HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v0.9.1: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
RadiationDosePerFraction

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:StructureDefinition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "obf-RadiationDosePerFraction-extension"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <p><b>RadiationDosePerFraction Extension</b></p>\n  <p>The amount of radiation administered during a single session (fraction) of radiation therapy therapy.</p>\n</div>"
  ];
  fhir:StructureDefinition.url [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-RadiationDosePerFraction-extension"];
  fhir:StructureDefinition.version [ fhir:value "0.9.1"];
  fhir:StructureDefinition.name [ fhir:value "RadiationDosePerFraction"];
  fhir:StructureDefinition.title [ fhir:value "obf-RadiationDosePerFraction"];
  fhir:StructureDefinition.status [ fhir:value "draft"];
  fhir:StructureDefinition.date [ fhir:value "2019-08-01T00:00:00-04:00"^^xsd:dateTime];
  fhir:StructureDefinition.publisher [ fhir:value "HL7 International Clinical Interoperability Council"];
  fhir:StructureDefinition.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cic" ]     ]
  ];
  fhir:StructureDefinition.description [ fhir:value "The amount of radiation administered during a single session (fraction) of radiation therapy therapy."];
  fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.0"];
  fhir:StructureDefinition.kind [ fhir:value "complex-type"];
  fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean];
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     fhir:StructureDefinition.context.type [ fhir:value "element" ];
     fhir:StructureDefinition.context.expression [ fhir:value "*" ]
  ];
  fhir:StructureDefinition.type [ fhir:value "Extension"];
  fhir:StructureDefinition.baseDefinition [
     fhir:value "http://hl7.org/fhir/StructureDefinition/Extension";
     fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
  ];
  fhir:StructureDefinition.derivation [ fhir:value "constraint"];
  fhir:StructureDefinition.snapshot [
     fhir:StructureDefinition.snapshot.element [
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       fhir:Element.id [ fhir:value "Extension" ];
       fhir:ElementDefinition.path [ fhir:value "Extension" ];
       fhir:ElementDefinition.short [ fhir:value "RadiationDosePerFraction" ];
       fhir:ElementDefinition.definition [ fhir:value "The amount of radiation administered during a single session (fraction) of radiation therapy therapy." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ];
       fhir:ElementDefinition.base [
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         fhir:ElementDefinition.base.max [ fhir:value "*" ]       ];
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         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ];
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         fhir:index 1;
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         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ];
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         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ];
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       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
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       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
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       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
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       fhir:ElementDefinition.base [
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       fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ];
       fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ];
       fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
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         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-RadiationDosePerFraction-extension" ];
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       fhir:ElementDefinition.short [ fhir:value "Value of extension" ];
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       fhir:ElementDefinition.base [
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         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]       ];
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         fhir:index 0;
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       fhir:ElementDefinition.path [ fhir:value "Extension.valueQuantity.id" ];
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr";
         fhir:index 0       ];
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ];
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ];
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       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ];
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       fhir:index 6;
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       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ];
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]         ];
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ];
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]       ];
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ];
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ];
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ];
       fhir:ElementDefinition.alias [
         fhir:value "extensions";
         fhir:index 0       ], [
         fhir:value "user content";
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       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
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       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
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       fhir:ElementDefinition.type [
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       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
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       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]       ]     ], [
       fhir:index 7;
       fhir:Element.id [ fhir:value "Extension.valueQuantity.value" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.valueQuantity.value" ];
       fhir:ElementDefinition.short [ fhir:value "Numerical value (with implicit precision)" ];
       fhir:ElementDefinition.definition [ fhir:value "The value of the measured amount. The value includes an implicit precision in the presentation of the value." ];
       fhir:ElementDefinition.comment [ fhir:value "The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books)." ];
       fhir:ElementDefinition.requirements [ fhir:value "Precision is handled implicitly in almost all cases of measurement." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Quantity.value" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
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         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "SN.2  / CQ - N/A" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value" ]       ]     ], [
       fhir:index 8;
       fhir:Element.id [ fhir:value "Extension.valueQuantity.comparator" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.valueQuantity.comparator" ];
       fhir:ElementDefinition.short [ fhir:value "< | <= | >= | > - how to understand the value" ];
       fhir:ElementDefinition.definition [ fhir:value "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is \"<\" , then the real value is < stated value." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
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       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Quantity.comparator" ];
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       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.meaningWhenMissing [ fhir:value "If there is no comparator, then there is no modification of the value" ];
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.isModifierReason [ fhir:value "This is labeled as \"Is Modifier\" because the comparator modifies the interpretation of the value significantly. If there is no comparator, then there is no modification of the value" ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
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         fhir:ElementDefinition.binding.strength [ fhir:value "required" ];
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         fhir:ElementDefinition.binding.valueSet [
           fhir:value "http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.0";
           fhir:link <http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.0>         ]       ];
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         fhir:ElementDefinition.mapping.map [ fhir:value "SN.1  / CQ.1" ]       ], [
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         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "IVL properties" ]       ]     ], [
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         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable" ];
         fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ];
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       fhir:ElementDefinition.short [ fhir:value "Unit representation" ];
       fhir:ElementDefinition.definition [ fhir:value "A human-readable form of the unit." ];
       fhir:ElementDefinition.requirements [ fhir:value "There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
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       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Quantity.unit" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
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       fhir:ElementDefinition.mapping [
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         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "(see OBX.6 etc.) / CQ.2" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "PQ.unit" ]       ]     ], [
       fhir:index 10;
       fhir:Element.id [ fhir:value "Extension.valueQuantity.system" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.valueQuantity.system" ];
       fhir:ElementDefinition.short [ fhir:value "System that defines coded unit form" ];
       fhir:ElementDefinition.definition [ fhir:value "The identification of the system that provides the coded form of the unit." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need to know the system that defines the coded form of the unit." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Quantity.system" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://unitsofmeasure.org" ];
       fhir:ElementDefinition.condition [
         fhir:value "qty-3";
         fhir:index 0       ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
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       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "(see OBX.6 etc.) / CQ.2" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "CO.codeSystem, PQ.translation.codeSystem" ]       ]     ], [
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       fhir:Element.id [ fhir:value "Extension.valueQuantity.code" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.valueQuantity.code" ];
       fhir:ElementDefinition.short [ fhir:value "Coded form of the unit" ];
       fhir:ElementDefinition.definition [ fhir:value "A computer processable form of the unit in some unit representation system." ];
       fhir:ElementDefinition.comment [ fhir:value "The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency.  The context of use may additionally require a code from a particular system." ];
       fhir:ElementDefinition.requirements [ fhir:value "Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "1" ];
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Quantity.code" ];
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
         fhir:ElementDefinition.base.max [ fhir:value "1" ]       ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "code" ]       ];
       fhir:ElementDefinition.fixedCode [ fhir:value "cGy" ];
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ];
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ];
       fhir:ElementDefinition.mapping [
         fhir:index 0;
         fhir:ElementDefinition.mapping.identity [ fhir:value "v2" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "(see OBX.6 etc.) / CQ.2" ]       ], [
         fhir:index 1;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ];
         fhir:ElementDefinition.mapping.map [ fhir:value "PQ.code, MO.currency, PQ.translation.code" ]       ]     ]
  ];
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index 0;
       fhir:Element.id [ fhir:value "Extension" ];
       fhir:ElementDefinition.path [ fhir:value "Extension" ];
       fhir:ElementDefinition.short [ fhir:value "RadiationDosePerFraction" ];
       fhir:ElementDefinition.definition [ fhir:value "The amount of radiation administered during a single session (fraction) of radiation therapy therapy." ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "*" ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.extension" ];
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.max [ fhir:value "0" ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "Extension.url" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.url" ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "uri" ]       ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://hl7.org/fhir/us/mcode/StructureDefinition/obf-RadiationDosePerFraction-extension" ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "Extension.valueQuantity" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.valueQuantity" ];
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:ElementDefinition.type [
         fhir:index 0;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]       ]     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "Extension.valueQuantity.system" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.valueQuantity.system" ];
       fhir:ElementDefinition.fixedUri [ fhir:value "http://unitsofmeasure.org" ]     ], [
       fhir:index 5;
       fhir:Element.id [ fhir:value "Extension.valueQuantity.code" ];
       fhir:ElementDefinition.path [ fhir:value "Extension.valueQuantity.code" ];
       fhir:ElementDefinition.fixedCode [ fhir:value "cGy" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.