CodeX Radiation Therapy
2.0.0 - STU2 United States of America flag

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 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

Resource Profile: Radiotherapy Course Prescription

Official URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-prescription Version: 2.0.0
Draft as of 2024-12-18 Computable Name: RadiotherapyCoursePrescription
Other Identifiers: OID:2.16.840.1.113883.4.642.40.14.42.7

A Radiotherapy Course Prescription is a high-level request for a complete course of radiotherapy, which may be fulfilled by one or more phases.

Usage

This profile is used to represent a prescription for a complete course of radiotherapy. An overview of radiotherapy courses, phases, and treatment plans is shown here. In FHIR, the prescription for a course of radiotherapy is represented as an original order, whereas the elaborated phases and treatment plans are represented as filler orders. The relationships between the various radiotherapy profiles are shown here.

Conformance

ServiceRequest resource instances whose code is SNOMEDCT 1217123003 (Radiotherapy course of treatment (regime/therapy)) and whose intent is http://hl7.org/fhir/request-intent#original-order "Original Order" MUST conform to this profile. Any resource intended to conform to this profile SHOULD populate meta.profile accordingly.

Usage:

Formal Views of Profile Content

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

This structure is derived from USCoreServiceRequestProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
CategoryPreferred: This code 108290001 is inactive and should be used only for backward compatibility.
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... intrafractionVerification S 0..* (Complex) Intrafraction Verification
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification
.... respiratoryMotionManagement S 0..* CodeableConcept Respiratory Motion Management
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management
Binding: Radiotherapy Respiratory Motion Management Value Set (required)
.... freeBreathingMotionManagementTechnique S 0..* CodeableConcept Free-Breathing Motion Management Technique
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique
Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (extensible)
.... modalityAndTechnique S 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
..... Slices for extension Content/Rules for all slices
...... radiotherapyEnergyOrIsotope S 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
Binding: Radiotherapy Energy Unit Value Set (required)
...... radiotherapyTreatmentApplicatorType S 0..* CodeableConcept Radiotherapy Treatment Applicator Type
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type
Binding: Brachytherapy Applicator Type Value Set (extensible)
.... imageGuidedRadiotherapyModality S 0..* (Complex) Image Guided Radiotherapy Modality
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
.... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
.... radiotherapyDosePrescribedToVolume S 0..* (Complex) Prescribed Dose to a Dose Reference
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
..... Slices for extension Content/Rules for all slices
...... extension:fractionDose 0..0
...... radiobiologicMetric S 0..* Quantity Radiotherapy Biologically Effective Dose
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric
.... courseInvolvesReirradiation S 0..1 boolean Course Involves Reirradiation
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation
... Slices for identifier S 2..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:use
.... identifier:displayName S 1..1 Identifier The name that is displayed to the user.
..... use 1..1 code usual | official | temp | secondary | old (If known)
Required Pattern: usual
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
.... identifier:official S 1..* Identifier A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
..... use 1..1 code usual | official | temp | secondary | old (If known)
Required Pattern: official
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... replaces S 0..* Reference(Radiotherapy Course Prescription) Previous retired prescription that is replaced by this prescription
... Slices for category 1..* CodeableConcept (USCDI) Classification of service
Slice: Unordered, Open by pattern:$this
.... category:radiotherapy 1..1 CodeableConcept (USCDI) Classification of service
Binding: Radiotherapy Category Code Max Value Set (required)
... doNotPerform 0..0
... code 1..1 CodeableConcept (USCDI) What is being requested/ordered
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1217123003
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy course of treatment (regime/therapy)
... quantity[x] 0..0
... asNeeded[x] 0..0
... requester 0..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile) (USCDI) Who/what is requesting service
... Slices for performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
Slice: Unordered, Open by profile:$this.resolve()
.... performer:treatmentOrSeedDevice S 0..* Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device) Radiotherapy Treatment Device or Seed Device used as part of therapy.
... locationReference S 0..* Reference(US Core Location Profile) Location where the radiotherapy treatment is requested.
... reasonCode S 0..* CodeableConcept (USCDI) Explanation/Justification for procedure or service
Binding: Cancer Disorder Value Set (extensible)
... reasonReference S 0..* Reference(Condition) (USCDI) US Core Profile that supports the requested service
... specimen 0..0
... bodySite S 0..* CodeableConcept Body site that is treated with radiotherapy
Binding: Radiotherapy Treatment Location Value Set (extensible)
.... Slices for extension Content/Rules for all slices
..... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.category:radiotherapyrequiredRadiotherapyCategoryVS
http://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs
from this IG
ServiceRequest.reasonCodeextensibleCancerDisorderVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
ServiceRequest.bodySiteextensibleRadiotherapyTreatmentLocationVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs

Constraints

IdGradePath(s)DetailsRequirements
CategoryPreferredwarningServiceRequestThis code 108290001 is inactive and should be used only for backward compatibility.
: category.exists() and category.coding.exists( code = '108290001' ).not()
codexrt-free-breathing-techniqueerrorServiceRequestThe extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique') implies extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721071000124104' and system = 'http://snomed.info/sct')))
codexrt-motion-management-noneerrorServiceRequestIf the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721031000124102' and system = 'http://snomed.info/sct'))) implies extension.where(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management').count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
prr-1: orderDetail SHALL only be present if code is present
codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
CategoryPreferred: This code 108290001 is inactive and should be used only for backward compatibility.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... intrafractionVerification SC 0..* (Complex) Intrafraction Verification
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
IntrafractionVerificationQualifierAllowed: Qualifier is only allowed for X-Ray procedure.
.... respiratoryMotionManagement S 0..* CodeableConcept Respiratory Motion Management
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management
Binding: Radiotherapy Respiratory Motion Management Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... freeBreathingMotionManagementTechnique S 0..* CodeableConcept Free-Breathing Motion Management Technique
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique
Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modalityAndTechnique SC 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
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
ModalityTextRequiredForOther: Require a text literal for code other
TechniqueTextRequiredForOther: Require a text literal for code other
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... modality S 1..1 (Complex) Radiotherapy Modality Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Modality Value Set (required)
ele-1: All FHIR elements must have a @value or children
...... technique S 0..* (Complex) Radiotherapy Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Technique Value Set (required)
ele-1: All FHIR elements must have a @value or children
...... radiotherapyEnergyOrIsotope S 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
Binding: Radiotherapy Energy Unit Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... radiotherapyTreatmentApplicatorType S 0..* CodeableConcept Radiotherapy Treatment Applicator Type
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type
Binding: Brachytherapy Applicator Type Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
.... imageGuidedRadiotherapyModality SC 0..* (Complex) Image Guided Radiotherapy Modality
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
IGRTEnergyAllowed: Energy is only allowed for X-Ray, Fluorograph, or CT Modalities.
.... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... radiotherapyDosePrescribedToVolume S 0..* (Complex) Prescribed Dose to a Dose Reference
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... extension:volume S 1..1 Extension Volume targeted by the prescribed dose
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "volume"
....... value[x] 1..1 Reference(Radiotherapy Volume) Value of extension
ele-1: All FHIR elements must have a @value or children
...... extension:totalDose S 0..1 Extension Total Radiation Dose Prescribed
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "totalDose"
....... value[x] 1..1 Quantity Value of extension
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
........ system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
........ code 1..1 code Coded form of the unit
Fixed Value: cGy
...... extension:fractions S 0..1 Extension Number of Prescribed Fractions
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "fractions"
...... radiobiologicMetric S 0..* Quantity Radiotherapy Biologically Effective Dose
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... url 1..1 uri "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
.... courseInvolvesReirradiation S 0..1 boolean Course Involves Reirradiation
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... identifier:displayName SΣ 1..1 Identifier The name that is displayed to the user.
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
Required Pattern: usual
..... system SΣ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... identifier:official SΣ 1..* Identifier A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
Required Pattern: official
..... system SΣ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
... replaces SΣ 0..* Reference(Radiotherapy Course Prescription) Previous retired prescription that is replaced by this prescription
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ 1..1 code (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.


ele-1: All FHIR elements must have a @value or children
... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


ele-1: All FHIR elements must have a @value or children
Required Pattern: original-order
... Slices for category SΣ 1..* CodeableConcept (USCDI) Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


ele-1: All FHIR elements must have a @value or children
.... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


ele-1: All FHIR elements must have a @value or children
.... category:radiotherapy SΣ 1..1 CodeableConcept (USCDI) Classification of service
Binding: Radiotherapy Category Code Max Value Set (required)
ele-1: All FHIR elements must have a @value or children
... code SΣ 1..1 CodeableConcept (USCDI) What is being requested/ordered
Binding: US Core Procedure Codes (extensible)
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1217123003
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy course of treatment (regime/therapy)
... subject SΣ 1..1 Reference(US Core Patient Profile) (USCDI) Individual or Entity the service is ordered for
ele-1: All FHIR elements must have a @value or children
... occurrence[x] SΣ 0..1 (USCDI) When service should occur
ele-1: All FHIR elements must have a @value or children
.... occurrencePeriod Period
... authoredOn SΣ 0..1 dateTime (USCDI) Date request signed
ele-1: All FHIR elements must have a @value or children
... requester SΣ 0..1 Reference(US Core Practitioner Profile) (USCDI) Who/what is requesting service
ele-1: All FHIR elements must have a @value or children
... Slices for performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
.... performer:treatmentOrSeedDevice SΣ 0..* Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device) Radiotherapy Treatment Device or Seed Device used as part of therapy.
ele-1: All FHIR elements must have a @value or children
... locationReference SΣ 0..* Reference(US Core Location Profile) Location where the radiotherapy treatment is requested.
ele-1: All FHIR elements must have a @value or children
... reasonCode SΣ 0..* CodeableConcept (USCDI) Explanation/Justification for procedure or service
Binding: Cancer Disorder Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
... reasonReference SΣ 0..* Reference(Condition) (USCDI) US Core Profile that supports the requested service
ele-1: All FHIR elements must have a @value or children
... bodySite SΣ 0..* CodeableConcept Body site that is treated with radiotherapy
Binding: Radiotherapy Treatment Location Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
.... Slices for extension Content/Rules for all slices
..... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x]requiredRadiotherapyModalityVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x]requiredRadiotherapyTechniqueVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs
ServiceRequest.identifier:displayName.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:official.userequiredPattern: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: original-order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
ServiceRequest.category:radiotherapyrequiredRadiotherapyCategoryVS
http://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs
from this IG
ServiceRequest.codeextensiblePattern: SNOMED-CT Code 1217123003("Radiotherapy course of treatment (regime/therapy)")
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
ServiceRequest.reasonCodeextensibleCancerDisorderVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
ServiceRequest.bodySiteextensibleRadiotherapyTreatmentLocationVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs

Constraints

IdGradePath(s)DetailsRequirements
CategoryPreferredwarningServiceRequestThis code 108290001 is inactive and should be used only for backward compatibility.
: category.exists() and category.coding.exists( code = '108290001' ).not()
codexrt-free-breathing-techniqueerrorServiceRequestThe extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique') implies extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721071000124104' and system = 'http://snomed.info/sct')))
codexrt-motion-management-noneerrorServiceRequestIf the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721031000124102' and system = 'http://snomed.info/sct'))) implies extension.where(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management').count() = 1
NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
CategoryPreferred: This code 108290001 is inactive and should be used only for backward compatibility.
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... intrafractionVerification SC 0..* (Complex) Intrafraction Verification
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification
IntrafractionVerificationQualifierAllowed: Qualifier is only allowed for X-Ray procedure.
.... respiratoryMotionManagement S 0..* CodeableConcept Respiratory Motion Management
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management
Binding: Radiotherapy Respiratory Motion Management Value Set (required)
.... freeBreathingMotionManagementTechnique S 0..* CodeableConcept Free-Breathing Motion Management Technique
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique
Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (extensible)
.... modalityAndTechnique SC 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
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
ModalityTextRequiredForOther: Require a text literal for code other
TechniqueTextRequiredForOther: Require a text literal for code other
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... modality S 1..1 (Complex) Radiotherapy Modality Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Modality Value Set (required)
...... technique S 0..* (Complex) Radiotherapy Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Technique Value Set (required)
...... radiotherapyEnergyOrIsotope S 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
Binding: Radiotherapy Energy Unit Value Set (required)
...... radiotherapyTreatmentApplicatorType S 0..* CodeableConcept Radiotherapy Treatment Applicator Type
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type
Binding: Brachytherapy Applicator Type Value Set (extensible)
..... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
.... imageGuidedRadiotherapyModality SC 0..* (Complex) Image Guided Radiotherapy Modality
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
IGRTEnergyAllowed: Energy is only allowed for X-Ray, Fluorograph, or CT Modalities.
.... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
.... radiotherapyDosePrescribedToVolume S 0..* (Complex) Prescribed Dose to a Dose Reference
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:volume S 1..1 Extension Volume targeted by the prescribed dose
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "volume"
....... value[x] 1..1 Reference(Radiotherapy Volume) Value of extension
...... extension:totalDose S 0..1 Extension Total Radiation Dose Prescribed
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "totalDose"
....... value[x] 1..1 Quantity Value of extension
Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ value 0..1 decimal Numerical value (with implicit precision)
........ comparator 0..1 code < | <= | >= | > - how to understand the value
........ unit 0..1 string Unit representation
........ system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
........ code 1..1 code Coded form of the unit
Fixed Value: cGy
...... extension:fractions S 0..1 Extension Number of Prescribed Fractions
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "fractions"
....... value[x] 0..1 positiveInt Value of extension
...... radiobiologicMetric S 0..* Quantity Radiotherapy Biologically Effective Dose
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric
..... url 1..1 uri "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
.... courseInvolvesReirradiation S 0..1 boolean Course Involves Reirradiation
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 2..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:use
.... identifier:displayName SΣ 1..1 Identifier The name that is displayed to the user.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: usual
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:official SΣ 1..* Identifier A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: official
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces SΣ 0..* Reference(Radiotherapy Course Prescription) Previous retired prescription that is replaced by this prescription
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


Required Pattern: original-order
... Slices for category SΣ 1..* CodeableConcept (USCDI) Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


.... category:radiotherapy SΣ 1..1 CodeableConcept (USCDI) Classification of service
Binding: Radiotherapy Category Code Max Value Set (required)
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code SΣ 1..1 CodeableConcept (USCDI) What is being requested/ordered
Binding: US Core Procedure Codes (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1217123003
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy course of treatment (regime/therapy)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... subject SΣ 1..1 Reference(US Core Patient Profile) (USCDI) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 (USCDI) When service should occur
.... occurrencePeriod Period S
.... occurrenceDateTime dateTime
.... occurrenceTiming Timing
... authoredOn SΣ 0..1 dateTime (USCDI) Date request signed
... requester SΣ 0..1 Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core Organization Profile) (USCDI) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... Slices for performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
Slice: Unordered, Open by profile:$this.resolve()
.... performer:treatmentOrSeedDevice SΣ 0..* Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device) Radiotherapy Treatment Device or Seed Device used as part of therapy.
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference SΣ 0..* Reference(US Core Location Profile) Location where the radiotherapy treatment is requested.
... reasonCode SΣ 0..* CodeableConcept (USCDI) Explanation/Justification for procedure or service
Binding: Cancer Disorder Value Set (extensible)
... reasonReference SΣ 0..* Reference(Condition) (USCDI) US Core Profile that supports the requested service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... bodySite SΣ 0..* CodeableConcept Body site that is treated with radiotherapy
Binding: Radiotherapy Treatment Location Value Set (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x]requiredRadiotherapyModalityVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x]requiredRadiotherapyTechniqueVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs
ServiceRequest.identifier:displayName.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:displayName.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.identifier:official.userequiredPattern: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:official.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: original-order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
ServiceRequest.category:radiotherapyrequiredRadiotherapyCategoryVS
http://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs
from this IG
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeextensiblePattern: SNOMED-CT Code 1217123003("Radiotherapy course of treatment (regime/therapy)")
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeextensibleCancerDisorderVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
ServiceRequest.bodySiteextensibleRadiotherapyTreatmentLocationVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs

Constraints

IdGradePath(s)DetailsRequirements
CategoryPreferredwarningServiceRequestThis code 108290001 is inactive and should be used only for backward compatibility.
: category.exists() and category.coding.exists( code = '108290001' ).not()
codexrt-free-breathing-techniqueerrorServiceRequestThe extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique') implies extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721071000124104' and system = 'http://snomed.info/sct')))
codexrt-motion-management-noneerrorServiceRequestIf the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721031000124102' and system = 'http://snomed.info/sct'))) implies extension.where(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management').count() = 1

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 10 elements
Must-Support: 26 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.identifier
  • The element 1 is sliced based on the value of ServiceRequest.category
  • The element 1 is sliced based on the value of ServiceRequest.performer

Differential View

This structure is derived from USCoreServiceRequestProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
CategoryPreferred: This code 108290001 is inactive and should be used only for backward compatibility.
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... intrafractionVerification S 0..* (Complex) Intrafraction Verification
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification
.... respiratoryMotionManagement S 0..* CodeableConcept Respiratory Motion Management
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management
Binding: Radiotherapy Respiratory Motion Management Value Set (required)
.... freeBreathingMotionManagementTechnique S 0..* CodeableConcept Free-Breathing Motion Management Technique
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique
Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (extensible)
.... modalityAndTechnique S 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
..... Slices for extension Content/Rules for all slices
...... radiotherapyEnergyOrIsotope S 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
Binding: Radiotherapy Energy Unit Value Set (required)
...... radiotherapyTreatmentApplicatorType S 0..* CodeableConcept Radiotherapy Treatment Applicator Type
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type
Binding: Brachytherapy Applicator Type Value Set (extensible)
.... imageGuidedRadiotherapyModality S 0..* (Complex) Image Guided Radiotherapy Modality
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
.... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
.... radiotherapyDosePrescribedToVolume S 0..* (Complex) Prescribed Dose to a Dose Reference
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
..... Slices for extension Content/Rules for all slices
...... extension:fractionDose 0..0
...... radiobiologicMetric S 0..* Quantity Radiotherapy Biologically Effective Dose
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric
.... courseInvolvesReirradiation S 0..1 boolean Course Involves Reirradiation
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation
... Slices for identifier S 2..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:use
.... identifier:displayName S 1..1 Identifier The name that is displayed to the user.
..... use 1..1 code usual | official | temp | secondary | old (If known)
Required Pattern: usual
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
.... identifier:official S 1..* Identifier A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
..... use 1..1 code usual | official | temp | secondary | old (If known)
Required Pattern: official
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... replaces S 0..* Reference(Radiotherapy Course Prescription) Previous retired prescription that is replaced by this prescription
... Slices for category 1..* CodeableConcept (USCDI) Classification of service
Slice: Unordered, Open by pattern:$this
.... category:radiotherapy 1..1 CodeableConcept (USCDI) Classification of service
Binding: Radiotherapy Category Code Max Value Set (required)
... doNotPerform 0..0
... code 1..1 CodeableConcept (USCDI) What is being requested/ordered
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1217123003
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy course of treatment (regime/therapy)
... quantity[x] 0..0
... asNeeded[x] 0..0
... requester 0..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile) (USCDI) Who/what is requesting service
... Slices for performer S 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
Slice: Unordered, Open by profile:$this.resolve()
.... performer:treatmentOrSeedDevice S 0..* Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device) Radiotherapy Treatment Device or Seed Device used as part of therapy.
... locationReference S 0..* Reference(US Core Location Profile) Location where the radiotherapy treatment is requested.
... reasonCode S 0..* CodeableConcept (USCDI) Explanation/Justification for procedure or service
Binding: Cancer Disorder Value Set (extensible)
... reasonReference S 0..* Reference(Condition) (USCDI) US Core Profile that supports the requested service
... specimen 0..0
... bodySite S 0..* CodeableConcept Body site that is treated with radiotherapy
Binding: Radiotherapy Treatment Location Value Set (extensible)
.... Slices for extension Content/Rules for all slices
..... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ServiceRequest.category:radiotherapyrequiredRadiotherapyCategoryVS
http://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs
from this IG
ServiceRequest.reasonCodeextensibleCancerDisorderVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
ServiceRequest.bodySiteextensibleRadiotherapyTreatmentLocationVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs

Constraints

IdGradePath(s)DetailsRequirements
CategoryPreferredwarningServiceRequestThis code 108290001 is inactive and should be used only for backward compatibility.
: category.exists() and category.coding.exists( code = '108290001' ).not()
codexrt-free-breathing-techniqueerrorServiceRequestThe extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique') implies extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721071000124104' and system = 'http://snomed.info/sct')))
codexrt-motion-management-noneerrorServiceRequestIf the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721031000124102' and system = 'http://snomed.info/sct'))) implies extension.where(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management').count() = 1

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
prr-1: orderDetail SHALL only be present if code is present
codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
CategoryPreferred: This code 108290001 is inactive and should be used only for backward compatibility.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... intrafractionVerification SC 0..* (Complex) Intrafraction Verification
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
IntrafractionVerificationQualifierAllowed: Qualifier is only allowed for X-Ray procedure.
.... respiratoryMotionManagement S 0..* CodeableConcept Respiratory Motion Management
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management
Binding: Radiotherapy Respiratory Motion Management Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... freeBreathingMotionManagementTechnique S 0..* CodeableConcept Free-Breathing Motion Management Technique
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique
Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modalityAndTechnique SC 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
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
ModalityTextRequiredForOther: Require a text literal for code other
TechniqueTextRequiredForOther: Require a text literal for code other
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... modality S 1..1 (Complex) Radiotherapy Modality Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Modality Value Set (required)
ele-1: All FHIR elements must have a @value or children
...... technique S 0..* (Complex) Radiotherapy Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Technique Value Set (required)
ele-1: All FHIR elements must have a @value or children
...... radiotherapyEnergyOrIsotope S 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
Binding: Radiotherapy Energy Unit Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... radiotherapyTreatmentApplicatorType S 0..* CodeableConcept Radiotherapy Treatment Applicator Type
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type
Binding: Brachytherapy Applicator Type Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
.... imageGuidedRadiotherapyModality SC 0..* (Complex) Image Guided Radiotherapy Modality
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
IGRTEnergyAllowed: Energy is only allowed for X-Ray, Fluorograph, or CT Modalities.
.... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... radiotherapyDosePrescribedToVolume S 0..* (Complex) Prescribed Dose to a Dose Reference
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... extension:volume S 1..1 Extension Volume targeted by the prescribed dose
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "volume"
....... value[x] 1..1 Reference(Radiotherapy Volume) Value of extension
ele-1: All FHIR elements must have a @value or children
...... extension:totalDose S 0..1 Extension Total Radiation Dose Prescribed
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "totalDose"
....... value[x] 1..1 Quantity Value of extension
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
........ system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
........ code 1..1 code Coded form of the unit
Fixed Value: cGy
...... extension:fractions S 0..1 Extension Number of Prescribed Fractions
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
....... extension 0..0
....... url 1..1 uri "fractions"
...... radiobiologicMetric S 0..* Quantity Radiotherapy Biologically Effective Dose
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... url 1..1 uri "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
.... courseInvolvesReirradiation S 0..1 boolean Course Involves Reirradiation
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... identifier:displayName SΣ 1..1 Identifier The name that is displayed to the user.
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
Required Pattern: usual
..... system SΣ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... identifier:official SΣ 1..* Identifier A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


ele-1: All FHIR elements must have a @value or children
Required Pattern: official
..... system SΣ 1..1 uri The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
... replaces SΣ 0..* Reference(Radiotherapy Course Prescription) Previous retired prescription that is replaced by this prescription
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ 1..1 code (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.


ele-1: All FHIR elements must have a @value or children
... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


ele-1: All FHIR elements must have a @value or children
Required Pattern: original-order
... Slices for category SΣ 1..* CodeableConcept (USCDI) Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


ele-1: All FHIR elements must have a @value or children
.... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


ele-1: All FHIR elements must have a @value or children
.... category:radiotherapy SΣ 1..1 CodeableConcept (USCDI) Classification of service
Binding: Radiotherapy Category Code Max Value Set (required)
ele-1: All FHIR elements must have a @value or children
... code SΣ 1..1 CodeableConcept (USCDI) What is being requested/ordered
Binding: US Core Procedure Codes (extensible)
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1217123003
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy course of treatment (regime/therapy)
... subject SΣ 1..1 Reference(US Core Patient Profile) (USCDI) Individual or Entity the service is ordered for
ele-1: All FHIR elements must have a @value or children
... occurrence[x] SΣ 0..1 (USCDI) When service should occur
ele-1: All FHIR elements must have a @value or children
.... occurrencePeriod Period
... authoredOn SΣ 0..1 dateTime (USCDI) Date request signed
ele-1: All FHIR elements must have a @value or children
... requester SΣ 0..1 Reference(US Core Practitioner Profile) (USCDI) Who/what is requesting service
ele-1: All FHIR elements must have a @value or children
... Slices for performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
.... performer:treatmentOrSeedDevice SΣ 0..* Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device) Radiotherapy Treatment Device or Seed Device used as part of therapy.
ele-1: All FHIR elements must have a @value or children
... locationReference SΣ 0..* Reference(US Core Location Profile) Location where the radiotherapy treatment is requested.
ele-1: All FHIR elements must have a @value or children
... reasonCode SΣ 0..* CodeableConcept (USCDI) Explanation/Justification for procedure or service
Binding: Cancer Disorder Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
... reasonReference SΣ 0..* Reference(Condition) (USCDI) US Core Profile that supports the requested service
ele-1: All FHIR elements must have a @value or children
... bodySite SΣ 0..* CodeableConcept Body site that is treated with radiotherapy
Binding: Radiotherapy Treatment Location Value Set (extensible)
ele-1: All FHIR elements must have a @value or children
.... Slices for extension Content/Rules for all slices
..... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x]requiredRadiotherapyModalityVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x]requiredRadiotherapyTechniqueVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs
ServiceRequest.identifier:displayName.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:official.userequiredPattern: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: original-order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
ServiceRequest.category:radiotherapyrequiredRadiotherapyCategoryVS
http://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs
from this IG
ServiceRequest.codeextensiblePattern: SNOMED-CT Code 1217123003("Radiotherapy course of treatment (regime/therapy)")
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
ServiceRequest.reasonCodeextensibleCancerDisorderVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
ServiceRequest.bodySiteextensibleRadiotherapyTreatmentLocationVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs

Constraints

IdGradePath(s)DetailsRequirements
CategoryPreferredwarningServiceRequestThis code 108290001 is inactive and should be used only for backward compatibility.
: category.exists() and category.coding.exists( code = '108290001' ).not()
codexrt-free-breathing-techniqueerrorServiceRequestThe extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique') implies extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721071000124104' and system = 'http://snomed.info/sct')))
codexrt-motion-management-noneerrorServiceRequestIf the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721031000124102' and system = 'http://snomed.info/sct'))) implies extension.where(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management').count() = 1

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ServiceRequest C 0..* USCoreServiceRequestProfile A request for a service to be performed
prr-1: orderDetail SHALL only be present if code is present
codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
CategoryPreferred: This code 108290001 is inactive and should be used only for backward compatibility.
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension S 0..* Extension Extension
Slice: Unordered, Open by value:url
.... intrafractionVerification SC 0..* (Complex) Intrafraction Verification
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification
IntrafractionVerificationQualifierAllowed: Qualifier is only allowed for X-Ray procedure.
.... respiratoryMotionManagement S 0..* CodeableConcept Respiratory Motion Management
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management
Binding: Radiotherapy Respiratory Motion Management Value Set (required)
.... freeBreathingMotionManagementTechnique S 0..* CodeableConcept Free-Breathing Motion Management Technique
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique
Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (extensible)
.... modalityAndTechnique SC 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
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
ModalityTextRequiredForOther: Require a text literal for code other
TechniqueTextRequiredForOther: Require a text literal for code other
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... modality S 1..1 (Complex) Radiotherapy Modality Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Modality Value Set (required)
...... technique S 0..* (Complex) Radiotherapy Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique"
....... value[x] 1..1 CodeableConcept Value of extension
Binding: Radiotherapy Technique Value Set (required)
...... radiotherapyEnergyOrIsotope S 0..* SimpleQuantity Radiotherapy Energy or Isotope
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
Binding: Radiotherapy Energy Unit Value Set (required)
...... radiotherapyTreatmentApplicatorType S 0..* CodeableConcept Radiotherapy Treatment Applicator Type
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type
Binding: Brachytherapy Applicator Type Value Set (extensible)
..... url 1..1 uri "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique"
.... imageGuidedRadiotherapyModality SC 0..* (Complex) Image Guided Radiotherapy Modality
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality
IGRTEnergyAllowed: Energy is only allowed for X-Ray, Fluorograph, or CT Modalities.
.... treatmentIntent S 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (extensible)
.... radiotherapyDosePrescribedToVolume S 0..* (Complex) Prescribed Dose to a Dose Reference
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:volume S 1..1 Extension Volume targeted by the prescribed dose
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "volume"
....... value[x] 1..1 Reference(Radiotherapy Volume) Value of extension
...... extension:totalDose S 0..1 Extension Total Radiation Dose Prescribed
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "totalDose"
....... value[x] 1..1 Quantity Value of extension
Required Pattern: At least the following
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
........ value 0..1 decimal Numerical value (with implicit precision)
........ comparator 0..1 code < | <= | >= | > - how to understand the value
........ unit 0..1 string Unit representation
........ system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
........ code 1..1 code Coded form of the unit
Fixed Value: cGy
...... extension:fractions S 0..1 Extension Number of Prescribed Fractions
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..0
....... url 1..1 uri "fractions"
....... value[x] 0..1 positiveInt Value of extension
...... radiobiologicMetric S 0..* Quantity Radiotherapy Biologically Effective Dose
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric
..... url 1..1 uri "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume"
.... courseInvolvesReirradiation S 0..1 boolean Course Involves Reirradiation
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 2..* Identifier Identifiers assigned to this order
Slice: Unordered, Open by value:use
.... identifier:displayName SΣ 1..1 Identifier The name that is displayed to the user.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: usual
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:official SΣ 1..* Identifier A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Required Pattern: official
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

..... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | ServiceRequest | MedicationRequest) What request fulfills
... replaces SΣ 0..* Reference(Radiotherapy Course Prescription) Previous retired prescription that is replaced by this prescription
... requisition Σ 0..1 Identifier Composite Request ID
... status ?!SΣ 1..1 code (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown
Binding: RequestStatus (required): The status of a service order.

... intent ?!SΣ 1..1 code (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
Binding: RequestIntent (required): The kind of service request.


Required Pattern: original-order
... Slices for category SΣ 1..* CodeableConcept (USCDI) Classification of service
Slice: Unordered, Open by pattern:$this
Binding: ServiceRequestCategoryCodes (example): Classification of the requested service.


.... category:us-core SΣ 0..* CodeableConcept (USCDI) Classification of service
Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets


.... category:radiotherapy SΣ 1..1 CodeableConcept (USCDI) Classification of service
Binding: Radiotherapy Category Code Max Value Set (required)
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... code SΣ 1..1 CodeableConcept (USCDI) What is being requested/ordered
Binding: US Core Procedure Codes (extensible)
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 1217123003
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy course of treatment (regime/therapy)
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... orderDetail ΣC 0..* CodeableConcept Additional order information
Binding: ServiceRequestOrderDetailsCodes (example): Codified order entry details which are based on order context.


... subject SΣ 1..1 Reference(US Core Patient Profile) (USCDI) Individual or Entity the service is ordered for
... encounter Σ 0..1 Reference(Encounter) Encounter in which the request was created
... occurrence[x] SΣ 0..1 (USCDI) When service should occur
.... occurrencePeriod Period S
.... occurrenceDateTime dateTime
.... occurrenceTiming Timing
... authoredOn SΣ 0..1 dateTime (USCDI) Date request signed
... requester SΣ 0..1 Reference(US Core Practitioner Profile S | US Core PractitionerRole Profile | US Core Organization Profile) (USCDI) Who/what is requesting service
... performerType Σ 0..1 CodeableConcept Performer role
Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.

... Slices for performer SΣ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested performer
Slice: Unordered, Open by profile:$this.resolve()
.... performer:treatmentOrSeedDevice SΣ 0..* Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device) Radiotherapy Treatment Device or Seed Device used as part of therapy.
... locationCode Σ 0..* CodeableConcept Requested location
Binding: ServiceDeliveryLocationRoleType (example): A location type where services are delivered.


... locationReference SΣ 0..* Reference(US Core Location Profile) Location where the radiotherapy treatment is requested.
... reasonCode SΣ 0..* CodeableConcept (USCDI) Explanation/Justification for procedure or service
Binding: Cancer Disorder Value Set (extensible)
... reasonReference SΣ 0..* Reference(Condition) (USCDI) US Core Profile that supports the requested service
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... supportingInfo 0..* Reference(Resource) Additional clinical information
... bodySite SΣ 0..* CodeableConcept Body site that is treated with radiotherapy
Binding: Radiotherapy Treatment Location Value Set (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... locationQualifier 0..* CodeableConcept General location qualifier (excluding laterality) for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
Binding: Body Location Qualifier Value Set (required)
..... lateralityQualifier 0..1 CodeableConcept Laterality qualifier for this bodySite
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier
Binding: Laterality Qualifier Value Set (required)
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
... note 0..* Annotation Comments
... patientInstruction Σ 0..1 string Patient or consumer-oriented instructions
... relevantHistory 0..* Reference(Provenance) Request provenance

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
ServiceRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x]requiredRadiotherapyModalityVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x]requiredRadiotherapyTechniqueVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs
ServiceRequest.identifier:displayName.userequiredPattern: usual
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:displayName.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.identifier:official.userequiredPattern: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
ServiceRequest.identifier:official.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
ServiceRequest.statusrequiredRequestStatus
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
ServiceRequest.intentrequiredPattern: original-order
http://hl7.org/fhir/ValueSet/request-intent|4.0.1
from the FHIR Standard
ServiceRequest.categoryexampleServiceRequestCategoryCodes
http://hl7.org/fhir/ValueSet/servicerequest-category
from the FHIR Standard
ServiceRequest.category:us-corerequiredUSCoreServiceRequestCategoryCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category
ServiceRequest.category:radiotherapyrequiredRadiotherapyCategoryVS
http://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs
from this IG
ServiceRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
ServiceRequest.codeextensiblePattern: SNOMED-CT Code 1217123003("Radiotherapy course of treatment (regime/therapy)")
http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code
ServiceRequest.orderDetailexampleServiceRequestOrderDetailsCodes
http://hl7.org/fhir/ValueSet/servicerequest-orderdetail
from the FHIR Standard
ServiceRequest.performerTypeexampleParticipantRoles
http://hl7.org/fhir/ValueSet/participant-role
from the FHIR Standard
ServiceRequest.locationCodeexampleServiceDeliveryLocationRoleType
http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
ServiceRequest.reasonCodeextensibleCancerDisorderVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs
ServiceRequest.bodySiteextensibleRadiotherapyTreatmentLocationVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs

Constraints

IdGradePath(s)DetailsRequirements
CategoryPreferredwarningServiceRequestThis code 108290001 is inactive and should be used only for backward compatibility.
: category.exists() and category.coding.exists( code = '108290001' ).not()
codexrt-free-breathing-techniqueerrorServiceRequestThe extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique') implies extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721071000124104' and system = 'http://snomed.info/sct')))
codexrt-motion-management-noneerrorServiceRequestIf the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)"
: extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management' and value.exists(coding.exists(code = '721031000124102' and system = 'http://snomed.info/sct'))) implies extension.where(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management').count() = 1

This structure is derived from USCoreServiceRequestProfile

Summary

Mandatory: 10 elements
Must-Support: 26 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ServiceRequest.identifier
  • The element 1 is sliced based on the value of ServiceRequest.category
  • The element 1 is sliced based on the value of ServiceRequest.performer

 

Other representations of profile: CSV, Excel, Schematron