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
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="radiotherapy-cs"/>
<text>
<status value="generated"/>
<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>
</text>
<url value="http://terminology.hl7.org/CodeSystem/radiotherapy"/>
<version value="1.16.0"/>
<name value="RadiotherapyCS"/>
<title value="Radiotherapy Code System"/>
<status value="active"/>
<date value="2021-04-15T12:44:45+00:00"/>
<publisher value="HL7 International Clinical Interoperability Council"/>
<contact>
<name value="HL7 International Clinical Interoperability Council"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cic"/>
</telecom>
<telecom>
<system value="email"/>
<value value="ciclist@lists.HL7.org"/>
</telecom>
</contact>
<description
value="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 value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<content value="complete"/>
<count value="21"/>
<concept>
<code value="LDR-PERM"/>
<display value="Low Dose Rate Brachytherapy - Permanent Placement"/>
<definition
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)."/>
</concept>
<concept>
<code value="LDR-TEMP"/>
<display value="Low Dose Rate Brachytherapy - Temporary Placement"/>
<definition
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)."/>
</concept>
<concept>
<code value="3D"/>
<display value="Three Dimensional"/>
<definition
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."/>
</concept>
<concept>
<code value="PPS"/>
<display value="Particle Passive Scattering"/>
<definition
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."/>
</concept>
<concept>
<code value="PSS"/>
<display value="Particle Spot Scanning"/>
<definition
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."/>
</concept>
<concept>
<code value="MIX"/>
<display value="Mixed"/>
<definition
value="Both photon and particle based beams are used to deliver the radiation therapy."/>
</concept>
<concept>
<code value="CAV-IMB"/>
<display value="Intracavitary, Intensity Modulated"/>
<definition
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."/>
</concept>
<concept>
<code value="LN_AX_L1"/>
<display value="Level 1 Axillary Lymph Nodes"/>
</concept>
<concept>
<code value="LN_Ax_L2"/>
<display value="Level 2 Axillary Lymph Nodes"/>
</concept>
<concept>
<code value="LN_Ax_L3"/>
<display value="Level 3 Axillary Lymph Nodes"/>
</concept>
<concept>
<code value="LN_Neck_IA"/>
<display value="Level IA (Submental) neck node"/>
</concept>
<concept>
<code value="LN_Neck_IB"/>
<display value="Level IB (Submandibular) neck node"/>
</concept>
<concept>
<code value="LN_Neck_IIA"/>
<display value="Level IIA (Upper Jugular) neck node"/>
</concept>
<concept>
<code value="LN_Neck_IIB"/>
<display value="Level IIB (Upper Jugular) neck node"/>
</concept>
<concept>
<code value="LN_Neck_III"/>
<display value="Level III (Middle Jugular) neck node"/>
</concept>
<concept>
<code value="LN_Neck_IV"/>
<display value="Level IV neck (Lower Jugular) node"/>
</concept>
<concept>
<code value="LN_Neck_VA"/>
<display value="Level VA (Posterior Triangle) neck node"/>
</concept>
<concept>
<code value="LN_Neck_VB"/>
<display value="Level VB (Posterior Triangle) neck node"/>
</concept>
<concept>
<code value="LN_Neck_VC"/>
<display value="Level VC (Posterior Triangle) neck node"/>
</concept>
<concept>
<code value="LN_Neck_VI"/>
<display value="Level VI (Anterior Triangle) neck node"/>
</concept>
<concept>
<code value="LN_Neck_VII"/>
<display value="Level VII (Upper Mediastinal) neck node"/>
</concept>
</CodeSystem>