CodeX Radiation Therapy
2.0.0 - STU2
CodeX Radiation Therapy
2.0.0 - STU2
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
| Official URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-plan-prescription | Version: 2.0.0 | |||
| Active as of 2024-11-20 | Computable Name: RadiotherapyPlanPrescription | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.14.42.21 | ||||
A Radiotherapy Plan Prescription is a request for radiotherapy treatment with a single treatment plan.
This profile is used to represent a prescription for a single treatment plan of radiotherapy. An overview of radiotherapy courses, phases, and treatment plans is shown here. In FHIR, the prescription for a treatment plan is represented as an original order, whereas the elaborated treatment plan is represented as filler order. The relationships between the various radiotherapy profiles are shown here.
ServiceRequest resource instances whose code is SNOMEDCT 1255724003 (Radiotherapy treatment plan (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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreServiceRequestProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  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 | 1..* | 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..1 | (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 |
| radiotherapyFractionsPrescribed |
S | 1..1 | positiveInt | Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed |
| 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:totalDose |
0..1 | Extension | Total Physical Radiation Dose Prescribed | |
| extension:fractions |
0..0 | |||
| radiobiologicMetric |
S | 0..* | Quantity | Radiotherapy Biologically Effective Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric |
| radiotherapyReasonForRevisionOrAdaptation |
S | 0..* | CodeableConcept | Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (extensible) |
| 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 |
| Slices for basedOn |
0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills Slice: Unordered, Open by profile:$this.resolve() | |
| basedOn:course-prescription |
S | 0..1 | Reference(Radiotherapy Course Prescription) | Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). |
| basedOn:phase-prescription |
S | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). |
  replaces |
S | 0..* | Reference(Radiotherapy Plan Prescription) | Previous retired prescription that is replaced by this prescription |
| intent |
1..1 | code | (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: original-order | |
| Slices for category |
1..* | CodeableConcept | (USCDI) Classification of service Slice: Unordered, Open by pattern:$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: 1255724003 | |
 display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment plan (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) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.category:radiotherapy | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vsfrom this IG | |
| ServiceRequest.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | |
| ServiceRequest.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs |
| Id | Grade | Path(s) | Details | Requirements |
| CategoryPreferred | warning | ServiceRequest | This code 108290001 is inactive and should be used only for backward compatibility. : category.exists() and category.coding.exists( code = '108290001' ).not() | |
| codexrt-free-breathing-technique | error | ServiceRequest | 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)" : 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-none | error | ServiceRequest | 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)" : 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 |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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. |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
S | 1..* | 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..1 | (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 |
 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 |
| 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 |
| 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. |
| radiotherapyFractionsPrescribed |
S | 1..1 | positiveInt | Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed |
| 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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:volume |
S | 1..1 | Extension | Volume targeted by the prescribed dose |
| extension |
0..0 | |||
| url |
1..1 | uri | "volume" | |
| value[x] |
1..1 | Reference(Radiotherapy Volume) | Value of extension | |
| extension:fractionDose |
S | 0..1 | Extension | Radiation Dose Prescribed per Fraction |
| extension |
0..0 | |||
| url |
1..1 | uri | "fractionDose" | |
| extension:totalDose |
S | 0..1 | Extension | Total Physical Radiation Dose Prescribed |
| extension |
0..0 | |||
| url |
1..1 | uri | "totalDose" | |
| value[x] |
1..1 | Quantity | Value of extension 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 | |
| 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" | |
| radiotherapyReasonForRevisionOrAdaptation |
S | 0..* | CodeableConcept | Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (extensible) |
 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. |
| 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 |
| 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 |
| 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. |
| 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 |
| 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 |
| Slices for basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills Slice: Unordered, Open by profile:$this.resolve() |
| basedOn:course-prescription |
SΣ | 0..1 | Reference(Radiotherapy Course Prescription) | Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). |
| basedOn:phase-prescription |
SΣ | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). |
| replaces |
SΣ | 0..* | Reference(Radiotherapy Plan Prescription) | Previous retired prescription that is replaced by this prescription |
| 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:$this Binding: ServiceRequestCategoryCodes (example): Classification of the requested service. |
| category:us-core |
SΣ | 0..* | CodeableConcept | (USCDI) Classification of service Binding: US Core ServiceRequest Category Codes (required): Note that other codes are permitted, see Required Bindings When Slicing by Value Sets |
| category:radiotherapy |
SΣ | 1..1 | CodeableConcept | (USCDI) Classification of service Binding: Radiotherapy Category Code Max Value Set (required) |
| code |
SΣ | 1..1 | CodeableConcept | (USCDI) What is being requested/ordered Binding: US Core Procedure Codes (extensible) Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 1255724003 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment plan (regime/therapy) | |
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Individual or Entity the service is ordered for |
 occurrence[x] |
SΣ | 0..1 | (USCDI) When service should occur | |
| occurrencePeriod |
Period | |||
| authoredOn |
SΣ | 0..1 | dateTime | (USCDI) Date request signed |
| requester |
SΣ | 0..1 | Reference(US Core Practitioner Profile) | (USCDI) Who/what is requesting service |
| Slices for performer |
SΣ | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer Slice: Unordered, Open by profile:$this.resolve() |
| performer:treatmentOrSeedDevice |
SΣ | 0..* | Reference(Radiotherapy Treatment Device | Radiotherapy Seed Device) | Radiotherapy Treatment Device or Seed Device used as part of therapy. |
| 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 |
| bodySite |
SΣ | 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) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x] | required | RadiotherapyModalityVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs | |
| ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x] | required | RadiotherapyTechniqueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs | |
| ServiceRequest.identifier:displayName.use | required | Pattern: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| ServiceRequest.identifier:official.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| ServiceRequest.intent | required | Pattern: original-orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | |
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryfrom the FHIR Standard | |
| ServiceRequest.category:us-core | required | USCoreServiceRequestCategoryCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category | |
| ServiceRequest.category:radiotherapy | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vsfrom this IG | |
| ServiceRequest.code | extensible | Pattern: SNOMED-CT Code 1255724003("Radiotherapy treatment plan (regime/therapy)")http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | |
| ServiceRequest.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | |
| ServiceRequest.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs |
| Id | Grade | Path(s) | Details | Requirements |
| CategoryPreferred | warning | ServiceRequest | This code 108290001 is inactive and should be used only for backward compatibility. : category.exists() and category.coding.exists( code = '108290001' ).not() | |
| codexrt-free-breathing-technique | error | ServiceRequest | 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)" : 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-none | error | ServiceRequest | 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)" : 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 |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
S | 1..* | 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..1 | (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. | ||||
| radiotherapyFractionsPrescribed |
S | 1..1 | positiveInt | Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed | ||||
| 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:fractionDose |
S | 0..1 | Extension | Radiation Dose Prescribed per Fraction | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "fractionDose" | |||||
| value[x] |
0..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:totalDose |
S | 0..1 | Extension | Total Physical 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 | |||||
| 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" | |||||
| radiotherapyReasonForRevisionOrAdaptation |
S | 0..* | CodeableConcept | Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (extensible) | ||||
| 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 | ||||
| Slices for basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills Slice: Unordered, Open by profile:$this.resolve() | ||||
| basedOn:course-prescription |
SΣ | 0..1 | Reference(Radiotherapy Course Prescription) | Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). | ||||
| basedOn:phase-prescription |
SΣ | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). | ||||
| replaces |
SΣ | 0..* | Reference(Radiotherapy Plan Prescription) | Previous retired prescription that is replaced by this prescription | ||||
| requisition |
Σ | 0..1 | Identifier | Composite Request ID | ||||
| status |
?!SΣ | 1..1 | code | (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. | ||||
| intent |
?!SΣ | 1..1 | code | (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: original-order | ||||
| Slices for category |
SΣ | 1..* | CodeableConcept | (USCDI) Classification of service Slice: Unordered, Open by pattern:$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: 1255724003 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment plan (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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| ServiceRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x] | required | RadiotherapyModalityVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs | ||||
| ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x] | required | RadiotherapyTechniqueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs | ||||
| ServiceRequest.identifier:displayName.use | required | Pattern: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| ServiceRequest.identifier:displayName.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| ServiceRequest.identifier:official.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| ServiceRequest.identifier:official.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| ServiceRequest.intent | required | Pattern: original-orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryfrom the FHIR Standard | ||||
| ServiceRequest.category:us-core | required | USCoreServiceRequestCategoryCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category | ||||
| ServiceRequest.category:radiotherapy | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vsfrom this IG | ||||
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| ServiceRequest.code | extensible | Pattern: SNOMED-CT Code 1255724003("Radiotherapy treatment plan (regime/therapy)")http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetailfrom the FHIR Standard | ||||
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-rolefrom the FHIR Standard | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | ||||
| ServiceRequest.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs |
| Id | Grade | Path(s) | Details | Requirements |
| CategoryPreferred | warning | ServiceRequest | This code 108290001 is inactive and should be used only for backward compatibility. : category.exists() and category.coding.exists( code = '108290001' ).not() | |
| codexrt-free-breathing-technique | error | ServiceRequest | 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)" : 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-none | error | ServiceRequest | 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)" : 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: 12 elements
Must-Support: 28 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:
Differential View
This structure is derived from USCoreServiceRequestProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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 | 1..* | 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..1 | (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 |
| radiotherapyFractionsPrescribed |
S | 1..1 | positiveInt | Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed |
| 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:totalDose |
0..1 | Extension | Total Physical Radiation Dose Prescribed | |
| extension:fractions |
0..0 | |||
| radiobiologicMetric |
S | 0..* | Quantity | Radiotherapy Biologically Effective Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric |
| radiotherapyReasonForRevisionOrAdaptation |
S | 0..* | CodeableConcept | Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (extensible) |
| 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 |
| Slices for basedOn |
0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills Slice: Unordered, Open by profile:$this.resolve() | |
| basedOn:course-prescription |
S | 0..1 | Reference(Radiotherapy Course Prescription) | Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). |
| basedOn:phase-prescription |
S | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). |
| replaces |
S | 0..* | Reference(Radiotherapy Plan Prescription) | Previous retired prescription that is replaced by this prescription |
| intent |
1..1 | code | (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: original-order | |
| Slices for category |
1..* | CodeableConcept | (USCDI) Classification of service Slice: Unordered, Open by pattern:$this | |
| category:radiotherapy |
1..1 | CodeableConcept | (USCDI) Classification of service Binding: Radiotherapy Category Code Max Value Set (required) | |
| doNotPerform |
0..0 | |||
| code |
1..1 | CodeableConcept | (USCDI) What is being requested/ordered Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 1255724003 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment plan (regime/therapy) | |
| quantity[x] |
0..0 | |||
| asNeeded[x] |
0..0 | |||
| requester |
0..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile) | (USCDI) Who/what is requesting service | |
| Slices for performer |
S | 0..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested performer Slice: Unordered, Open by profile:$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) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ServiceRequest.category:radiotherapy | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vsfrom this IG | |
| ServiceRequest.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | |
| ServiceRequest.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs |
| Id | Grade | Path(s) | Details | Requirements |
| CategoryPreferred | warning | ServiceRequest | This code 108290001 is inactive and should be used only for backward compatibility. : category.exists() and category.coding.exists( code = '108290001' ).not() | |
| codexrt-free-breathing-technique | error | ServiceRequest | 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)" : 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-none | error | ServiceRequest | 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)" : 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
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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. |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
S | 1..* | 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..1 | (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 |
| 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 |
| 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 |
| 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. |
| radiotherapyFractionsPrescribed |
S | 1..1 | positiveInt | Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed |
| 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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:volume |
S | 1..1 | Extension | Volume targeted by the prescribed dose |
| extension |
0..0 | |||
| url |
1..1 | uri | "volume" | |
| value[x] |
1..1 | Reference(Radiotherapy Volume) | Value of extension | |
| extension:fractionDose |
S | 0..1 | Extension | Radiation Dose Prescribed per Fraction |
| extension |
0..0 | |||
| url |
1..1 | uri | "fractionDose" | |
| extension:totalDose |
S | 0..1 | Extension | Total Physical Radiation Dose Prescribed |
| extension |
0..0 | |||
| url |
1..1 | uri | "totalDose" | |
| value[x] |
1..1 | Quantity | Value of extension 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 | |
| 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" | |
| radiotherapyReasonForRevisionOrAdaptation |
S | 0..* | CodeableConcept | Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (extensible) |
| 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. |
| 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 |
| 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 |
| 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. |
| 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 |
| 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 |
| Slices for basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills Slice: Unordered, Open by profile:$this.resolve() |
| basedOn:course-prescription |
SΣ | 0..1 | Reference(Radiotherapy Course Prescription) | Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). |
| basedOn:phase-prescription |
SΣ | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). |
| replaces |
SΣ | 0..* | Reference(Radiotherapy Plan Prescription) | Previous retired prescription that is replaced by this prescription |
| status |
?!SΣ | 1..1 | code | (USCDI) draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): The status of a service order. |
| intent |
?!SΣ | 1..1 | code | (USCDI) proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of service request. Required Pattern: original-order |
| Slices for category |
SΣ | 1..* | CodeableConcept | (USCDI) Classification of service Slice: Unordered, Open by pattern:$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) |
| code |
SΣ | 1..1 | CodeableConcept | (USCDI) What is being requested/ordered Binding: US Core Procedure Codes (extensible) 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: 1255724003 | |
| display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment plan (regime/therapy) | |
| subject |
SΣ | 1..1 | Reference(US Core Patient Profile) | (USCDI) Individual or Entity the service is ordered for |
| occurrence[x] |
SΣ | 0..1 | (USCDI) When service should occur | |
| occurrencePeriod |
Period | |||
| authoredOn |
SΣ | 0..1 | dateTime | (USCDI) Date request signed |
| requester |
SΣ | 0..1 | Reference(US Core Practitioner Profile) | (USCDI) Who/what is requesting service |
| 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. |
| 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 |
| bodySite |
SΣ | 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) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x] | required | RadiotherapyModalityVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs | |
| ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x] | required | RadiotherapyTechniqueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs | |
| ServiceRequest.identifier:displayName.use | required | Pattern: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| ServiceRequest.identifier:official.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | |
| ServiceRequest.intent | required | Pattern: original-orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | |
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryfrom the FHIR Standard | |
| ServiceRequest.category:us-core | required | USCoreServiceRequestCategoryCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category | |
| ServiceRequest.category:radiotherapy | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vsfrom this IG | |
| ServiceRequest.code | extensible | Pattern: SNOMED-CT Code 1255724003("Radiotherapy treatment plan (regime/therapy)")http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | |
| ServiceRequest.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | |
| ServiceRequest.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs |
| Id | Grade | Path(s) | Details | Requirements |
| CategoryPreferred | warning | ServiceRequest | This code 108290001 is inactive and should be used only for backward compatibility. : category.exists() and category.coding.exists( code = '108290001' ).not() | |
| codexrt-free-breathing-technique | error | ServiceRequest | 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)" : 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-none | error | ServiceRequest | 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)" : 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
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
S | 1..* | 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..1 | (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. | ||||
| radiotherapyFractionsPrescribed |
S | 1..1 | positiveInt | Number of Prescribed Fractions URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed | ||||
| 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:fractionDose |
S | 0..1 | Extension | Radiation Dose Prescribed per Fraction | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "fractionDose" | |||||
| value[x] |
0..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:totalDose |
S | 0..1 | Extension | Total Physical 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 | |||||
| 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" | |||||
| radiotherapyReasonForRevisionOrAdaptation |
S | 0..* | CodeableConcept | Reason for Revision or Adaptation URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-reason-for-revision-or-adaptation Binding: Radiotherapy Reason for Revision or Adaptation Value Set (extensible) | ||||
| 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 | ||||
| Slices for basedOn |
Σ | 0..* | Reference(CarePlan | ServiceRequest | MedicationRequest) | What request fulfills Slice: Unordered, Open by profile:$this.resolve() | ||||
| basedOn:course-prescription |
SΣ | 0..1 | Reference(Radiotherapy Course Prescription) | Radiotherapy Course Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). | ||||
| basedOn:phase-prescription |
SΣ | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that this Radiotherapy Plan Prescription fulfills (often together with other treatment phases). | ||||
| replaces |
SΣ | 0..* | Reference(Radiotherapy Plan 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: 1255724003 | |||||
| display |
1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment plan (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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| ServiceRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| ServiceRequest.extension:modalityAndTechnique.extension:modality.value[x] | required | RadiotherapyModalityVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs | ||||
| ServiceRequest.extension:modalityAndTechnique.extension:technique.value[x] | required | RadiotherapyTechniqueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs | ||||
| ServiceRequest.identifier:displayName.use | required | Pattern: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| ServiceRequest.identifier:displayName.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| ServiceRequest.identifier:official.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| ServiceRequest.identifier:official.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| ServiceRequest.status | required | RequestStatushttp://hl7.org/fhir/ValueSet/request-status|4.0.1from the FHIR Standard | ||||
| ServiceRequest.intent | required | Pattern: original-orderhttp://hl7.org/fhir/ValueSet/request-intent|4.0.1from the FHIR Standard | ||||
| ServiceRequest.category | example | ServiceRequestCategoryCodeshttp://hl7.org/fhir/ValueSet/servicerequest-categoryfrom the FHIR Standard | ||||
| ServiceRequest.category:us-core | required | USCoreServiceRequestCategoryCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-servicerequest-category | ||||
| ServiceRequest.category:radiotherapy | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vsfrom this IG | ||||
| ServiceRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| ServiceRequest.code | extensible | Pattern: SNOMED-CT Code 1255724003("Radiotherapy treatment plan (regime/therapy)")http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | ||||
| ServiceRequest.orderDetail | example | ServiceRequestOrderDetailsCodeshttp://hl7.org/fhir/ValueSet/servicerequest-orderdetailfrom the FHIR Standard | ||||
| ServiceRequest.performerType | example | ParticipantRoleshttp://hl7.org/fhir/ValueSet/participant-rolefrom the FHIR Standard | ||||
| ServiceRequest.locationCode | example | ServiceDeliveryLocationRoleTypehttp://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType | ||||
| ServiceRequest.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | ||||
| ServiceRequest.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs |
| Id | Grade | Path(s) | Details | Requirements |
| CategoryPreferred | warning | ServiceRequest | This code 108290001 is inactive and should be used only for backward compatibility. : category.exists() and category.coding.exists( code = '108290001' ).not() | |
| codexrt-free-breathing-technique | error | ServiceRequest | 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)" : 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-none | error | ServiceRequest | 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)" : 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: 12 elements
Must-Support: 28 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:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ HL7 International / Cross-Group Projects. Package hl7.fhir.us.codex-radiation-therapy#2.0.0 based on FHIR 4.0.1. Generated 2024-11-20
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