IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions
| Draft as of 2026-08-07 |
{
"resourceType" : "ConceptMap",
"id" : "radiotherapy2FHIR",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap radiotherapy2FHIR</b></p><a name=\"radiotherapy2FHIR\"> </a><a name=\"hcradiotherapy2FHIR\"> </a><p>This mapping does not specify any particular context of use.</p><br/><p>Mapping from <a href=\"StructureDefinition-Radiotherapy.html\">Radiotherapy</a> to <a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html\">Procedure: Radiotherapy</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Card.</b></td><td><b>Type</b></td><td><b>Comment</b></td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.diagnosisReference\">Radiotherapy.diagnosisReference</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.reasonReference\">Procedure.reasonReference</a></td><td>1..*</td><td>todo</td><td/></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.episodeEventReference\">Radiotherapy.episodeEventReference</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.reasonReference\">Procedure.reasonReference</a></td><td>1..*</td><td>todo</td><td/></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.radiotherapyHospital\">Radiotherapy.radiotherapyHospital</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.performer\">Procedure.performer</a></td><td>0..*</td><td>todo</td><td>In case the actual Organization performing the procedure is captured. It could be a perfomer of type Organization; or a perfomer.organization if of type PractitionerRole</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.radiotherapyHospital\">Radiotherapy.radiotherapyHospital</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:sameHospital\">Procedure.extension:sameHospital</a></td><td>0..1</td><td>todo</td><td>Temporary included in the guide for covering the request of tracking if this information has been captured and maintained by the same or other organizations. It is envisioned that this kind of requirements could be covered by recording where specific act are taking place.</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.intent\">Radiotherapy.intent</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:procedureIntent\">Procedure.extension:procedureIntent</a></td><td>0..1</td><td>todo</td><td>from mcode https://build.fhir.org/ig/HL7/fhir-mCODE-ig/StructureDefinition-mcode-radiotherapy-course-summary.html</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.setting\">Radiotherapy.setting</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:procedureCategoryR5\">Procedure.extension:procedureCategoryR5</a></td><td>0..*</td><td>todo</td><td/></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.beamQuality\">Radiotherapy.beamQuality</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:modalityAndTechnique.extension:modality.value[x]\">Procedure.extension:modalityAndTechnique.extension:modality.value[x]</a></td><td>1..1</td><td>todo</td><td>Use valueCodeableConcept. For now we can use the mcode extension</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.other\">Radiotherapy.other</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:modalityAndTechnique.extension:modality.value[x]\">Procedure.extension:modalityAndTechnique.extension:modality.value[x]</a></td><td>1..1</td><td>todo</td><td>Use element valueCodeableConcept.text</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.treatmentTechnique\">Radiotherapy.treatmentTechnique</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:modalityAndTechnique.extension:technique.value[x]\">Procedure.extension:modalityAndTechnique.extension:technique.value[x]</a></td><td>1..1</td><td>todo</td><td>Use valueCodeableConcept. For now we can use the mcode extension</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.totalDoseGy\">Radiotherapy.totalDoseGy</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:doseToVolume\">Procedure.extension:doseToVolume</a></td><td>0..1</td><td>todo</td><td>Use extension:totalDoseDelivered</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.totalHighDose\">Radiotherapy.totalHighDose</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:totalHighDoseDelivered\">Procedure.extension:totalHighDoseDelivered</a></td><td>0..1</td><td>todo</td><td/></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.numberOfFractions\">Radiotherapy.numberOfFractions</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:doseToVolume\">Procedure.extension:doseToVolume</a></td><td>0..1</td><td>todo</td><td>Use extension:fractionsDelivered</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.adaptiveRt\">Radiotherapy.adaptiveRt</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:adaptive\">Procedure.extension:adaptive</a></td><td>0..1</td><td>todo</td><td>Use value.</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.igrt\">Radiotherapy.igrt</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:modalityAndTechnique.extension:technique.value[x]\">Procedure.extension:modalityAndTechnique.extension:technique.value[x]</a></td><td>1..1</td><td>todo</td><td>If is present the extension with code 2000100046 'Image guided radiotherapy (IGRT)' it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.reirradiation\">Radiotherapy.reirradiation</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure\">Procedure</a></td><td>0..*</td><td>todo</td><td>If is present another procedure in the same site for the same condition it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.fieldOfReirradiation\">Radiotherapy.fieldOfReirradiation</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.reasonCode\">Procedure.reasonCode</a></td><td>0..*</td><td>todo</td><td>Present only in the second procedure with the same site for the same condition</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.startDate\">Radiotherapy.startDate</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.performed[x]\">Procedure.performed[x]</a></td><td>1..1</td><td>todo</td><td>Use type Period and element start.</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.endDate\">Radiotherapy.endDate</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.performed[x]\">Procedure.performed[x]</a></td><td>1..1</td><td>todo</td><td>Use type Period and element end.</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.treatmentSitePrimaryOnly\">Radiotherapy.treatmentSitePrimaryOnly</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.bodySite\">Procedure.bodySite</a></td><td>0..*</td><td>todo</td><td>If bodySite = 1 and is the same of the Condition: Primary Cancer it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.treatmentSiteNeckOnly\">Radiotherapy.treatmentSiteNeckOnly</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.bodySite\">Procedure.bodySite</a></td><td>0..*</td><td>todo</td><td>If bodySite = 1 and is 36770046 'Neck' it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.treatmentSitePrimaryAndIpsilateralNeck\">Radiotherapy.treatmentSitePrimaryAndIpsilateralNeck</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.bodySite\">Procedure.bodySite</a></td><td>0..*</td><td>todo</td><td>If bodySite > 1 and one is the same of the Condition: Primary Cancer and another is 36770046 'Neck' with Procedure.bosySite.extension:lateralityQualifier 4112106 'Ipsilateral' it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.treatmentSitePrimaryAndBilateralNeck\">Radiotherapy.treatmentSitePrimaryAndBilateralNeck</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.bodySite\">Procedure.bodySite</a></td><td>0..*</td><td>todo</td><td>If bodySite > 1 and one is the same of the Condition: Primary Cancer and another is 36770046 'Neck' with Procedure.bosySite.extension:lateralityQualifier 4197258 'Right and left' it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.treatmentSiteDistantMetastasis\">Radiotherapy.treatmentSiteDistantMetastasis</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.bodySite\">Procedure.bodySite</a></td><td>0..*</td><td>todo</td><td>If is 36769180 'Metastasis' it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.otherTreatmentSite\">Radiotherapy.otherTreatmentSite</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.bodySite\">Procedure.bodySite</a></td><td>0..*</td><td>todo</td><td/></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.metastaticTreatmentSiteLung\">Radiotherapy.metastaticTreatmentSiteLung</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.bodySite\">Procedure.bodySite</a></td><td>0..*</td><td>todo</td><td>If is 36770283 'Metastasis to lung' it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.metastaticTreatmentSiteMediastinum\">Radiotherapy.metastaticTreatmentSiteMediastinum</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.bodySite\">Procedure.bodySite</a></td><td>0..*</td><td>todo</td><td>If is 35225542 'Metastasis to mediastinum' it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.metastaticTreatmentSiteBone\">Radiotherapy.metastaticTreatmentSiteBone</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.bodySite\">Procedure.bodySite</a></td><td>0..*</td><td>todo</td><td>If is 36769301 'Metastasis to bone' it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.metastaticTreatmentSiteSoftTissue\">Radiotherapy.metastaticTreatmentSiteSoftTissue</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.bodySite\">Procedure.bodySite</a></td><td>0..*</td><td>todo</td><td>If is 35225724 'Metastasis to soft tissues' it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.metastaticTreatmentSiteLiver\">Radiotherapy.metastaticTreatmentSiteLiver</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.bodySite\">Procedure.bodySite</a></td><td>0..*</td><td>todo</td><td>If is 36770544 'Metastasis to liver' it is 'true', else it is 'false'</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.rtTreatmentCompletedAsPlanned\">Radiotherapy.rtTreatmentCompletedAsPlanned</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.extension:terminationReason\">Procedure.extension:terminationReason</a></td><td>0..*</td><td>todo</td><td>For now we can use the mcode extension</td></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.regionalDeepHyperthemia\">Radiotherapy.regionalDeepHyperthemia</a></td><td>1..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.partOf\">Procedure.partOf</a></td><td>0..*</td><td>todo</td><td/></tr><tr><td><a href=\"StructureDefinition-Radiotherapy.html#s-Radiotherapy.treatmentResponse\">Radiotherapy.treatmentResponse</a></td><td>0..*</td><td>todo</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td><a href=\"StructureDefinition-Procedure-radiotheraphy-eu-i4rc.html#s-Procedure.outcome\">Procedure.outcome</a></td><td>0..1</td><td>todo</td><td/></tr></table></div>"
},
"url" : "http://hl7.eu/fhir/ig/idea4rc/ConceptMap/radiotherapy2FHIR",
"version" : "0.1.0",
"name" : "Radiotherapy2FHIR",
"title" : "Radiotherapy Model to this guide Map",
"status" : "draft",
"experimental" : true,
"date" : "2026-08-07T10:05:28+00:00",
"publisher" : "IDEA4RC Project",
"contact" : [
{
"name" : "IDEA4RC Project",
"telecom" : [
{
"system" : "url",
"value" : "https://www.idea4rc.eu/"
}
]
},
{
"name" : "IDEA4RC Project",
"telecom" : [
{
"system" : "url",
"value" : "https://www.idea4rc.eu/"
}
]
}
],
"description" : "It shows how the Radiotherapy model is mapped into this guide",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "150",
"display" : "Europe"
}
]
}
],
"group" : [
{
"source" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Radiotherapy",
"target" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Procedure-radiotheraphy-eu-i4rc",
"element" : [
{
"code" : "Radiotherapy.diagnosisReference",
"display" : "Diagnosis reference (M)",
"target" : [
{
"code" : "Procedure.reasonReference",
"equivalence" : "relatedto"
}
]
},
{
"code" : "Radiotherapy.episodeEventReference",
"display" : "Episode Event reference (M)",
"target" : [
{
"code" : "Procedure.reasonReference",
"equivalence" : "relatedto"
}
]
},
{
"code" : "Radiotherapy.radiotherapyHospital",
"display" : "Radiotherapy Hospital (M)",
"target" : [
{
"code" : "Procedure.performer",
"equivalence" : "relatedto",
"comment" : "In case the actual Organization performing the procedure is captured. It could be a perfomer of type Organization; or a perfomer.organization if of type PractitionerRole"
}
]
},
{
"code" : "Radiotherapy.radiotherapyHospital",
"display" : "Radiotherapy Hospital (M)",
"target" : [
{
"code" : "Procedure.extension:sameHospital",
"equivalence" : "relatedto",
"comment" : "Temporary included in the guide for covering the request of tracking if this information has been captured and maintained by the same or other organizations. It is envisioned that this kind of requirements could be covered by recording where specific act are taking place."
}
]
},
{
"code" : "Radiotherapy.intent",
"display" : "Intent (M)",
"target" : [
{
"code" : "Procedure.extension:procedureIntent",
"equivalence" : "relatedto",
"comment" : "from mcode https://build.fhir.org/ig/HL7/fhir-mCODE-ig/StructureDefinition-mcode-radiotherapy-course-summary.html"
}
]
},
{
"code" : "Radiotherapy.setting",
"display" : "Setting (M (only if Intent is Curative OR Unknown))",
"target" : [
{
"code" : "Procedure.extension:procedureCategoryR5",
"equivalence" : "equivalent"
}
]
},
{
"code" : "Radiotherapy.beamQuality",
"display" : "Beam quality (M)",
"target" : [
{
"code" : "Procedure.extension:modalityAndTechnique.extension:modality.value[x]",
"equivalence" : "equivalent",
"comment" : "Use valueCodeableConcept. For now we can use the mcode extension"
}
]
},
{
"code" : "Radiotherapy.other",
"display" : "Other; specify (O)",
"target" : [
{
"code" : "Procedure.extension:modalityAndTechnique.extension:modality.value[x]",
"equivalence" : "equivalent",
"comment" : "Use element valueCodeableConcept.text"
}
]
},
{
"code" : "Radiotherapy.treatmentTechnique",
"display" : "Treatment technique (M)",
"target" : [
{
"code" : "Procedure.extension:modalityAndTechnique.extension:technique.value[x]",
"equivalence" : "equivalent",
"comment" : "Use valueCodeableConcept. For now we can use the mcode extension"
}
]
},
{
"code" : "Radiotherapy.totalDoseGy",
"display" : "Total Dose (TD) Gy (M)",
"target" : [
{
"code" : "Procedure.extension:doseToVolume",
"equivalence" : "equivalent",
"comment" : "Use extension:totalDoseDelivered"
}
]
},
{
"code" : "Radiotherapy.totalHighDose",
"display" : "Total High Dose (Gy) (R)",
"target" : [
{
"code" : "Procedure.extension:totalHighDoseDelivered",
"equivalence" : "equivalent"
}
]
},
{
"code" : "Radiotherapy.numberOfFractions",
"display" : "Number of fractions (M)",
"target" : [
{
"code" : "Procedure.extension:doseToVolume",
"equivalence" : "equivalent",
"comment" : "Use extension:fractionsDelivered"
}
]
},
{
"code" : "Radiotherapy.adaptiveRt",
"display" : "Adaptive RT (O)",
"target" : [
{
"code" : "Procedure.extension:adaptive",
"equivalence" : "equivalent",
"comment" : "Use value."
}
]
},
{
"code" : "Radiotherapy.igrt",
"display" : "IGRT (image guide radiotherapy) (O)",
"target" : [
{
"code" : "Procedure.extension:modalityAndTechnique.extension:technique.value[x]",
"equivalence" : "relatedto",
"comment" : "If is present the extension with code 2000100046 'Image guided radiotherapy (IGRT)' it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.reirradiation",
"display" : "Reirradiation (local or regional) (O)",
"target" : [
{
"code" : "Procedure",
"equivalence" : "relatedto",
"comment" : "If is present another procedure in the same site for the same condition it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.fieldOfReirradiation",
"display" : "Field of Re-irradiation (O)",
"target" : [
{
"code" : "Procedure.reasonCode",
"equivalence" : "equivalent",
"comment" : "Present only in the second procedure with the same site for the same condition"
}
]
},
{
"code" : "Radiotherapy.startDate",
"display" : "Start date (M)",
"target" : [
{
"code" : "Procedure.performed[x]",
"equivalence" : "equivalent",
"comment" : "Use type Period and element start."
}
]
},
{
"code" : "Radiotherapy.endDate",
"display" : "End date (M)",
"target" : [
{
"code" : "Procedure.performed[x]",
"equivalence" : "equivalent",
"comment" : "Use type Period and element end."
}
]
},
{
"code" : "Radiotherapy.treatmentSitePrimaryOnly",
"display" : "Treatment site primary only (M (suggest to modify the label into Primary only))",
"target" : [
{
"code" : "Procedure.bodySite",
"equivalence" : "relatedto",
"comment" : "If bodySite = 1 and is the same of the Condition: Primary Cancer it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.treatmentSiteNeckOnly",
"display" : "Treatment site neck only (M (suggest to modify the label into Neck only))",
"target" : [
{
"code" : "Procedure.bodySite",
"equivalence" : "relatedto",
"comment" : "If bodySite = 1 and is 36770046 'Neck' it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.treatmentSitePrimaryAndIpsilateralNeck",
"display" : "Treatment site primary and ipsilateral neck (M)",
"target" : [
{
"code" : "Procedure.bodySite",
"equivalence" : "relatedto",
"comment" : "If bodySite > 1 and one is the same of the Condition: Primary Cancer and another is 36770046 'Neck' with Procedure.bosySite.extension:lateralityQualifier 4112106 'Ipsilateral' it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.treatmentSitePrimaryAndBilateralNeck",
"display" : "Treatment site primary and bilateral neck (M)",
"target" : [
{
"code" : "Procedure.bodySite",
"equivalence" : "relatedto",
"comment" : "If bodySite > 1 and one is the same of the Condition: Primary Cancer and another is 36770046 'Neck' with Procedure.bosySite.extension:lateralityQualifier 4197258 'Right and left' it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.treatmentSiteDistantMetastasis",
"display" : "Treatment site distant metastasis (M)",
"target" : [
{
"code" : "Procedure.bodySite",
"equivalence" : "relatedto",
"comment" : "If is 36769180 'Metastasis' it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.otherTreatmentSite",
"display" : "Other Treatment Site (O)",
"target" : [
{
"code" : "Procedure.bodySite",
"equivalence" : "equivalent"
}
]
},
{
"code" : "Radiotherapy.metastaticTreatmentSiteLung",
"display" : "Metastatic treatment site lung (R)",
"target" : [
{
"code" : "Procedure.bodySite",
"equivalence" : "relatedto",
"comment" : "If is 36770283 'Metastasis to lung' it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.metastaticTreatmentSiteMediastinum",
"display" : "Metastatic treatment site mediastinum (R)",
"target" : [
{
"code" : "Procedure.bodySite",
"equivalence" : "relatedto",
"comment" : "If is 35225542 'Metastasis to mediastinum' it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.metastaticTreatmentSiteBone",
"display" : "Metastatic treatment site bone (R)",
"target" : [
{
"code" : "Procedure.bodySite",
"equivalence" : "relatedto",
"comment" : "If is 36769301 'Metastasis to bone' it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.metastaticTreatmentSiteSoftTissue",
"display" : "Metastatic treatment site soft tissue (R)",
"target" : [
{
"code" : "Procedure.bodySite",
"equivalence" : "relatedto",
"comment" : "If is 35225724 'Metastasis to soft tissues' it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.metastaticTreatmentSiteLiver",
"display" : "Metastatic treatment site liver (R)",
"target" : [
{
"code" : "Procedure.bodySite",
"equivalence" : "relatedto",
"comment" : "If is 36770544 'Metastasis to liver' it is 'true', else it is 'false'"
}
]
},
{
"code" : "Radiotherapy.rtTreatmentCompletedAsPlanned",
"display" : "RT Treatment Completed as Planned? (M)",
"target" : [
{
"code" : "Procedure.extension:terminationReason",
"equivalence" : "equivalent",
"comment" : "For now we can use the mcode extension"
}
]
},
{
"code" : "Radiotherapy.regionalDeepHyperthemia",
"display" : "Regional deep hyperthemia (M)",
"target" : [
{
"code" : "Procedure.partOf",
"equivalence" : "relatedto"
}
]
},
{
"code" : "Radiotherapy.treatmentResponse",
"display" : "Treatment response (R)",
"target" : [
{
"code" : "Procedure.outcome",
"equivalence" : "equivalent"
}
]
}
]
}
]
}