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
@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:CodeSystem;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "radiotherapy-cs"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>"
];
fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/radiotherapy"];
fhir:CodeSystem.version [ fhir:value "1.16.0"];
fhir:CodeSystem.name [ fhir:value "RadiotherapyCS"];
fhir:CodeSystem.title [ fhir:value "Radiotherapy Code System"];
fhir:CodeSystem.status [ fhir:value "active"];
fhir:CodeSystem.date [ fhir:value "2021-04-15T12:44:45+00:00"^^xsd:dateTime];
fhir:CodeSystem.publisher [ fhir:value "HL7 International Clinical Interoperability Council"];
fhir:CodeSystem.contact [
fhir:index 0;
fhir:ContactDetail.name [ fhir:value "HL7 International Clinical Interoperability Council" ];
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:index 1;
fhir:ContactPoint.system [ fhir:value "email" ];
fhir:ContactPoint.value [ fhir:value "ciclist@lists.HL7.org" ] ]
];
fhir:CodeSystem.description [ fhir:value "Concepts used in association with radiotherapy profiles in mCODE, where terms could not be found in standard sources such as SNOMED CT."];
fhir:CodeSystem.jurisdiction [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
fhir:Coding.code [ fhir:value "US" ];
fhir:Coding.display [ fhir:value "United States of America" ] ]
];
fhir:CodeSystem.content [ fhir:value "complete"];
fhir:CodeSystem.count [ fhir:value "21"^^xsd:nonNegativeInteger];
fhir:CodeSystem.concept [
fhir:index 0;
fhir:CodeSystem.concept.code [ fhir:value "LDR-PERM" ];
fhir:CodeSystem.concept.display [ fhir:value "Low Dose Rate Brachytherapy - Permanent Placement" ];
fhir:CodeSystem.concept.definition [ fhir:value "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)." ]
], [
fhir:index 1;
fhir:CodeSystem.concept.code [ fhir:value "LDR-TEMP" ];
fhir:CodeSystem.concept.display [ fhir:value "Low Dose Rate Brachytherapy - Temporary Placement" ];
fhir:CodeSystem.concept.definition [ fhir:value "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)." ]
], [
fhir:index 2;
fhir:CodeSystem.concept.code [ fhir:value "3D" ];
fhir:CodeSystem.concept.display [ fhir:value "Three Dimensional" ];
fhir:CodeSystem.concept.definition [ fhir:value "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." ]
], [
fhir:index 3;
fhir:CodeSystem.concept.code [ fhir:value "PPS" ];
fhir:CodeSystem.concept.display [ fhir:value "Particle Passive Scattering" ];
fhir:CodeSystem.concept.definition [ fhir:value "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." ]
], [
fhir:index 4;
fhir:CodeSystem.concept.code [ fhir:value "PSS" ];
fhir:CodeSystem.concept.display [ fhir:value "Particle Spot Scanning" ];
fhir:CodeSystem.concept.definition [ fhir:value "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." ]
], [
fhir:index 5;
fhir:CodeSystem.concept.code [ fhir:value "MIX" ];
fhir:CodeSystem.concept.display [ fhir:value "Mixed" ];
fhir:CodeSystem.concept.definition [ fhir:value "Both photon and particle based beams are used to deliver the radiation therapy." ]
], [
fhir:index 6;
fhir:CodeSystem.concept.code [ fhir:value "CAV-IMB" ];
fhir:CodeSystem.concept.display [ fhir:value "Intracavitary, Intensity Modulated" ];
fhir:CodeSystem.concept.definition [ fhir:value "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." ]
], [
fhir:index 7;
fhir:CodeSystem.concept.code [ fhir:value "LN_AX_L1" ];
fhir:CodeSystem.concept.display [ fhir:value "Level 1 Axillary Lymph Nodes" ]
], [
fhir:index 8;
fhir:CodeSystem.concept.code [ fhir:value "LN_Ax_L2" ];
fhir:CodeSystem.concept.display [ fhir:value "Level 2 Axillary Lymph Nodes" ]
], [
fhir:index 9;
fhir:CodeSystem.concept.code [ fhir:value "LN_Ax_L3" ];
fhir:CodeSystem.concept.display [ fhir:value "Level 3 Axillary Lymph Nodes" ]
], [
fhir:index 10;
fhir:CodeSystem.concept.code [ fhir:value "LN_Neck_IA" ];
fhir:CodeSystem.concept.display [ fhir:value "Level IA (Submental) neck node" ]
], [
fhir:index 11;
fhir:CodeSystem.concept.code [ fhir:value "LN_Neck_IB" ];
fhir:CodeSystem.concept.display [ fhir:value "Level IB (Submandibular) neck node" ]
], [
fhir:index 12;
fhir:CodeSystem.concept.code [ fhir:value "LN_Neck_IIA" ];
fhir:CodeSystem.concept.display [ fhir:value "Level IIA (Upper Jugular) neck node" ]
], [
fhir:index 13;
fhir:CodeSystem.concept.code [ fhir:value "LN_Neck_IIB" ];
fhir:CodeSystem.concept.display [ fhir:value "Level IIB (Upper Jugular) neck node" ]
], [
fhir:index 14;
fhir:CodeSystem.concept.code [ fhir:value "LN_Neck_III" ];
fhir:CodeSystem.concept.display [ fhir:value "Level III (Middle Jugular) neck node" ]
], [
fhir:index 15;
fhir:CodeSystem.concept.code [ fhir:value "LN_Neck_IV" ];
fhir:CodeSystem.concept.display [ fhir:value "Level IV neck (Lower Jugular) node" ]
], [
fhir:index 16;
fhir:CodeSystem.concept.code [ fhir:value "LN_Neck_VA" ];
fhir:CodeSystem.concept.display [ fhir:value "Level VA (Posterior Triangle) neck node" ]
], [
fhir:index 17;
fhir:CodeSystem.concept.code [ fhir:value "LN_Neck_VB" ];
fhir:CodeSystem.concept.display [ fhir:value "Level VB (Posterior Triangle) neck node" ]
], [
fhir:index 18;
fhir:CodeSystem.concept.code [ fhir:value "LN_Neck_VC" ];
fhir:CodeSystem.concept.display [ fhir:value "Level VC (Posterior Triangle) neck node" ]
], [
fhir:index 19;
fhir:CodeSystem.concept.code [ fhir:value "LN_Neck_VI" ];
fhir:CodeSystem.concept.display [ fhir:value "Level VI (Anterior Triangle) neck node" ]
], [
fhir:index 20;
fhir:CodeSystem.concept.code [ fhir:value "LN_Neck_VII" ];
fhir:CodeSystem.concept.display [ fhir:value "Level VII (Upper Mediastinal) neck node" ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.