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

Resource Profile: Teleradiotherapy Treatment Phase

Defining URL:http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-teleradiotherapy-treatment-phase
Version:1.16.0
Name:TeleradiotherapyTreatmentPhase
Title:Teleradiotherapy Treatment Phase
Status:Active as of 2021-04-15T12:44:45+00:00
Definition:

A summary of a phase of teleradiotherapy treatment that has been delivered. The scope is a treatment consisting of one or multiple identical fractions. A phase ends whenever there is a change in the irradiated volume, dose per fraction, modality, or technique.

Publisher:HL7 International Clinical Interoperability Council
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-teleradiotherapy-treatment-phase

Usage

The following table shows valid combinations of modality and technique for external beam radiotherapy. They are not enforced in the profile. Other combinations and additional techniques may be possible. The modality is represented by mcode-radiotherapy-modality extension, technique using the mcode-radiotherapy-technique extension.

External Beam Modality Technique
Photons IMRT, VMAT, 3D, 2D, IORT
Electrons 3D, 2D, IORT, COMP
Protons PPS, PSS, MIX
Carbon PPS, PSS, MIX
Neutrons 3D, NCT

Key:

  • 3D: Three Dimensional Conformal Therapy
  • IMRT: Intensity Modulated Radiation Therapy
  • VMAT: Volumetric Modulated Radiation Therapy
  • IORT: Intraoperative radiation therapy
  • PPS: Particle Passive Scattering
  • PSS: Particle Spot Scanning
  • NCT: Neutron Capture Therapy

Conformance

Procedure resources whose code is mcode-teleradiotherapy-treatment-phase (code system http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs) MUST conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an mCODE patient that would reasonably be expected to conform to this profile SHOULD be published in this form. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from USCoreProcedureProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*USCoreProcedureProfileAn action that is being or was performed on a patient
... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... mcode-radiotherapy-modality S0..1CodeableConceptTeleradiotherapy (EBRT) Modality
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
.... value[x] 0..1CodeableConceptValue of extension
Binding: Teleradiotherapy Modality Value Set (required)
... mcode-radiotherapy-technique S0..1CodeableConceptTeleradiotherapy (EBRT) Technique
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
.... value[x] 0..1CodeableConceptValue of extension
Binding: Teleradiotherapy Technique Value Set (required)
... mcode-radiotherapy-dose-delivered-to-volume S0..*(Complex)Radiotherapy Dose Delivered To Body Volume
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... extension:fractionsDelivered 0..0
... partOf 0..*Reference(Radiotherapy Course Summary)Part of referenced event
... category S1..1CodeableConceptClassification of the procedure
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 108290001
... code 1..1CodeableConceptProcedure codes from SNOMED CT, CPT, or HCPCS II
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: mcode-teleradiotherapy-treatment-phase
... performed[x] 1..1PeriodWhen the procedure was performed
... bodySite 0..*CodeableConceptAll body structure(s) treated in this phase
Binding: Radiotherapy Treatment Location Value Set (required)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*USCoreProcedureProfileAn action that is being or was performed on a patient
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... mcode-radiotherapy-modality S0..1CodeableConceptTeleradiotherapy (EBRT) Modality
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
.... value[x] 0..1CodeableConceptValue of extension
Binding: Teleradiotherapy Modality Value Set (required)
... mcode-radiotherapy-technique S0..1CodeableConceptTeleradiotherapy (EBRT) Technique
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
.... value[x] 0..1CodeableConceptValue of extension
Binding: Teleradiotherapy Technique Value Set (required)
... mcode-radiotherapy-fractions-delivered S0..1unsignedIntNumber of Fractions Delivered
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-fractions-delivered
... mcode-radiotherapy-dose-delivered-to-volume S0..*(Complex)Radiotherapy Dose Delivered To Body Volume
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... id 0..1stringUnique id for inter-element referencing
.... extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:volume S1..1ExtensionVolume in the body where radiation was delivered
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"volume"
..... value[x] 0..1Reference(Radiotherapy Volume)Value of extension
.... extension:totalDoseDelivered S0..1ExtensionTotal Radiation Dose Delivered
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"totalDoseDelivered"
..... value[x] 0..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity 0..1QuantityValue of extension
Required Pattern: At least the following
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... value0..1decimalNumerical value (with implicit precision)
....... comparator0..1code< | <= | >= | > - how to understand the value
....... unit0..1stringUnit representation
....... system1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code1..1codeCoded form of the unit
Fixed Value: cGy
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
... instantiatesCanonical Σ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest)A request for this procedure
... partOf Σ0..*Reference(Radiotherapy Course Summary)Part of referenced event
... status ?!SΣ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required)
... statusReason Σ0..1CodeableConceptReason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category SΣ1..1CodeableConceptClassification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 108290001
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptProcedure codes from SNOMED CT, CPT, or HCPCS II
Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: mcode-teleradiotherapy-treatment-phase
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who the procedure was performed on
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... performed[x] SΣ1..1PeriodWhen the procedure was performed
... recorder Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)The reference to the practitioner
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ0..1Reference(Location)Where the procedure happened
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)The justification that the procedure was performed
... bodySite Σ0..*CodeableConceptAll body structure(s) treated in this phase
Binding: Radiotherapy Treatment Location Value Set (required)
... outcome Σ0..1CodeableConceptThe result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
... complication 0..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... complicationDetail 0..*Reference(Condition)A condition that is a result of the procedure
... followUp 0..*CodeableConceptInstructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..*AnnotationAdditional information about the procedure
... focalDevice 0..*BackboneElementManipulated, implanted, or removed device
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action 0..1CodeableConceptKind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Medication | Substance)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.



doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*USCoreProcedureProfileAn action that is being or was performed on a patient
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... mcode-radiotherapy-modality 0..1CodeableConceptTeleradiotherapy (EBRT) Modality
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
... mcode-radiotherapy-technique 0..1CodeableConceptTeleradiotherapy (EBRT) Technique
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
... mcode-radiotherapy-dose-delivered-to-volume 0..*(Complex)Radiotherapy Dose Delivered To Body Volume
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... extension:volume 1..1ExtensionVolume in the body where radiation was delivered
.... extension:totalDoseDelivered 0..1ExtensionTotal Radiation Dose Delivered
... status ?!Σ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required)
... category Σ1..1CodeableConceptClassification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 108290001
... code Σ1..1CodeableConceptProcedure codes from SNOMED CT, CPT, or HCPCS II
Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: mcode-teleradiotherapy-treatment-phase
... subject Σ1..1Reference(US Core Patient Profile)Who the procedure was performed on
... performed[x] Σ1..1PeriodWhen the procedure was performed

doco Documentation for this format

Differential View

This structure is derived from USCoreProcedureProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*USCoreProcedureProfileAn action that is being or was performed on a patient
... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... mcode-radiotherapy-modality S0..1CodeableConceptTeleradiotherapy (EBRT) Modality
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
.... value[x] 0..1CodeableConceptValue of extension
Binding: Teleradiotherapy Modality Value Set (required)
... mcode-radiotherapy-technique S0..1CodeableConceptTeleradiotherapy (EBRT) Technique
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
.... value[x] 0..1CodeableConceptValue of extension
Binding: Teleradiotherapy Technique Value Set (required)
... mcode-radiotherapy-dose-delivered-to-volume S0..*(Complex)Radiotherapy Dose Delivered To Body Volume
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... extension:fractionsDelivered 0..0
... partOf 0..*Reference(Radiotherapy Course Summary)Part of referenced event
... category S1..1CodeableConceptClassification of the procedure
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 108290001
... code 1..1CodeableConceptProcedure codes from SNOMED CT, CPT, or HCPCS II
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: mcode-teleradiotherapy-treatment-phase
... performed[x] 1..1PeriodWhen the procedure was performed
... bodySite 0..*CodeableConceptAll body structure(s) treated in this phase
Binding: Radiotherapy Treatment Location Value Set (required)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Procedure 0..*USCoreProcedureProfileAn action that is being or was performed on a patient
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
... mcode-radiotherapy-modality S0..1CodeableConceptTeleradiotherapy (EBRT) Modality
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
.... value[x] 0..1CodeableConceptValue of extension
Binding: Teleradiotherapy Modality Value Set (required)
... mcode-radiotherapy-technique S0..1CodeableConceptTeleradiotherapy (EBRT) Technique
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
.... value[x] 0..1CodeableConceptValue of extension
Binding: Teleradiotherapy Technique Value Set (required)
... mcode-radiotherapy-fractions-delivered S0..1unsignedIntNumber of Fractions Delivered
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-fractions-delivered
... mcode-radiotherapy-dose-delivered-to-volume S0..*(Complex)Radiotherapy Dose Delivered To Body Volume
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
.... id 0..1stringUnique id for inter-element referencing
.... extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
.... extension:volume S1..1ExtensionVolume in the body where radiation was delivered
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"volume"
..... value[x] 0..1Reference(Radiotherapy Volume)Value of extension
.... extension:totalDoseDelivered S0..1ExtensionTotal Radiation Dose Delivered
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..0
..... url 1..1uri"totalDoseDelivered"
..... value[x] 0..1(Slice Definition)Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueQuantity 0..1QuantityValue of extension
Required Pattern: At least the following
....... id0..1stringUnique id for inter-element referencing
....... extension0..*ExtensionAdditional content defined by implementations
....... value0..1decimalNumerical value (with implicit precision)
....... comparator0..1code< | <= | >= | > - how to understand the value
....... unit0..1stringUnit representation
....... system1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
....... code1..1codeCoded form of the unit
Fixed Value: cGy
.... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume"
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierExternal Identifiers for this procedure
... instantiatesCanonical Σ0..*canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | ServiceRequest)A request for this procedure
... partOf Σ0..*Reference(Radiotherapy Course Summary)Part of referenced event
... status ?!SΣ1..1codepreparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown
Binding: EventStatus (required)
... statusReason Σ0..1CodeableConceptReason for current status
Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.

... category SΣ1..1CodeableConceptClassification of the procedure
Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: 108290001
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptProcedure codes from SNOMED CT, CPT, or HCPCS II
Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/mcode-resource-identifier-cs
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: mcode-teleradiotherapy-treatment-phase
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... subject SΣ1..1Reference(US Core Patient Profile)Who the procedure was performed on
... encounter Σ0..1Reference(Encounter)Encounter created as part of
... performed[x] SΣ1..1PeriodWhen the procedure was performed
... recorder Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Who recorded the procedure
... asserter Σ0..1Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)Person who asserts this procedure
... performer Σ0..*BackboneElementThe people who performed the procedure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function Σ0..1CodeableConceptType of performance
Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)The reference to the practitioner
.... onBehalfOf 0..1Reference(Organization)Organization the device or practitioner was acting for
... location Σ0..1Reference(Location)Where the procedure happened
... reasonCode Σ0..*CodeableConceptCoded reason procedure performed
Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.


... reasonReference Σ0..*Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)The justification that the procedure was performed
... bodySite Σ0..*CodeableConceptAll body structure(s) treated in this phase
Binding: Radiotherapy Treatment Location Value Set (required)
... outcome Σ0..1CodeableConceptThe result of procedure
Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.

... report 0..*Reference(DiagnosticReport | DocumentReference | Composition)Any report resulting from the procedure
... complication 0..*CodeableConceptComplication following the procedure
Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.


... complicationDetail 0..*Reference(Condition)A condition that is a result of the procedure
... followUp 0..*CodeableConceptInstructions for follow up
Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.


... note 0..*AnnotationAdditional information about the procedure
... focalDevice 0..*BackboneElementManipulated, implanted, or removed device
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... action 0..1CodeableConceptKind of change to device
Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.

.... manipulated 1..1Reference(Device)Device that was changed
... usedReference 0..*Reference(Device | Medication | Substance)Items used during procedure
... usedCode 0..*CodeableConceptCoded items used during the procedure
Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.



doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
Procedure.languagepreferredCommonLanguages
Max Binding: AllLanguages
Procedure.extension:modality.value[x]requiredTeleradiotherapyModalityVS
Procedure.extension:technique.value[x]requiredTeleradiotherapyTechniqueVS
Procedure.statusrequiredEventStatus
Procedure.statusReasonexampleProcedureNotPerformedReason(SNOMED-CT)
Procedure.categoryexamplePattern: SNOMED CT code 108290001
Procedure.codeextensiblePattern: mcode-teleradiotherapy-treatment-phase
Procedure.performer.functionexampleProcedurePerformerRoleCodes
Procedure.reasonCodeexampleProcedureReasonCodes
Procedure.bodySiterequiredRadiotherapyTreatmentLocationVS
Procedure.outcomeexampleProcedureOutcomeCodes(SNOMEDCT)
Procedure.complicationexampleCondition/Problem/DiagnosisCodes
Procedure.followUpexampleProcedureFollowUpCodes(SNOMEDCT)
Procedure.focalDevice.actionpreferredProcedureDeviceActionCodes
Procedure.usedCodeexampleFHIRDeviceTypes