/what is requesting service
performerType	Σ	0..1	CodeableConcept	Performer role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
Slices for performer	SΣ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)	Requested performer Slice: Unordered, Open by profile:$this.resolve()
performer:treatmentOrSeedDevice	SΣ	0..*	Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device)	Radiotherapy Treatment Device or Seed Device used as part of therapy.
locationCode	Σ	0..*	CodeableConcept	Requested location Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.
locationReference	SΣ	0..*	Reference(US Core Location Profile)	Requested location
reasonCode	SΣ	0..*	CodeableConcept	Explanation/Justification for procedure or service Binding: Cancer Disorder Value Set (extensible)
reasonReference	SΣ	0..*	Reference(Condition)	Explanation/Justification for service or service
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
supportingInfo		0..*	Reference(Resource)	Additional clinical information
bodySite	SΣ	0..*	CodeableConcept	Body site that is treated with radiotherapy Binding: Radiotherapy Treatment Location Value Set (required)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
locationQualifier		0..*	CodeableConcept	General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required)
lateralityQualifier		0..1	CodeableConcept	Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
note		0..*	Annotation	Comments
patientInstruction	Σ	0..1	string	Patient or consumer-oriented instructions
relevantHistory		0..*	Reference(Provenance)	Request provenance
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
ServiceRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x]	required	RadiotherapyModalityVS
ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x]	required	RadiotherapyTechniqueVS
ServiceRequest.identifier:displayName.use	required	Pattern: usual
ServiceRequest.identifier:displayName.type	extensible	Identifier Type Codes
ServiceRequest.identifier:official.use	required	Pattern: official
ServiceRequest.identifier:official.type	extensible	Identifier Type Codes
ServiceRequest.status	required	RequestStatus
ServiceRequest.intent	required	Pattern: original-order
ServiceRequest.category	example	ServiceRequestCategoryCodes
ServiceRequest.category:required	example	Pattern: SNOMED CT code 108290001("Radiation oncology AND/OR radiotherapy")
ServiceRequest.priority	required	RequestPriority
ServiceRequest.code	example	Pattern: SNOMED CT code 1255724003("Radiotherapy treatment plan (regime/therapy)")
ServiceRequest.orderDetail	example	ServiceRequestOrderDetailsCodes
ServiceRequest.performerType	example	ParticipantRoles
ServiceRequest.locationCode	example	ServiceDeliveryLocationRoleType
ServiceRequest.reasonCode	extensible	CancerDisorderVS
ServiceRequest.bodySite	required	RadiotherapyTreatmentLocationVS

This structure is derived from ServiceRequest

Summary

Mandatory: 13 elements
Must-Support: 31 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

• Radiotherapy Course Prescription (http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-prescription)
• Radiotherapy Phase Prescription (http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-phase-prescription)
• Radiotherapy Plan Prescription (http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-plan-prescription)
• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
• US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
• US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
• Radiotherapy Treatment Device (http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-device)
• Radiotherapy Seed Device (http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-seed-device)
• US Core Location Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-location)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management
• http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique
• http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
• http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
• http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type
• http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
• http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed
• http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
• http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-reason-for-revision-or-adaptation
• http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
• http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier

Slices

This structure defines the following Slices:

• The element ServiceRequest.identifier is sliced based on the value of value:use
• The element ServiceRequest.basedOn is sliced based on the value of profile:$this.resolve()
• The element ServiceRequest.category is sliced based on the value of pattern:$this
• The element ServiceRequest.performer is sliced based on the value of profile:$this.resolve()