CodeX Radiation Therapy, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/codex-radiation-therapy/ and changes regularly. See the Directory of published versions
Mappings for the codexrt-radiotherapy-plan-prescription resource profile.
| RadiotherapyPlanPrescription |
| ServiceRequest | ORC |
| identifier | ORC.2, ORC.3, RF1-6 / RF1-11, |
| identifier (displayName) | ORC.2, ORC.3, RF1-6 / RF1-11, |
| use | N/A |
| type | CX.5 |
| system | CX.4 / EI-2-4 |
| value | CX.1 / EI.1 |
| period | CX.7 + CX.8 |
| assigner | CX.4 / (CX.4,CX.9,CX.10) |
| identifier (official) | ORC.2, ORC.3, RF1-6 / RF1-11, |
| use | N/A |
| type | CX.5 |
| system | CX.4 / EI-2-4 |
| value | CX.1 / EI.1 |
| period | CX.7 + CX.8 |
| assigner | CX.4 / (CX.4,CX.9,CX.10) |
| instantiatesCanonical | Varies by domain |
| instantiatesUri | Varies by domain |
| basedOn | ORC.8 (plus others) |
| basedOn (course-prescription) | ORC.8 (plus others) |
| basedOn (phase-prescription) | ORC.8 (plus others) |
| replaces | Handled by message location of ORC (ORC.1=RO or RU) |
| requisition | ORC.4 |
| status | ORC.5,RF1-1 |
| intent | N/A |
| category | RF1-5 |
| category (us-core) | RF1-5 |
| category (radiotherapy) | RF1-5 |
| priority | TQ1.9, RF1-2 |
| code | PR1-3 / OBR-4 (varies by domain) |
| orderDetail | NTE |
| subject | PID |
| encounter | PV1 |
| occurrence[x] | TQ1/TQ2, OBR-7/OBR-8 |
| authoredOn | ORC.9, RF1-7 / RF1-9 |
| requester | ORC.12, PRT |
| performerType | PRT, RF!-3 |
| performer | PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT |
| performer (treatmentOrSeedDevice) | PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT |
| reasonCode | ORC.16, RF1-10 |
| reasonReference | ORC.16 |
| insurance | IN1/IN2 |
| supportingInfo | Accompanying segments |
| bodySite | SPM |
| coding | C*E.1-8, C*E.10-22 |
| text | C*E.9. But note many systems use C*E.2 for this |
| note | NTE |
| patientInstruction | NTE |
| relevantHistory | N/A |
| RadiotherapyPlanPrescription |
| ServiceRequest | Entity. Role, or Act, Act[moodCode<=INT] |
| text | Act.text? |
| contained | N/A |
| extension | |
| extension (intrafractionVerification) | |
| extension (respiratoryMotionManagement) | |
| extension (freeBreathingMotionManagementTechnique) | |
| extension (modalityAndTechnique) | |
| id | n/a |
| extension | |
| extension (modality) | |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| extension (technique) | |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| extension (radiotherapyEnergyOrIsotope) | |
| extension (radiotherapyTreatmentApplicatorType) | |
| url | N/A |
| extension (imageGuidedRadiotherapyModality) | |
| extension (radiotherapyFractionsPrescribed) | |
| extension (radiotherapyDosePrescribedToVolume) | |
| id | n/a |
| extension | |
| extension (volume) | |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| extension (fractionDose) | |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| extension (totalDose) | |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| url | N/A |
| modifierExtension | N/A |
| identifier | .identifier |
| identifier (displayName) | .identifier |
| id | n/a |
| extension | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| identifier (official) | .identifier |
| id | n/a |
| extension | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| instantiatesCanonical | .outboundRelationship[typeCode=DEFN].target |
| instantiatesUri | .outboundRelationship[typeCode=DEFN].target |
| basedOn | .outboundRelationship[typeCode=FLFS].target |
| basedOn (course-prescription) | .outboundRelationship[typeCode=FLFS].target |
| basedOn (phase-prescription) | .outboundRelationship[typeCode=FLFS].target |
| replaces | .outboundRelationship[typeCode=RPLC].target |
| requisition | .inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier |
| status | .status |
| intent | .moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere) |
| category | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code |
| category (us-core) | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code |
| category (radiotherapy) | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code |
| priority | .priorityCode |
| code | .code |
| orderDetail | .code |
| subject | .participation[typeCode=SBJ].role |
| encounter | .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN] |
| occurrence[x] | .effectiveTime |
| authoredOn | .participation[typeCode=AUT].time |
| requester | .participation[typeCode=AUT].role |
| performerType | .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code |
| performer | .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] |
| performer (treatmentOrSeedDevice) | .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] |
| locationCode | .participation[typeCode=LOC].role[scoper.determinerCode=KIND].code |
| locationReference | .participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE] |
| reasonCode | .reasonCode |
| reasonReference | .outboundRelationship[typeCode=RSON].target |
| insurance | .outboundRelationship[typeCode=COVBY].target |
| supportingInfo | .outboundRelationship[typeCode=PERT].target |
| bodySite | targetSiteCode |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| text | ./originalText[mediaType/code="text/plain"]/data |
| note | .inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST] |
| patientInstruction | .text |
| relevantHistory | .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN] |
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