minimal Common Oncology Data Elements (mCODE) Implementation Guide
1.16.0 - STU Release 2 (Ballot Version)

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v1.16.0: STU 2 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

: Radiotherapy Code System - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "radiotherapy-cs",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://terminology.hl7.org/CodeSystem/radiotherapy defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">LDR-PERM<a name=\"radiotherapy-cs-LDR-PERM\"> </a></td><td>Low Dose Rate Brachytherapy - Permanent Placement</td><td>Radiation treatment that irradiates a body volume with permanently placed radiation sources delivering low dose rates (typically less than or equal to 2 Gy/hour).</td></tr><tr><td style=\"white-space:nowrap\">LDR-TEMP<a name=\"radiotherapy-cs-LDR-TEMP\"> </a></td><td>Low Dose Rate Brachytherapy - Temporary Placement</td><td>Radiation treatment that irradiates a body volume with temporarily placed radiation sources delivering low dose rates (typically less than or equal to 2 Gy/hour).</td></tr><tr><td style=\"white-space:nowrap\">3D<a name=\"radiotherapy-cs-3D\"> </a></td><td>Three Dimensional</td><td>Dose calculated with projection onto 3D imaging (e.g., CT or MR) delivered with either static aperture (Collimator, SRS Cone, Static MLC, blocks, etc) or non-IMRT/VMAT dynamic apertures (e.g., field-in-field, dynamic arc) using either single gantry angles or arcs.</td></tr><tr><td style=\"white-space:nowrap\">PPS<a name=\"radiotherapy-cs-PPS\"> </a></td><td>Particle Passive Scattering</td><td>In proton or carbon ion beam therapy, a technique where the beam is spread out to larger dimension using a scattering device such as lead foil.</td></tr><tr><td style=\"white-space:nowrap\">PSS<a name=\"radiotherapy-cs-PSS\"> </a></td><td>Particle Spot Scanning</td><td>In proton or carbon ion beam therapy, a technique where accelerated particles are focused into a small beam and then moved (scanned) over target regions in the patient.</td></tr><tr><td style=\"white-space:nowrap\">MIX<a name=\"radiotherapy-cs-MIX\"> </a></td><td>Mixed</td><td>Both photon and particle based beams are used to deliver the radiation therapy.</td></tr><tr><td style=\"white-space:nowrap\">CAV-IMB<a name=\"radiotherapy-cs-CAV-IMB\"> </a></td><td>Intracavitary, Intensity Modulated</td><td>A technique of brachytherapy that dynamically directs the radiation into the tumours and away from healthy tissue, for example, by incorporation of metallic shields inside brachytherapy applicators.</td></tr><tr><td style=\"white-space:nowrap\">LN_AX_L1<a name=\"radiotherapy-cs-LN_AX_L1\"> </a></td><td>Level 1 Axillary Lymph Nodes</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Ax_L2<a name=\"radiotherapy-cs-LN_Ax_L2\"> </a></td><td>Level 2 Axillary Lymph Nodes</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Ax_L3<a name=\"radiotherapy-cs-LN_Ax_L3\"> </a></td><td>Level 3 Axillary Lymph Nodes</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Neck_IA<a name=\"radiotherapy-cs-LN_Neck_IA\"> </a></td><td>Level IA (Submental) neck node</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Neck_IB<a name=\"radiotherapy-cs-LN_Neck_IB\"> </a></td><td>Level IB (Submandibular) neck node</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Neck_IIA<a name=\"radiotherapy-cs-LN_Neck_IIA\"> </a></td><td>Level IIA (Upper Jugular) neck node</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Neck_IIB<a name=\"radiotherapy-cs-LN_Neck_IIB\"> </a></td><td>Level IIB (Upper Jugular) neck node</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Neck_III<a name=\"radiotherapy-cs-LN_Neck_III\"> </a></td><td>Level III (Middle Jugular) neck node</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Neck_IV<a name=\"radiotherapy-cs-LN_Neck_IV\"> </a></td><td>Level IV neck (Lower Jugular) node</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Neck_VA<a name=\"radiotherapy-cs-LN_Neck_VA\"> </a></td><td>Level VA (Posterior Triangle) neck node</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Neck_VB<a name=\"radiotherapy-cs-LN_Neck_VB\"> </a></td><td>Level VB (Posterior Triangle) neck node</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Neck_VC<a name=\"radiotherapy-cs-LN_Neck_VC\"> </a></td><td>Level VC (Posterior Triangle) neck node</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Neck_VI<a name=\"radiotherapy-cs-LN_Neck_VI\"> </a></td><td>Level VI (Anterior Triangle) neck node</td><td/></tr><tr><td style=\"white-space:nowrap\">LN_Neck_VII<a name=\"radiotherapy-cs-LN_Neck_VII\"> </a></td><td>Level VII (Upper Mediastinal) neck node</td><td/></tr></table></div>"
  },
  "url" : "http://terminology.hl7.org/CodeSystem/radiotherapy",
  "version" : "1.16.0",
  "name" : "RadiotherapyCS",
  "title" : "Radiotherapy Code System",
  "status" : "active",
  "date" : "2021-04-15T12:44:45+00:00",
  "publisher" : "HL7 International Clinical Interoperability Council",
  "contact" : [
    {
      "name" : "HL7 International Clinical Interoperability Council",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cic"
        },
        {
          "system" : "email",
          "value" : "ciclist@lists.HL7.org"
        }
      ]
    }
  ],
  "description" : "Concepts used in association with radiotherapy profiles in mCODE, where terms could not be found in standard sources such as SNOMED CT.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "content" : "complete",
  "count" : 21,
  "concept" : [
    {
      "code" : "LDR-PERM",
      "display" : "Low Dose Rate Brachytherapy - Permanent Placement",
      "definition" : "Radiation treatment that irradiates a body volume with permanently placed radiation sources delivering low dose rates (typically less than or equal to 2 Gy/hour)."
    },
    {
      "code" : "LDR-TEMP",
      "display" : "Low Dose Rate Brachytherapy - Temporary Placement",
      "definition" : "Radiation treatment that irradiates a body volume with temporarily placed radiation sources delivering low dose rates (typically less than or equal to 2 Gy/hour)."
    },
    {
      "code" : "3D",
      "display" : "Three Dimensional",
      "definition" : "Dose calculated with projection onto 3D imaging (e.g., CT or MR) delivered with either static aperture (Collimator, SRS Cone, Static MLC, blocks, etc) or non-IMRT/VMAT dynamic apertures (e.g., field-in-field, dynamic arc) using either single gantry angles or arcs."
    },
    {
      "code" : "PPS",
      "display" : "Particle Passive Scattering",
      "definition" : "In proton or carbon ion beam therapy, a technique where the beam is spread out to larger dimension using a scattering device such as lead foil."
    },
    {
      "code" : "PSS",
      "display" : "Particle Spot Scanning",
      "definition" : "In proton or carbon ion beam therapy, a technique where accelerated particles are focused into a small beam and then moved (scanned) over target regions in the patient."
    },
    {
      "code" : "MIX",
      "display" : "Mixed",
      "definition" : "Both photon and particle based beams are used to deliver the radiation therapy."
    },
    {
      "code" : "CAV-IMB",
      "display" : "Intracavitary, Intensity Modulated",
      "definition" : "A technique of brachytherapy that dynamically directs the radiation into the tumours and away from healthy tissue, for example, by incorporation of metallic shields inside brachytherapy applicators."
    },
    {
      "code" : "LN_AX_L1",
      "display" : "Level 1 Axillary Lymph Nodes"
    },
    {
      "code" : "LN_Ax_L2",
      "display" : "Level 2 Axillary Lymph Nodes"
    },
    {
      "code" : "LN_Ax_L3",
      "display" : "Level 3 Axillary Lymph Nodes"
    },
    {
      "code" : "LN_Neck_IA",
      "display" : "Level IA (Submental) neck node"
    },
    {
      "code" : "LN_Neck_IB",
      "display" : "Level IB (Submandibular) neck node"
    },
    {
      "code" : "LN_Neck_IIA",
      "display" : "Level IIA (Upper Jugular) neck node"
    },
    {
      "code" : "LN_Neck_IIB",
      "display" : "Level IIB (Upper Jugular) neck node"
    },
    {
      "code" : "LN_Neck_III",
      "display" : "Level III (Middle Jugular) neck node"
    },
    {
      "code" : "LN_Neck_IV",
      "display" : "Level IV neck (Lower Jugular) node"
    },
    {
      "code" : "LN_Neck_VA",
      "display" : "Level VA (Posterior Triangle) neck node"
    },
    {
      "code" : "LN_Neck_VB",
      "display" : "Level VB (Posterior Triangle) neck node"
    },
    {
      "code" : "LN_Neck_VC",
      "display" : "Level VC (Posterior Triangle) neck node"
    },
    {
      "code" : "LN_Neck_VI",
      "display" : "Level VI (Anterior Triangle) neck node"
    },
    {
      "code" : "LN_Neck_VII",
      "display" : "Level VII (Upper Mediastinal) neck node"
    }
  ]
}