CodeX Radiation Therapy
2.0.0 - STU2 flag

CodeX Radiation Therapy, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/codex-radiation-therapy/ and changes regularly. See the Directory of published versions

Resource Profile: Radiotherapy Disease Status

Official URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-disease-status Version: 2.0.0
Draft as of 2025-02-17 Computable Name: RadiotherapyDiseaseStatus
Other Identifiers: OID:2.16.840.1.113883.4.642.40.14.42.10

Disease Status Reported by Radiation Oncologist

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* CancerDiseaseStatus Measurements and simple assertions
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
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... 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 Content/Rules for all slices
.... evidenceType S 0..* CodeableConcept Cancer Disease Status Evidence Type Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-disease-status-evidence-type
Binding: Cancer Disease Status Evidence Type 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
.... radiotherapyVolume 0..* Reference(Radiotherapy Volume) Radiotherapy Volume Extension
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-volume-extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.


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://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 97509-4
... subject SΣ 1..1 Reference(Cancer Patient Profile) Who and/or what the observation is about
ele-1: All FHIR elements must have a @value or children
... focus SΣ 0..* Reference(US Core Condition Problems and Health Concerns Profile | Tumor Profile | Radiotherapy Volume Profile) What the observation is about, when it is not about the subject of record
ele-1: All FHIR elements must have a @value or children
... effective[x] SΣ 0..1 dateTime Clinically relevant time/time-period for observation
ele-1: All FHIR elements must have a @value or children
... value[x] SΣC 0..1 CodeableConcept Actual result
Binding: Condition Status Trend Value Set (preferred)
Additional BindingsPurpose
Condition Status Trend Maximum Value Set Max Binding

ele-1: All FHIR elements must have a @value or children
RestrictDiseaseProgressionQualifier: Only allow qualifier for one value status
.... Slices for extension Content/Rules for all slices
..... diseaseProgressionQualifier 0..* CodeableConcept Progression Qualifier
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-disease-progression-qualifier
Binding: Disease Progression Qualifier Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.codeexamplePattern: LOINC Code 97509-4
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]preferredConditionStatusTrendVS
http://hl7.org/fhir/us/mcode/ValueSet/mcode-condition-status-trend-vs
Additional Bindings Purpose
Condition Status Trend Maximum Value Set Max Binding

Constraints

IdGradePath(s)DetailsRequirements
RestrictDiseaseProgressionQualifiererrorObservation.value[x]Only allow qualifier for one value status
: coding.exists(code = '271299001').not() implies extension.exists(url = 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-disease-progression-qualifier').not()

 

Other representations of profile: CSV, Excel, Schematron