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 Treatment Session

Official URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-session Version: 2.0.0
Draft as of 2025-02-17 Computable Name: RadiotherapyTreatmentSession
Other Identifiers: OID:2.16.840.1.113883.4.642.40.14.42.36

A radiotherapy treatment session with the patient.

This profile is used to capture a radiotherapy session with the patient.

An overview of radiotherapy courses, phases, and treatment plans is shown here. The relationships between the various radiotherapy profiles are shown here.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Encounter 0..* USCoreEncounterProfile An interaction during which services are provided to the 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
... 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
.... radiotherapySessionNumber S 0..1 positiveInt Session Number
URL: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-session-number
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... identifier:All Slices Content/Rules for all slices
..... use ?!Σ 0..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
..... system SΣ 1..1 uri (USCDI) 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 (USCDI) The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
.... identifier:dicomTreatmentSessionUid SΣ 0..1 Identifier DICOM Treatment Session UID (300A,0700)
ele-1: All FHIR elements must have a @value or children
..... use ?!Σ 0..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
..... system SΣ 1..1 uri (USCDI) The namespace for the identifier value
ele-1: All FHIR elements must have a @value or children
Required Pattern: urn:dicom:uid
..... value SΣ 1..1 string (USCDI) The value that is unique
ele-1: All FHIR elements must have a @value or children
Example General: 123456
... status ?!SΣ 1..1 code (USCDI) planned | arrived | triaged | in-progress | onleave | finished | cancelled +
Binding: EncounterStatus (required): Current state of the encounter.


ele-1: All FHIR elements must have a @value or children
... class SΣ 1..1 Coding (USCDI) Classification of patient encounter
Binding: ActEncounterCode (extensible): Classification of the encounter.


ele-1: All FHIR elements must have a @value or children
... type SΣ 1..* CodeableConcept (USCDI) Specific type of encounter
Binding: US Core Encounter Type (extensible): Valueset to describe the Encounter Type


ele-1: All FHIR elements must have a @value or children
... serviceType Σ 1..1 CodeableConcept Specific type of service
Binding: ServiceType (example): Broad categorization of the service that is to be provided.


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: 1287742003
..... display 1..1 string Representation defined by the system
Fixed Value: Radiotherapy (procedure)
... subject SΣ 1..1 Reference(US Core Patient Profile) (USCDI) The patient or group present at the encounter
ele-1: All FHIR elements must have a @value or children
... Slices for basedOn 0..* Reference(ServiceRequest) The ServiceRequest that initiated this encounter
Slice: Unordered, Open by profile:$this.resolve()
ele-1: All FHIR elements must have a @value or children
.... basedOn:treatment-plan S 0..* Reference(Radiotherapy Treatment Plan) Radiotherapy Treatment Plan for which this Session takes place or took place.
ele-1: All FHIR elements must have a @value or children
.... basedOn:planned-phase S 0..* Reference(Radiotherapy Planned Phase) Radiotherapy Planned Phase for which this Session takes place or took place.
ele-1: All FHIR elements must have a @value or children
... participant SΣ 0..* BackboneElement (USCDI) List of participants involved in the encounter
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
.... type SΣ 0..* CodeableConcept (USCDI) Role of participant in encounter
Binding: ParticipantType (extensible): Role of participant in encounter.


ele-1: All FHIR elements must have a @value or children
.... period S 0..1 Period (USCDI) Period of time during the encounter that the participant participated
ele-1: All FHIR elements must have a @value or children
.... individual SΣ 0..1 Reference(US Core Practitioner Profile) (USCDI) Persons involved in the encounter other than the patient
ele-1: All FHIR elements must have a @value or children
... period S 0..1 Period (USCDI) The start and end time of the encounter
ele-1: All FHIR elements must have a @value or children
... reasonCode SΣ 0..* CodeableConcept (USCDI) Coded reason the encounter takes place
Binding: EncounterReasonCodes (preferred): Reason why the encounter takes place.


ele-1: All FHIR elements must have a @value or children
... reasonReference SΣ 0..* Reference(US Core Condition Problems and Health Concerns Profile | US Core Condition Encounter Diagnosis Profile) (USCDI) Reason the encounter takes place (reference)
ele-1: All FHIR elements must have a @value or children
... hospitalization S 0..1 BackboneElement (USCDI) Details about the admission to a healthcare service
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
.... dischargeDisposition S 0..1 CodeableConcept (USCDI) Category or kind of location after discharge
Binding: US Core Discharge Disposition (preferred): National Uniform Billing Committee, manual UB-04, UB form locator 17


ele-1: All FHIR elements must have a @value or children
... location S 0..* BackboneElement (USCDI) List of locations where the patient has been
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
.... location S 1..1 Reference(US Core Location Profile) (USCDI) Location the encounter takes place
ele-1: All FHIR elements must have a @value or children
... serviceProvider S 0..1 Reference(US Core Organization Profile) (USCDI) The organization (facility) responsible for this encounter
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Encounter.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.identifier:dicomTreatmentSessionUid.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Encounter.statusrequiredEncounterStatus
http://hl7.org/fhir/ValueSet/encounter-status|4.0.1
from the FHIR Standard
Encounter.classextensibleActEncounterCode
http://terminology.hl7.org/ValueSet/v3-ActEncounterCode
Encounter.typeextensibleUSCoreEncounterType
http://hl7.org/fhir/us/core/ValueSet/us-core-encounter-type
Encounter.serviceTypeexamplePattern: SNOMED-CT Code 1287742003("Radiotherapy (procedure)")
http://hl7.org/fhir/ValueSet/service-type
from the FHIR Standard
Encounter.participant.typeextensibleParticipantType
http://hl7.org/fhir/ValueSet/encounter-participant-type
from the FHIR Standard
Encounter.reasonCodepreferredEncounterReasonCodes
http://hl7.org/fhir/ValueSet/encounter-reason
from the FHIR Standard
Encounter.hospitalization.dischargeDispositionpreferredUSCoreDischargeDisposition (a valid code from http://www.nubc.org/patient-discharge)
http://hl7.org/fhir/us/core/ValueSet/us-core-discharge-disposition

 

Other representations of profile: CSV, Excel, Schematron