minimal Common Oncology Data Elements (mCODE) Implementation Guide
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minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/fhir-mCODE-ig/ and changes regularly. See the Directory of published versions

Extension: Radiotherapy Modality And Technique Extension

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique Version: 2.1.0
Active as of 2023-01-13 Maturity Level: 3 Computable Name: RadiotherapyModalityAndTechnique

Extension capturing modality and technique of a given radiotherapy procedure. The allowed combinations of modality and technique are constrained by invariants, one per modality.

Context of Use

This extension may be used on the following element(s):

  • Element ID Element

Usage

Extension capturing modality and technique of a given radiotherapy procedure. For definitions, see the Radiotherapy Glossary page.

Allowed combinations of modality and technique are shown here and enforced by invariants:

Treatment Type Modality Technique
External Beam Radiotherapy Photons IMRT, VMAT, 3D, 2D, IORT
External Beam Radiotherapy Electrons 3D, 2D, IORT
External Beam Radiotherapy Neutrons 3D, NCT
External Beam Radiotherapy Carbon Ions PPS, PSS, PS
External Beam Radiotherapy Protons PPS, PSS, PS
Brachytherapy Internal radiotherapy – permanent seeds Interstitial
Brachytherapy Low Dose Rate using temp rad source Intracavitary, Interstitial, Surface
Brachytherapy Pulsed Dose Rate Intracavitary, Interstitial
Brachytherapy High Dose Rate Intracavitary, IMB, Interstitial, Intravascular, Intraluminal, IORT, Surface
Brachytherapy High dose rate electronic Intracavitary, IMB, Interstitial, Intraluminal, IORT, Surface
Brachytherapy Radiopharmaceutical Oral, Intravascular, Intracavitary, Interstitial

Technique Acronyms:

Acronym Meaning
IMRT Intensity Modulated Radiation Therapy
VMAT Volumetric Modulated Arc Therapy
3D Three Dimensional Planning
2D Two Dimensional Planning
IORT Intraoperative Radiation Therapy
NCT Neutron Capture Therapy
PS Particle Scanning other than PSS
PPS Particle Spot Scanning
PSS Particle Passive Scattering

Conformance

Usage info

Usage:

Formal Views of Extension Content

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

This structure is derived from Extension

Summary

Mandatory: 2 elements
Must-Support: 2 elements
Fixed Value: 1 element
Prohibited: 1 element

Extensions

This structure refers to these extensions:

Maturity: 3

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension C0..*ExtensionRadiotherapy Modality And Technique Extension
TechniquesForNeutronBeamModality: Allowed Techniques for Neutron Beam Modality
TechniquesForPhotonBeamModality: Allowed Techniques for Photon Beam Modality
TechniquesForElectronBeamModality: Allowed Techniques for Electron Beam Modality
TechniquesForCarbonIonBeamModality: Allowed Techniques for Carbon Ion Beam Modality
TechniquesForProtonBeamModality: Allowed Techniques for Proton Beam Modality
TechniquesForInternalRadiotherapyPermanentSeeds: Allowed Techniques for Internal Radiotherapy - Permanent Seeds
TechniquesForLowDoseRateUsingTempRadSource: Allowed Techniques for Low Dose Rate Using Temp Radiation Source
TechniquesForPulsedDoseRate: Allowed Techniques for Pulsed Dose Rate
TechniquesForHighDoseRate: Allowed Techniques for High Dose Rate
TechniquesForHighDoseRateElectronic: Allowed Techniques for High Dose Rate Electronic
TechniquesForRadioPharmaceutical: Allowed Techniques for Radiopharmaceutical
... extension 1..*ExtensionExtension
... modality S1..1CodeableConceptRadiotherapy Modality Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
.... value[x] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Modality Value Set (required)
... technique S0..*CodeableConceptRadiotherapy Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
.... value[x] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Technique Value Set (required)
... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension C0..*ExtensionRadiotherapy Modality And Technique Extension
TechniquesForNeutronBeamModality: Allowed Techniques for Neutron Beam Modality
TechniquesForPhotonBeamModality: Allowed Techniques for Photon Beam Modality
TechniquesForElectronBeamModality: Allowed Techniques for Electron Beam Modality
TechniquesForCarbonIonBeamModality: Allowed Techniques for Carbon Ion Beam Modality
TechniquesForProtonBeamModality: Allowed Techniques for Proton Beam Modality
TechniquesForInternalRadiotherapyPermanentSeeds: Allowed Techniques for Internal Radiotherapy - Permanent Seeds
TechniquesForLowDoseRateUsingTempRadSource: Allowed Techniques for Low Dose Rate Using Temp Radiation Source
TechniquesForPulsedDoseRate: Allowed Techniques for Pulsed Dose Rate
TechniquesForHighDoseRate: Allowed Techniques for High Dose Rate
TechniquesForHighDoseRateElectronic: Allowed Techniques for High Dose Rate Electronic
TechniquesForRadioPharmaceutical: Allowed Techniques for Radiopharmaceutical
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... modality S1..1CodeableConceptRadiotherapy Modality Extension
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] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Modality Value Set (required)
.... 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] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Technique Value Set (required)
... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"

doco Documentation for this format

This structure is derived from Extension

Summary

Mandatory: 2 elements
Must-Support: 2 elements
Fixed Value: 1 element
Prohibited: 1 element

Extensions

This structure refers to these extensions:

Maturity: 3

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension C0..*ExtensionRadiotherapy Modality And Technique Extension
TechniquesForNeutronBeamModality: Allowed Techniques for Neutron Beam Modality
TechniquesForPhotonBeamModality: Allowed Techniques for Photon Beam Modality
TechniquesForElectronBeamModality: Allowed Techniques for Electron Beam Modality
TechniquesForCarbonIonBeamModality: Allowed Techniques for Carbon Ion Beam Modality
TechniquesForProtonBeamModality: Allowed Techniques for Proton Beam Modality
TechniquesForInternalRadiotherapyPermanentSeeds: Allowed Techniques for Internal Radiotherapy - Permanent Seeds
TechniquesForLowDoseRateUsingTempRadSource: Allowed Techniques for Low Dose Rate Using Temp Radiation Source
TechniquesForPulsedDoseRate: Allowed Techniques for Pulsed Dose Rate
TechniquesForHighDoseRate: Allowed Techniques for High Dose Rate
TechniquesForHighDoseRateElectronic: Allowed Techniques for High Dose Rate Electronic
TechniquesForRadioPharmaceutical: Allowed Techniques for Radiopharmaceutical
... extension 1..*ExtensionExtension
... modality S1..1CodeableConceptRadiotherapy Modality Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
.... value[x] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Modality Value Set (required)
... technique S0..*CodeableConceptRadiotherapy Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
.... value[x] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Technique Value Set (required)
... value[x] 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension C0..*ExtensionRadiotherapy Modality And Technique Extension
TechniquesForNeutronBeamModality: Allowed Techniques for Neutron Beam Modality
TechniquesForPhotonBeamModality: Allowed Techniques for Photon Beam Modality
TechniquesForElectronBeamModality: Allowed Techniques for Electron Beam Modality
TechniquesForCarbonIonBeamModality: Allowed Techniques for Carbon Ion Beam Modality
TechniquesForProtonBeamModality: Allowed Techniques for Proton Beam Modality
TechniquesForInternalRadiotherapyPermanentSeeds: Allowed Techniques for Internal Radiotherapy - Permanent Seeds
TechniquesForLowDoseRateUsingTempRadSource: Allowed Techniques for Low Dose Rate Using Temp Radiation Source
TechniquesForPulsedDoseRate: Allowed Techniques for Pulsed Dose Rate
TechniquesForHighDoseRate: Allowed Techniques for High Dose Rate
TechniquesForHighDoseRateElectronic: Allowed Techniques for High Dose Rate Electronic
TechniquesForRadioPharmaceutical: Allowed Techniques for Radiopharmaceutical
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 1..*ExtensionExtension
Slice: Unordered, Open by value:url
... modality S1..1CodeableConceptRadiotherapy Modality Extension
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] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Modality Value Set (required)
.... 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] 1..1CodeableConceptValue of extension
Binding: Radiotherapy Technique Value Set (required)
... url 1..1uri"http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Extension.extension:modality.value[x]requiredRadiotherapyModalityVS
Extension.extension:technique.value[x]requiredRadiotherapyTechniqueVS