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-treated-phase | Version: 2.0.0 | |||
Draft as of 2024-12-18 | Computable Name: RadiotherapyTreatedPhase | |||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.14.42.31 |
A summary of a phase of radiotherapy treatment that has been delivered. A phase consists of a set of identical fractions. In this context, identical means that each fraction uses the same modality, technique, dose per fraction, and is applied to the same treatment volume or volumes. Because of their spatial relationship or the technique used, all treatment volumes do not necessarily receive the same total dose during a phase.
This profile is used to capture a phase of radiotherapy delivered to a patient. An overview of radiotherapy courses, phases, and treatment plans is shown here. The relationships between the various radiotherapy profiles are shown here.
Procedure resources whose code is SNOMEDCT 1222565005
(Radiotherapy treatment phase (regime/therapy)) 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 USCoreProcedureProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | C | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient codexrt-procedure-status: Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed 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 | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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 |
fractionsDelivered | S | 0..1 | unsignedInt | Number of Fractions Delivered URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered |
doseDeliveredToVolume | S | 0..* | (Complex) | Radiotherapy Dose Delivered To Volume Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume |
Slices for extension | Content/Rules for all slices | |||
extension:totalDoseDelivered | 0..1 | Extension | Extension | |
extension:fractionsDelivered | 0..0 | |||
pointDose | S | 0..1 | boolean | Point Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose |
primaryPlanDose | S | 0..1 | boolean | Primary Plan Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose |
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) |
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) |
intrafractionVerification | S | 0..* | (Complex) | Intrafraction Verification URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification |
Slices for identifier | S | 2..* | Identifier | External Identifiers for this procedure 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(US Core CarePlan Profile | US Core ServiceRequest Profile) | (USCDI) A request for this procedure Slice: Unordered, Open by profile:$this.resolve() | |
basedOn:planned-phase | S | 0..1 | Reference(Radiotherapy Planned Phase) | Radiotherapy Planned Phase that planned the treatment summarized in this Radiotherapy Treated Phase. |
basedOn:phase-prescription | S | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that prescribed the treatment summarized in this Radiotherapy Treated Phase. |
Slices for partOf | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event Slice: Unordered, Open by profile:$this.resolve() | |
partOf:course-summary | S | 0..1 | Reference(Radiotherapy Course Summary) | Radiotherapy Course Summary that summarizes the course of which this Radiotherapy Treated Phase is a part. |
category | 1..1 | CodeableConcept | Classification of the procedure Binding: Radiotherapy Category Code Max Value Set (required) | |
code | 1..1 | CodeableConcept | (USCDI) Identification of the procedure 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: 1222565005 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment phase (regime/therapy) | |
subject | 1..1 | Reference(Cancer Patient Profile) | (USCDI) Who the procedure was performed on | |
performed[x] | 0..1 | Period | (USCDI) When the procedure was performed | |
start | S | 0..1 | dateTime | The date and time when the first therapeutic radiation was delivered. |
end | S | 0..1 | dateTime | An end date is expected if the status is 'stopped' or 'completed' |
Slices for performer | S | 0..* | BackboneElement | The people who performed the procedure Slice: Unordered, Open by profile:actor.resolve() |
performer:organization | S | 0..* | BackboneElement | The people who performed the procedure |
actor | 1..1 | Reference(US Core Organization Profile) | Organization that provided the radiotherapy treatment. | |
location | S | 0..1 | Reference(US Core Location Profile) | Location where the radiotherapy treatment was performed. |
reasonCode | S | 0..* | CodeableConcept | Coded reason procedure performed Binding: Cancer Disorder Value Set (extensible) |
reasonReference | S | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed |
bodySite | S | 0..* | CodeableConcept | All body structure(s) treated with this procedure. 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) | |
Slices for focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device Slice: Unordered, Open by profile:manipulated.resolve() | |
focalDevice:seedDevice | S | 0..* | BackboneElement | Radiotherapy Seed Device used as part of therapy. |
manipulated | 1..1 | Reference(Radiotherapy Seed Device) | Device that was changed | |
Slices for usedReference | S | 0..* | Reference(Device | Medication | Substance) | Items used during procedure Slice: Unordered, Open by profile:$this.resolve() |
usedReference:treatmentDevice | S | 0..* | Reference(Radiotherapy Treatment Device) | Radiotherapy Treatment Device used as part of therapy. |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.category | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs from this IG | |
Procedure.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | |
Procedure.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs |
Id | Grade | Path(s) | Details | Requirements |
CategoryPreferred | warning | Procedure | 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 | Procedure | 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 | Procedure | 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 | |
codexrt-procedure-status | error | Procedure | Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed : status = 'in-progress' or status = 'not-done' or status = 'on-hold' or status = 'stopped' or status = 'completed' |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | C | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management us-core-7: Performed SHALL be present if the status is 'completed' or 'in-progress' codexrt-procedure-status: Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)" codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)" CategoryPreferred: This code 108290001 is inactive and should be used only for backward compatibility. |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modalityAndTechnique | SC | 0..1 | (Complex) | Radiotherapy Modality And Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both TechniquesForNeutronBeamModality: Allowed Techniques for Neutron Beam Modality TechniquesForPhotonBeamModality: Allowed Techniques for Photon Beam Modality TechniquesForElectronBeamModality: Allowed Techniques for Electron Beam Modality TechniquesForCarbonIonBeamModality: Allowed Techniques for Carbon Ion Beam Modality TechniquesForProtonBeamModality: Allowed Techniques for Proton Beam Modality TechniquesForInternalRadiotherapyPermanentSeeds: Allowed Techniques for Internal Radiotherapy - Permanent Seeds TechniquesForLowDoseRateUsingTempRadSource: Allowed Techniques for Low Dose Rate Using Temp Radiation Source TechniquesForPulsedDoseRate: Allowed Techniques for Pulsed Dose Rate TechniquesForHighDoseRate: Allowed Techniques for High Dose Rate TechniquesForHighDoseRateElectronic: Allowed Techniques for High Dose Rate Electronic TechniquesForRadioPharmaceutical: Allowed Techniques for Radiopharmaceutical ModalityTextRequiredForOther: Require a text literal for code other TechniqueTextRequiredForOther: Require a text literal for code other |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modality | S | 1..1 | (Complex) | Radiotherapy Modality Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Radiotherapy Modality Value Set (required) ele-1: All FHIR elements must have a @value or children | |
technique | S | 0..* | (Complex) | Radiotherapy Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Radiotherapy Technique Value Set (required) ele-1: All FHIR elements must have a @value or children | |
radiotherapyEnergyOrIsotope | S | 0..* | SimpleQuantity | Radiotherapy Energy or Isotope URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope Binding: Radiotherapy Energy Unit Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
radiotherapyTreatmentApplicatorType | S | 0..* | CodeableConcept | Radiotherapy Treatment Applicator Type URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type Binding: Brachytherapy Applicator Type Value Set (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
url | 1..1 | uri | "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique" | |
imageGuidedRadiotherapyModality | SC | 0..* | (Complex) | Image Guided Radiotherapy Modality URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both IGRTEnergyAllowed: Energy is only allowed for X-Ray, Fluorograph, or CT Modalities. |
fractionsDelivered | S | 0..1 | unsignedInt | Number of Fractions Delivered URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
doseDeliveredToVolume | S | 0..* | (Complex) | Radiotherapy Dose Delivered To Volume Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
extension:volume | S | 1..1 | Extension | Volume in the body where radiation was delivered ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
extension | 0..0 | |||
url | 1..1 | uri | "volume" | |
extension:totalDoseDelivered | S | 0..1 | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
extension | 0..0 | |||
url | 1..1 | uri | "totalDoseDelivered" | |
value[x] | 0..1 | Quantity | Value of extension ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following | |
system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
code | 1..1 | code | Coded form of the unit Fixed Value: cGy | |
pointDose | S | 0..1 | boolean | Point Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
primaryPlanDose | S | 0..1 | boolean | Primary Plan Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
radiobiologicMetric | S | 0..* | Quantity | Radiotherapy Biologically Effective Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
url | 1..1 | uri | "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
respiratoryMotionManagement | S | 0..* | CodeableConcept | Respiratory Motion Management URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management Binding: Radiotherapy Respiratory Motion Management Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
freeBreathingMotionManagementTechnique | S | 0..* | CodeableConcept | Free-Breathing Motion Management Technique URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
intrafractionVerification | SC | 0..* | (Complex) | Intrafraction Verification URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both IntrafractionVerificationQualifierAllowed: Qualifier is only allowed for X-Ray procedure. |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
Slices for identifier | SΣ | 2..* | Identifier | External Identifiers for this procedure Slice: Unordered, Open by value:use ele-1: All FHIR elements must have a @value or children |
identifier:displayName | SΣ | 1..1 | Identifier | The name that is displayed to the user. ele-1: All FHIR elements must have a @value or children |
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children Required Pattern: usual |
system | SΣ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient |
value | SΣ | 1..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
identifier:official | SΣ | 1..* | Identifier | A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID. ele-1: All FHIR elements must have a @value or children |
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children Required Pattern: official |
system | SΣ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient |
value | SΣ | 1..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
Slices for basedOn | Σ | 0..* | Reference(US Core CarePlan Profile | US Core ServiceRequest Profile) | (USCDI) A request for this procedure Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children |
basedOn:planned-phase | SΣ | 0..1 | Reference(Radiotherapy Planned Phase) | Radiotherapy Planned Phase that planned the treatment summarized in this Radiotherapy Treated Phase. ele-1: All FHIR elements must have a @value or children |
basedOn:phase-prescription | SΣ | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that prescribed the treatment summarized in this Radiotherapy Treated Phase. ele-1: All FHIR elements must have a @value or children |
Slices for partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children |
partOf:course-summary | SΣ | 0..1 | Reference(Radiotherapy Course Summary) | Radiotherapy Course Summary that summarizes the course of which this Radiotherapy Treated Phase is a part. ele-1: All FHIR elements must have a @value or children |
status | ?!SΣC | 1..1 | code | (USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) ele-1: All FHIR elements must have a @value or children |
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: Radiotherapy Category Code Max Value Set (required) ele-1: All FHIR elements must have a @value or children |
code | SΣ | 1..1 | CodeableConcept | (USCDI) Identification of the procedure Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1222565005 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment phase (regime/therapy) | |
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | (USCDI) Who the procedure was performed on ele-1: All FHIR elements must have a @value or children |
performed[x] | SΣC | 0..1 | Period | (USCDI) When the procedure was performed ele-1: All FHIR elements must have a @value or children |
start | SΣC | 0..1 | dateTime | The date and time when the first therapeutic radiation was delivered. ele-1: All FHIR elements must have a @value or children |
end | SΣC | 0..1 | dateTime | An end date is expected if the status is 'stopped' or 'completed' ele-1: All FHIR elements must have a @value or children |
Slices for performer | SΣ | 0..* | BackboneElement | The people who performed the procedure Slice: Unordered, Open by profile:actor.resolve() ele-1: All FHIR elements must have a @value or children |
performer:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner ele-1: All FHIR elements must have a @value or children |
performer:organization | SΣ | 0..* | BackboneElement | The people who performed the procedure ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
actor | Σ | 1..1 | Reference(US Core Organization Profile) | Organization that provided the radiotherapy treatment. ele-1: All FHIR elements must have a @value or children |
location | SΣ | 0..1 | Reference(US Core Location Profile) | Location where the radiotherapy treatment was performed. ele-1: All FHIR elements must have a @value or children |
reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: Cancer Disorder Value Set (extensible) ele-1: All FHIR elements must have a @value or children |
reasonReference | SΣ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed ele-1: All FHIR elements must have a @value or children |
bodySite | SΣ | 0..* | CodeableConcept | All body structure(s) treated with this procedure. Binding: Radiotherapy Treatment Location Value Set (extensible) ele-1: All FHIR elements must have a @value or children |
Slices for extension | Content/Rules for all slices | |||
locationQualifier | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
lateralityQualifier | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
Slices for focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device Slice: Unordered, Open by profile:manipulated.resolve() ele-1: All FHIR elements must have a @value or children | |
focalDevice:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
manipulated | 1..1 | Reference(Device) | Device that was changed ele-1: All FHIR elements must have a @value or children | |
focalDevice:seedDevice | S | 0..* | BackboneElement | Radiotherapy Seed Device used as part of therapy. ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
manipulated | 1..1 | Reference(Radiotherapy Seed Device) | Device that was changed ele-1: All FHIR elements must have a @value or children | |
Slices for usedReference | S | 0..* | Reference(Device | Medication | Substance) | Items used during procedure Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children |
usedReference:treatmentDevice | S | 0..* | Reference(Radiotherapy Treatment Device) | Radiotherapy Treatment Device used as part of therapy. ele-1: All FHIR elements must have a @value or children |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Procedure.extension:modalityAndTechnique.extension:modality.value[x] | required | RadiotherapyModalityVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs | |
Procedure.extension:modalityAndTechnique.extension:technique.value[x] | required | RadiotherapyTechniqueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs | |
Procedure.identifier:displayName.use | required | Pattern: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Procedure.identifier:official.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status from the FHIR Standard | |
Procedure.category | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs from this IG | |
Procedure.code | extensible | Pattern: SNOMED-CT Code 1222565005("Radiotherapy treatment phase (regime/therapy)")http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | |
Procedure.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | |
Procedure.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs |
Id | Grade | Path(s) | Details | Requirements |
CategoryPreferred | warning | Procedure | 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 | Procedure | 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 | Procedure | 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 | |
codexrt-procedure-status | error | Procedure | Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed : status = 'in-progress' or status = 'not-done' or status = 'on-hold' or status = 'stopped' or status = 'completed' |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Procedure | C | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient us-core-7: Performed SHALL be present if the status is 'completed' or 'in-progress' codexrt-procedure-status: Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed 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 | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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. | ||||
fractionsDelivered | S | 0..1 | unsignedInt | Number of Fractions Delivered URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered | ||||
doseDeliveredToVolume | S | 0..* | (Complex) | Radiotherapy Dose Delivered To Volume Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-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 in the body where radiation was delivered | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "volume" | |||||
value[x] | 0..1 | Reference(Radiotherapy Volume Profile) | Value of extension | |||||
extension:totalDoseDelivered | S | 0..1 | Extension | Extension | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "totalDoseDelivered" | |||||
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 | |||||
pointDose | S | 0..1 | boolean | Point Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose | ||||
primaryPlanDose | S | 0..1 | boolean | Primary Plan Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose | ||||
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/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-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) | ||||
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) | ||||
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. | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | SΣ | 2..* | Identifier | External Identifiers for this procedure 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(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
Slices for basedOn | Σ | 0..* | Reference(US Core CarePlan Profile | US Core ServiceRequest Profile) | (USCDI) A request for this procedure Slice: Unordered, Open by profile:$this.resolve() | ||||
basedOn:planned-phase | SΣ | 0..1 | Reference(Radiotherapy Planned Phase) | Radiotherapy Planned Phase that planned the treatment summarized in this Radiotherapy Treated Phase. | ||||
basedOn:phase-prescription | SΣ | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that prescribed the treatment summarized in this Radiotherapy Treated Phase. | ||||
Slices for partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event Slice: Unordered, Open by profile:$this.resolve() | ||||
partOf:course-summary | SΣ | 0..1 | Reference(Radiotherapy Course Summary) | Radiotherapy Course Summary that summarizes the course of which this Radiotherapy Treated Phase is a part. | ||||
status | ?!SΣC | 1..1 | code | (USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) | ||||
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: Radiotherapy Category Code Max Value Set (required) | ||||
code | SΣ | 1..1 | CodeableConcept | (USCDI) Identification of the procedure Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure 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: 1222565005 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment phase (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 | |||||
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | (USCDI) Who the procedure was performed on | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
performed[x] | SΣC | 0..1 | Period | (USCDI) When the procedure was performed | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
start | SΣC | 0..1 | dateTime | The date and time when the first therapeutic radiation was delivered. | ||||
end | SΣC | 0..1 | dateTime | An end date is expected if the status is 'stopped' or 'completed' | ||||
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
Slices for performer | SΣ | 0..* | BackboneElement | The people who performed the procedure Slice: Unordered, Open by profile:actor.resolve() | ||||
performer:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
performer:organization | SΣ | 0..* | BackboneElement | The people who performed the procedure | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
actor | Σ | 1..1 | Reference(US Core Organization Profile) | Organization that provided the radiotherapy treatment. | ||||
onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
location | SΣ | 0..1 | Reference(US Core Location Profile) | Location where the radiotherapy treatment was performed. | ||||
reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: Cancer Disorder Value Set (extensible) | ||||
reasonReference | SΣ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||
bodySite | SΣ | 0..* | CodeableConcept | All body structure(s) treated with this procedure. 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 | ||||
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
report | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
note | 0..* | Annotation | Additional information about the procedure | |||||
Slices for focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device Slice: Unordered, Open by profile:manipulated.resolve() | |||||
focalDevice:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
manipulated | 1..1 | Reference(Device) | Device that was changed | |||||
focalDevice:seedDevice | S | 0..* | BackboneElement | Radiotherapy Seed Device used as part of therapy. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
manipulated | 1..1 | Reference(Radiotherapy Seed Device) | Device that was changed | |||||
Slices for usedReference | S | 0..* | Reference(Device | Medication | Substance) | Items used during procedure Slice: Unordered, Open by profile:$this.resolve() | ||||
usedReference:treatmentDevice | S | 0..* | Reference(Radiotherapy Treatment Device) | Radiotherapy Treatment Device used as part of therapy. | ||||
usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Procedure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Procedure.extension:modalityAndTechnique.extension:modality.value[x] | required | RadiotherapyModalityVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs | ||||
Procedure.extension:modalityAndTechnique.extension:technique.value[x] | required | RadiotherapyTechniqueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs | ||||
Procedure.identifier:displayName.use | required | Pattern: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Procedure.identifier:displayName.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Procedure.identifier:official.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Procedure.identifier:official.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status from the FHIR Standard | ||||
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT)http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard | ||||
Procedure.category | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs from this IG | ||||
Procedure.code | extensible | Pattern: SNOMED-CT Code 1222565005("Radiotherapy treatment phase (regime/therapy)")http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | ||||
Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
Procedure.performer:organization.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
Procedure.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | ||||
Procedure.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs | ||||
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard | ||||
Procedure.complication | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard | ||||
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-action from the FHIR Standard | ||||
Procedure.focalDevice:seedDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-action from the FHIR Standard | ||||
Procedure.usedCode | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
CategoryPreferred | warning | Procedure | 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 | Procedure | 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 | Procedure | 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 | |
codexrt-procedure-status | error | Procedure | Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed : status = 'in-progress' or status = 'not-done' or status = 'on-hold' or status = 'stopped' or status = 'completed' |
This structure is derived from USCoreProcedureProfile
Summary
Mandatory: 9 elements
Must-Support: 34 elements
Prohibited: 1 element
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 USCoreProcedureProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | C | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient codexrt-procedure-status: Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed 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 | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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 |
fractionsDelivered | S | 0..1 | unsignedInt | Number of Fractions Delivered URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered |
doseDeliveredToVolume | S | 0..* | (Complex) | Radiotherapy Dose Delivered To Volume Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume |
Slices for extension | Content/Rules for all slices | |||
extension:totalDoseDelivered | 0..1 | Extension | Extension | |
extension:fractionsDelivered | 0..0 | |||
pointDose | S | 0..1 | boolean | Point Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose |
primaryPlanDose | S | 0..1 | boolean | Primary Plan Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose |
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) |
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) |
intrafractionVerification | S | 0..* | (Complex) | Intrafraction Verification URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification |
Slices for identifier | S | 2..* | Identifier | External Identifiers for this procedure 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(US Core CarePlan Profile | US Core ServiceRequest Profile) | (USCDI) A request for this procedure Slice: Unordered, Open by profile:$this.resolve() | |
basedOn:planned-phase | S | 0..1 | Reference(Radiotherapy Planned Phase) | Radiotherapy Planned Phase that planned the treatment summarized in this Radiotherapy Treated Phase. |
basedOn:phase-prescription | S | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that prescribed the treatment summarized in this Radiotherapy Treated Phase. |
Slices for partOf | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event Slice: Unordered, Open by profile:$this.resolve() | |
partOf:course-summary | S | 0..1 | Reference(Radiotherapy Course Summary) | Radiotherapy Course Summary that summarizes the course of which this Radiotherapy Treated Phase is a part. |
category | 1..1 | CodeableConcept | Classification of the procedure Binding: Radiotherapy Category Code Max Value Set (required) | |
code | 1..1 | CodeableConcept | (USCDI) Identification of the procedure 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: 1222565005 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment phase (regime/therapy) | |
subject | 1..1 | Reference(Cancer Patient Profile) | (USCDI) Who the procedure was performed on | |
performed[x] | 0..1 | Period | (USCDI) When the procedure was performed | |
start | S | 0..1 | dateTime | The date and time when the first therapeutic radiation was delivered. |
end | S | 0..1 | dateTime | An end date is expected if the status is 'stopped' or 'completed' |
Slices for performer | S | 0..* | BackboneElement | The people who performed the procedure Slice: Unordered, Open by profile:actor.resolve() |
performer:organization | S | 0..* | BackboneElement | The people who performed the procedure |
actor | 1..1 | Reference(US Core Organization Profile) | Organization that provided the radiotherapy treatment. | |
location | S | 0..1 | Reference(US Core Location Profile) | Location where the radiotherapy treatment was performed. |
reasonCode | S | 0..* | CodeableConcept | Coded reason procedure performed Binding: Cancer Disorder Value Set (extensible) |
reasonReference | S | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed |
bodySite | S | 0..* | CodeableConcept | All body structure(s) treated with this procedure. 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) | |
Slices for focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device Slice: Unordered, Open by profile:manipulated.resolve() | |
focalDevice:seedDevice | S | 0..* | BackboneElement | Radiotherapy Seed Device used as part of therapy. |
manipulated | 1..1 | Reference(Radiotherapy Seed Device) | Device that was changed | |
Slices for usedReference | S | 0..* | Reference(Device | Medication | Substance) | Items used during procedure Slice: Unordered, Open by profile:$this.resolve() |
usedReference:treatmentDevice | S | 0..* | Reference(Radiotherapy Treatment Device) | Radiotherapy Treatment Device used as part of therapy. |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Procedure.category | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs from this IG | |
Procedure.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | |
Procedure.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs |
Id | Grade | Path(s) | Details | Requirements |
CategoryPreferred | warning | Procedure | 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 | Procedure | 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 | Procedure | 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 | |
codexrt-procedure-status | error | Procedure | Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed : status = 'in-progress' or status = 'not-done' or status = 'on-hold' or status = 'stopped' or status = 'completed' |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Procedure | C | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management us-core-7: Performed SHALL be present if the status is 'completed' or 'in-progress' codexrt-procedure-status: Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed codexrt-motion-management-none: If the respiratory motion management is 'none', then no other respiratory motion management extensions are allowed. They would also be 'none' or contradict the 'none'. SNOMEDCT code 721031000124102 is "External beam radiotherapy without respiratory motion management (procedure)" codexrt-free-breathing-technique: The extension for the technique of free-breathing motion management is only allowed if motion management is free-breathing. SNOMEDCT code 721071000124104 is "External beam radiotherapy with free breathing (procedure)" CategoryPreferred: This code 108290001 is inactive and should be used only for backward compatibility. |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modalityAndTechnique | SC | 0..1 | (Complex) | Radiotherapy Modality And Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both TechniquesForNeutronBeamModality: Allowed Techniques for Neutron Beam Modality TechniquesForPhotonBeamModality: Allowed Techniques for Photon Beam Modality TechniquesForElectronBeamModality: Allowed Techniques for Electron Beam Modality TechniquesForCarbonIonBeamModality: Allowed Techniques for Carbon Ion Beam Modality TechniquesForProtonBeamModality: Allowed Techniques for Proton Beam Modality TechniquesForInternalRadiotherapyPermanentSeeds: Allowed Techniques for Internal Radiotherapy - Permanent Seeds TechniquesForLowDoseRateUsingTempRadSource: Allowed Techniques for Low Dose Rate Using Temp Radiation Source TechniquesForPulsedDoseRate: Allowed Techniques for Pulsed Dose Rate TechniquesForHighDoseRate: Allowed Techniques for High Dose Rate TechniquesForHighDoseRateElectronic: Allowed Techniques for High Dose Rate Electronic TechniquesForRadioPharmaceutical: Allowed Techniques for Radiopharmaceutical ModalityTextRequiredForOther: Require a text literal for code other TechniqueTextRequiredForOther: Require a text literal for code other |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modality | S | 1..1 | (Complex) | Radiotherapy Modality Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Radiotherapy Modality Value Set (required) ele-1: All FHIR elements must have a @value or children | |
technique | S | 0..* | (Complex) | Radiotherapy Technique Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
extension | 0..0 | |||
url | 1..1 | uri | "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-technique" | |
value[x] | 1..1 | CodeableConcept | Value of extension Binding: Radiotherapy Technique Value Set (required) ele-1: All FHIR elements must have a @value or children | |
radiotherapyEnergyOrIsotope | S | 0..* | SimpleQuantity | Radiotherapy Energy or Isotope URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope Binding: Radiotherapy Energy Unit Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
radiotherapyTreatmentApplicatorType | S | 0..* | CodeableConcept | Radiotherapy Treatment Applicator Type URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type Binding: Brachytherapy Applicator Type Value Set (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
url | 1..1 | uri | "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique" | |
imageGuidedRadiotherapyModality | SC | 0..* | (Complex) | Image Guided Radiotherapy Modality URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both IGRTEnergyAllowed: Energy is only allowed for X-Ray, Fluorograph, or CT Modalities. |
fractionsDelivered | S | 0..1 | unsignedInt | Number of Fractions Delivered URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
doseDeliveredToVolume | S | 0..* | (Complex) | Radiotherapy Dose Delivered To Volume Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
Slices for extension | 1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
extension:volume | S | 1..1 | Extension | Volume in the body where radiation was delivered ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
extension | 0..0 | |||
url | 1..1 | uri | "volume" | |
extension:totalDoseDelivered | S | 0..1 | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
extension | 0..0 | |||
url | 1..1 | uri | "totalDoseDelivered" | |
value[x] | 0..1 | Quantity | Value of extension ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following | |
system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
code | 1..1 | code | Coded form of the unit Fixed Value: cGy | |
pointDose | S | 0..1 | boolean | Point Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
primaryPlanDose | S | 0..1 | boolean | Primary Plan Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
radiobiologicMetric | S | 0..* | Quantity | Radiotherapy Biologically Effective Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
url | 1..1 | uri | "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-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) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
respiratoryMotionManagement | S | 0..* | CodeableConcept | Respiratory Motion Management URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management Binding: Radiotherapy Respiratory Motion Management Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
freeBreathingMotionManagementTechnique | S | 0..* | CodeableConcept | Free-Breathing Motion Management Technique URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique Binding: Radiotherapy Free-Breathing Motion Management Technique Value Set (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
intrafractionVerification | SC | 0..* | (Complex) | Intrafraction Verification URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both IntrafractionVerificationQualifierAllowed: Qualifier is only allowed for X-Ray procedure. |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
Slices for identifier | SΣ | 2..* | Identifier | External Identifiers for this procedure Slice: Unordered, Open by value:use ele-1: All FHIR elements must have a @value or children |
identifier:displayName | SΣ | 1..1 | Identifier | The name that is displayed to the user. ele-1: All FHIR elements must have a @value or children |
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children Required Pattern: usual |
system | SΣ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient |
value | SΣ | 1..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
identifier:official | SΣ | 1..* | Identifier | A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID. ele-1: All FHIR elements must have a @value or children |
use | ?!Σ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children Required Pattern: official |
system | SΣ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient |
value | SΣ | 1..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456 |
Slices for basedOn | Σ | 0..* | Reference(US Core CarePlan Profile | US Core ServiceRequest Profile) | (USCDI) A request for this procedure Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children |
basedOn:planned-phase | SΣ | 0..1 | Reference(Radiotherapy Planned Phase) | Radiotherapy Planned Phase that planned the treatment summarized in this Radiotherapy Treated Phase. ele-1: All FHIR elements must have a @value or children |
basedOn:phase-prescription | SΣ | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that prescribed the treatment summarized in this Radiotherapy Treated Phase. ele-1: All FHIR elements must have a @value or children |
Slices for partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children |
partOf:course-summary | SΣ | 0..1 | Reference(Radiotherapy Course Summary) | Radiotherapy Course Summary that summarizes the course of which this Radiotherapy Treated Phase is a part. ele-1: All FHIR elements must have a @value or children |
status | ?!SΣC | 1..1 | code | (USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) ele-1: All FHIR elements must have a @value or children |
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: Radiotherapy Category Code Max Value Set (required) ele-1: All FHIR elements must have a @value or children |
code | SΣ | 1..1 | CodeableConcept | (USCDI) Identification of the procedure Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1222565005 | |
display | 1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment phase (regime/therapy) | |
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | (USCDI) Who the procedure was performed on ele-1: All FHIR elements must have a @value or children |
performed[x] | SΣC | 0..1 | Period | (USCDI) When the procedure was performed ele-1: All FHIR elements must have a @value or children |
start | SΣC | 0..1 | dateTime | The date and time when the first therapeutic radiation was delivered. ele-1: All FHIR elements must have a @value or children |
end | SΣC | 0..1 | dateTime | An end date is expected if the status is 'stopped' or 'completed' ele-1: All FHIR elements must have a @value or children |
Slices for performer | SΣ | 0..* | BackboneElement | The people who performed the procedure Slice: Unordered, Open by profile:actor.resolve() ele-1: All FHIR elements must have a @value or children |
performer:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner ele-1: All FHIR elements must have a @value or children |
performer:organization | SΣ | 0..* | BackboneElement | The people who performed the procedure ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
actor | Σ | 1..1 | Reference(US Core Organization Profile) | Organization that provided the radiotherapy treatment. ele-1: All FHIR elements must have a @value or children |
location | SΣ | 0..1 | Reference(US Core Location Profile) | Location where the radiotherapy treatment was performed. ele-1: All FHIR elements must have a @value or children |
reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: Cancer Disorder Value Set (extensible) ele-1: All FHIR elements must have a @value or children |
reasonReference | SΣ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed ele-1: All FHIR elements must have a @value or children |
bodySite | SΣ | 0..* | CodeableConcept | All body structure(s) treated with this procedure. Binding: Radiotherapy Treatment Location Value Set (extensible) ele-1: All FHIR elements must have a @value or children |
Slices for extension | Content/Rules for all slices | |||
locationQualifier | 0..* | CodeableConcept | General location qualifier (excluding laterality) for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier Binding: Body Location Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
lateralityQualifier | 0..1 | CodeableConcept | Laterality qualifier for this bodySite URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier Binding: Laterality Qualifier Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
Slices for focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device Slice: Unordered, Open by profile:manipulated.resolve() ele-1: All FHIR elements must have a @value or children | |
focalDevice:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
manipulated | 1..1 | Reference(Device) | Device that was changed ele-1: All FHIR elements must have a @value or children | |
focalDevice:seedDevice | S | 0..* | BackboneElement | Radiotherapy Seed Device used as part of therapy. ele-1: All FHIR elements must have a @value or children |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
manipulated | 1..1 | Reference(Radiotherapy Seed Device) | Device that was changed ele-1: All FHIR elements must have a @value or children | |
Slices for usedReference | S | 0..* | Reference(Device | Medication | Substance) | Items used during procedure Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children |
usedReference:treatmentDevice | S | 0..* | Reference(Radiotherapy Treatment Device) | Radiotherapy Treatment Device used as part of therapy. ele-1: All FHIR elements must have a @value or children |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Procedure.extension:modalityAndTechnique.extension:modality.value[x] | required | RadiotherapyModalityVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs | |
Procedure.extension:modalityAndTechnique.extension:technique.value[x] | required | RadiotherapyTechniqueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs | |
Procedure.identifier:displayName.use | required | Pattern: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Procedure.identifier:official.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | |
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status from the FHIR Standard | |
Procedure.category | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs from this IG | |
Procedure.code | extensible | Pattern: SNOMED-CT Code 1222565005("Radiotherapy treatment phase (regime/therapy)")http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | |
Procedure.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | |
Procedure.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs |
Id | Grade | Path(s) | Details | Requirements |
CategoryPreferred | warning | Procedure | 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 | Procedure | 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 | Procedure | 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 | |
codexrt-procedure-status | error | Procedure | Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed : status = 'in-progress' or status = 'not-done' or status = 'on-hold' or status = 'stopped' or status = 'completed' |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Procedure | C | 0..* | USCoreProcedureProfile | An action that is being or was performed on a patient us-core-7: Performed SHALL be present if the status is 'completed' or 'in-progress' codexrt-procedure-status: Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed 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 | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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. | ||||
fractionsDelivered | S | 0..1 | unsignedInt | Number of Fractions Delivered URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered | ||||
doseDeliveredToVolume | S | 0..* | (Complex) | Radiotherapy Dose Delivered To Volume Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-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 in the body where radiation was delivered | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "volume" | |||||
value[x] | 0..1 | Reference(Radiotherapy Volume Profile) | Value of extension | |||||
extension:totalDoseDelivered | S | 0..1 | Extension | Extension | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..0 | |||||||
url | 1..1 | uri | "totalDoseDelivered" | |||||
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 | |||||
pointDose | S | 0..1 | boolean | Point Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose | ||||
primaryPlanDose | S | 0..1 | boolean | Primary Plan Dose URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose | ||||
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/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-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) | ||||
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) | ||||
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. | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | SΣ | 2..* | Identifier | External Identifiers for this procedure 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(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
Slices for basedOn | Σ | 0..* | Reference(US Core CarePlan Profile | US Core ServiceRequest Profile) | (USCDI) A request for this procedure Slice: Unordered, Open by profile:$this.resolve() | ||||
basedOn:planned-phase | SΣ | 0..1 | Reference(Radiotherapy Planned Phase) | Radiotherapy Planned Phase that planned the treatment summarized in this Radiotherapy Treated Phase. | ||||
basedOn:phase-prescription | SΣ | 0..1 | Reference(Radiotherapy Phase Prescription) | Radiotherapy Phase Prescription that prescribed the treatment summarized in this Radiotherapy Treated Phase. | ||||
Slices for partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event Slice: Unordered, Open by profile:$this.resolve() | ||||
partOf:course-summary | SΣ | 0..1 | Reference(Radiotherapy Course Summary) | Radiotherapy Course Summary that summarizes the course of which this Radiotherapy Treated Phase is a part. | ||||
status | ?!SΣC | 1..1 | code | (USCDI) preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required) | ||||
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed. | ||||
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: Radiotherapy Category Code Max Value Set (required) | ||||
code | SΣ | 1..1 | CodeableConcept | (USCDI) Identification of the procedure Binding: US Core Procedure Codes (extensible): Codes describing the type of Procedure 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: 1222565005 | |||||
display | 1..1 | string | Representation defined by the system Fixed Value: Radiotherapy treatment phase (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 | |||||
subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | (USCDI) Who the procedure was performed on | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of | ||||
performed[x] | SΣC | 0..1 | Period | (USCDI) When the procedure was performed | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
start | SΣC | 0..1 | dateTime | The date and time when the first therapeutic radiation was delivered. | ||||
end | SΣC | 0..1 | dateTime | An end date is expected if the status is 'stopped' or 'completed' | ||||
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure | ||||
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure | ||||
Slices for performer | SΣ | 0..* | BackboneElement | The people who performed the procedure Slice: Unordered, Open by profile:actor.resolve() | ||||
performer:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner | ||||
onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
performer:organization | SΣ | 0..* | BackboneElement | The people who performed the procedure | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure. | ||||
actor | Σ | 1..1 | Reference(US Core Organization Profile) | Organization that provided the radiotherapy treatment. | ||||
onBehalfOf | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for | |||||
location | SΣ | 0..1 | Reference(US Core Location Profile) | Location where the radiotherapy treatment was performed. | ||||
reasonCode | SΣ | 0..* | CodeableConcept | Coded reason procedure performed Binding: Cancer Disorder Value Set (extensible) | ||||
reasonReference | SΣ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed | ||||
bodySite | SΣ | 0..* | CodeableConcept | All body structure(s) treated with this procedure. 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 | ||||
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise. | ||||
report | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure | |||||
complication | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure. | |||||
complicationDetail | 0..* | Reference(Condition) | A condition that is a result of the procedure | |||||
followUp | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures. | |||||
note | 0..* | Annotation | Additional information about the procedure | |||||
Slices for focalDevice | 0..* | BackboneElement | Manipulated, implanted, or removed device Slice: Unordered, Open by profile:manipulated.resolve() | |||||
focalDevice:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
manipulated | 1..1 | Reference(Device) | Device that was changed | |||||
focalDevice:seedDevice | S | 0..* | BackboneElement | Radiotherapy Seed Device used as part of therapy. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
action | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure. | |||||
manipulated | 1..1 | Reference(Radiotherapy Seed Device) | Device that was changed | |||||
Slices for usedReference | S | 0..* | Reference(Device | Medication | Substance) | Items used during procedure Slice: Unordered, Open by profile:$this.resolve() | ||||
usedReference:treatmentDevice | S | 0..* | Reference(Radiotherapy Treatment Device) | Radiotherapy Treatment Device used as part of therapy. | ||||
usedCode | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure. | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Procedure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
Procedure.extension:modalityAndTechnique.extension:modality.value[x] | required | RadiotherapyModalityVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs | ||||
Procedure.extension:modalityAndTechnique.extension:technique.value[x] | required | RadiotherapyTechniqueVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-technique-vs | ||||
Procedure.identifier:displayName.use | required | Pattern: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Procedure.identifier:displayName.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Procedure.identifier:official.use | required | Pattern: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||
Procedure.identifier:official.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||
Procedure.status | required | EventStatushttp://hl7.org/fhir/ValueSet/event-status from the FHIR Standard | ||||
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT)http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard | ||||
Procedure.category | required | RadiotherapyCategoryVShttp://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs from this IG | ||||
Procedure.code | extensible | Pattern: SNOMED-CT Code 1222565005("Radiotherapy treatment phase (regime/therapy)")http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code | ||||
Procedure.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
Procedure.performer:organization.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
Procedure.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs | ||||
Procedure.bodySite | extensible | RadiotherapyTreatmentLocationVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs | ||||
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard | ||||
Procedure.complication | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT)http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard | ||||
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-action from the FHIR Standard | ||||
Procedure.focalDevice:seedDevice.action | preferred | ProcedureDeviceActionCodeshttp://hl7.org/fhir/ValueSet/device-action from the FHIR Standard | ||||
Procedure.usedCode | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
CategoryPreferred | warning | Procedure | 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 | Procedure | 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 | Procedure | 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 | |
codexrt-procedure-status | error | Procedure | Only the following status values are supported: in-progress | not-done | on-hold | stopped | completed : status = 'in-progress' or status = 'not-done' or status = 'on-hold' or status = 'stopped' or status = 'completed' |
This structure is derived from USCoreProcedureProfile
Summary
Mandatory: 9 elements
Must-Support: 34 elements
Prohibited: 1 element
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