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 2024-11-12 |
Definitions for the Radiotherapy logical model.
Guidance on how to interpret the contents of this table can be found here
0. Radiotherapy | |||||||
Definition | Radiotherapy | ||||||
Short | Radiotherapy | ||||||
Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
2. Radiotherapy.episodeEventReference | |||||||
Definition | EpisodeEvent element containing the data regarding the patient's cancer | ||||||
Short | Episode Event reference | ||||||
Control | 1..1 | ||||||
Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent | ||||||
Obligations |
| ||||||
4. Radiotherapy.radiotherapy | |||||||
Definition | Whether it was performed at the registering hospital or another hospital. | ||||||
Short | Radiotherapy | ||||||
Comments | Yes done at the hospital; Yes done at a different hospital; Not Done; Unknown. Custom | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
6. Radiotherapy.intent | |||||||
Definition | Radiotherapy intent refers to whether the intention of treatment is to cure the patient or to treat symptoms and palliate | ||||||
Short | Intent | ||||||
Comments | Palliative; Curative; Unknwon Palliative - 4179711 Curative - Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
8. Radiotherapy.setting | |||||||
Definition | Whether radiotherapy is delivered as the main treatment modality (definitive) or if it is delivered before or after another treatment such as surgery | ||||||
Short | Setting | ||||||
Comments | Preoperative; Preoperative concomitant to systemic treatment;
Postoperative;Postoperative concomitant to systemic treatment;
Definitive; Definitive concomitant to systemic treatment; Unknown | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
10. Radiotherapy.beamQuality | |||||||
Definition | Describes the type of radiation therapy given. If external beam, please specify if delivered with Photons (most common), electrons, carbon, or protons. | ||||||
Short | Beam quality | ||||||
Comments | External beam RT Photons; External beam RT Electrons; External Beam RT Carbons; External Beam RT Protons; Brachytherapy interstitial endocavitary contact; Radionuclide therapy; Boron neutron capture Therapy; other; unknown
External beam RT Photons - 607996
External beam RT Electrons - 4165039
External Beam RT Carbons - | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
12. Radiotherapy.otherBeam | |||||||
Definition | Beam quality Other; specify | ||||||
Short | Beam quality Other; specify | ||||||
Control | 0..1 | ||||||
Type | string | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
14. Radiotherapy.treatmentTechnique | |||||||
Definition | Refers to the type of radiotherapy treatment delivered | ||||||
Short | Treatment technique | ||||||
Comments | 2D; 3D; IMRT CONVENTIONAL; VMAT; Tomotherapy; SBRT; FLASH THERAPY; PASSIVE SCATTERING; SINGLE BEAM OPTIMIZATION; IMPT; OTHER; unknown 2D - 603132 3D - 4043011 IMRT CONVENTIONAL - 40480519 VMAT - 603135 Tomotherapy - 3662120 SBRT - 4215577 FLASH THERAPY - PASSIVE SCATTERING - SINGLE BEAM OPTIMIZATION - IMPT - Other - 4077990 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
16. Radiotherapy.totalDoseTdGy | |||||||
Definition | Refers to the total dose delivered to the patient in Gy | ||||||
Short | Total Dose (TD) Gy | ||||||
Control | 1..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
18. Radiotherapy.fractionSizeFs | |||||||
Definition | Refers to the Dose per fraction delivered to the patient. | ||||||
Short | Fraction Size (FS) | ||||||
Control | 1..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
20. Radiotherapy.numberOfFractions | |||||||
Definition | Refers to the total number of fractions delivered to the patient | ||||||
Short | Number of fractions | ||||||
Control | 1..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
22. Radiotherapy.adaptiveRt | |||||||
Definition | Refers to whether treatment planning was changed or adapted after the initial radiation plan was developed. This could be due to a change in the patient?s anatomy or if the tumor changed in size. | ||||||
Short | Adaptive RT | ||||||
Comments | Yes; No; Unknown. Yes - 4188539 No - 4188540 Unknown - 4129922 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
24. Radiotherapy.igrtImageGuideRadiotherapy | |||||||
Definition | Refers to whether image guided radiotherapy was used for delivery of radiotherapy and to check the patient set up. This includes MV, KV, or Cone Beam CT imaging. | ||||||
Short | IGRT (image guide radiotherapy) | ||||||
Comments | Yes; No; Unknown. Yes - 4188539 No - 4188540 Unknown - 4129922 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
26. Radiotherapy.startDate | |||||||
Definition | Date when the first radiation treatment was delivered | ||||||
Short | Start date | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
28. Radiotherapy.endDate | |||||||
Definition | Date when the last radiation treatment ended | ||||||
Short | End date | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
30. Radiotherapy.treatmentSites | |||||||
Definition | Refers to the areas that the radiation is targeting. This could include the primary tumor , the neck lymph nodes, the ipsilateral neck and the primary, the bilateral neck and the primary, or a distant metastatic lesion | ||||||
Short | Treatment Sites: | ||||||
Control | 0..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
32. Radiotherapy.treatmentSites.primary | |||||||
Definition | Primary | ||||||
Short | Primary | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
34. Radiotherapy.treatmentSites.neck | |||||||
Definition | Neck | ||||||
Short | Neck | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
36. Radiotherapy.treatmentSites.primaryAndIpsilateralNeck | |||||||
Definition | Primary and Ipsilateral Neck | ||||||
Short | Primary and Ipsilateral Neck | ||||||
Control | 1..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
38. Radiotherapy.treatmentSites.primaryAndBilateralNeck | |||||||
Definition | Primary and Bilateral Neck | ||||||
Short | Primary and Bilateral Neck | ||||||
Control | 1..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
40. Radiotherapy.treatmentSites.distantMetastasis | |||||||
Definition | Distant Metastasis | ||||||
Short | Distant Metastasis | ||||||
Control | 1..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
42. Radiotherapy.metastaticTreatmentSites | |||||||
Definition | Designates which treatment sites were irradiated. Lung Vs Mediastinum Vs Bone Vs soft tissue vs liver Vs other. | ||||||
Short | Metastatic Treatment Sites: | ||||||
Control | 0..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
44. Radiotherapy.metastaticTreatmentSites.lung | |||||||
Definition | Lung | ||||||
Short | Lung | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
46. Radiotherapy.metastaticTreatmentSites.mediastinum | |||||||
Definition | Mediastinum | ||||||
Short | Mediastinum | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
48. Radiotherapy.metastaticTreatmentSites.bone | |||||||
Definition | Bone | ||||||
Short | Bone | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
50. Radiotherapy.metastaticTreatmentSites.softTissue | |||||||
Definition | Soft Tissue | ||||||
Short | Soft Tissue | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
52. Radiotherapy.metastaticTreatmentSites.liver | |||||||
Definition | Liver | ||||||
Short | Liver | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
54. Radiotherapy.treatmentCompletedAsPlanned | |||||||
Definition | Refers to whether patient completed all treatment as planned or if it had to be interrupted due to several reasons including toxicity, a co-morbidity preventing the delivery of radiation (pulmonary embolism, failure to thrive during RT), death due to progression of the cancer or patient decision | ||||||
Short | Treatment Completed as Planned? | ||||||
Comments | Completion; Toxicity; Comorbidity; Patient intolerance; Patient decision; Death; Unknown. Completion - 4058777 Toxicity - 438028 Comorbidity - 4162706 Patient intolerance - 4105297 Patients decision - Death - 4306655 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
56. Radiotherapy.regionalDeepHyperthemia | |||||||
Definition | Regional deep hyperthemia | ||||||
Short | Regional deep hyperthemia | ||||||
Control | 1..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
58. Radiotherapy.regionalDeepHyperthemia.startDate | |||||||
Definition | RDH_startdate | ||||||
Short | Regional deep hyperthemia | ||||||
Control | 0..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
60. Radiotherapy.regionalDeepHyperthemia.endDate | |||||||
Definition | RDH_enddate | ||||||
Short | Regional deep hyperthemia | ||||||
Control | 0..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
62. Radiotherapy.clinicalTreatmentResponse | |||||||
Definition | Clinical treatment response for the radiotherapy | ||||||
Short | Clinical treatment response | ||||||
Comments | complete response; partial response; stable disease; progression; unknown Complete Remission - 32946 Partial Remission - 32947 Stable Disease - 32948 Progression - 32949 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
|
Guidance on how to interpret the contents of this table can be found here
0. Radiotherapy | |||||||
Definition | Radiotherapy | ||||||
Short | Radiotherapy | ||||||
Control | 0..* | ||||||
Is Modifier | false | ||||||
Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
2. Radiotherapy.episodeEventReference | |||||||
Definition | EpisodeEvent element containing the data regarding the patient's cancer | ||||||
Short | Episode Event reference | ||||||
Control | 1..1 | ||||||
Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent | ||||||
Obligations |
| ||||||
4. Radiotherapy.radiotherapy | |||||||
Definition | Whether it was performed at the registering hospital or another hospital. | ||||||
Short | Radiotherapy | ||||||
Comments | Yes done at the hospital; Yes done at a different hospital; Not Done; Unknown. Custom | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
6. Radiotherapy.intent | |||||||
Definition | Radiotherapy intent refers to whether the intention of treatment is to cure the patient or to treat symptoms and palliate | ||||||
Short | Intent | ||||||
Comments | Palliative; Curative; Unknwon Palliative - 4179711 Curative - Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
8. Radiotherapy.setting | |||||||
Definition | Whether radiotherapy is delivered as the main treatment modality (definitive) or if it is delivered before or after another treatment such as surgery | ||||||
Short | Setting | ||||||
Comments | Preoperative; Preoperative concomitant to systemic treatment;
Postoperative;Postoperative concomitant to systemic treatment;
Definitive; Definitive concomitant to systemic treatment; Unknown | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
10. Radiotherapy.beamQuality | |||||||
Definition | Describes the type of radiation therapy given. If external beam, please specify if delivered with Photons (most common), electrons, carbon, or protons. | ||||||
Short | Beam quality | ||||||
Comments | External beam RT Photons; External beam RT Electrons; External Beam RT Carbons; External Beam RT Protons; Brachytherapy interstitial endocavitary contact; Radionuclide therapy; Boron neutron capture Therapy; other; unknown
External beam RT Photons - 607996
External beam RT Electrons - 4165039
External Beam RT Carbons - | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
12. Radiotherapy.otherBeam | |||||||
Definition | Beam quality Other; specify | ||||||
Short | Beam quality Other; specify | ||||||
Control | 0..1 | ||||||
Type | string | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
14. Radiotherapy.treatmentTechnique | |||||||
Definition | Refers to the type of radiotherapy treatment delivered | ||||||
Short | Treatment technique | ||||||
Comments | 2D; 3D; IMRT CONVENTIONAL; VMAT; Tomotherapy; SBRT; FLASH THERAPY; PASSIVE SCATTERING; SINGLE BEAM OPTIMIZATION; IMPT; OTHER; unknown 2D - 603132 3D - 4043011 IMRT CONVENTIONAL - 40480519 VMAT - 603135 Tomotherapy - 3662120 SBRT - 4215577 FLASH THERAPY - PASSIVE SCATTERING - SINGLE BEAM OPTIMIZATION - IMPT - Other - 4077990 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
16. Radiotherapy.totalDoseTdGy | |||||||
Definition | Refers to the total dose delivered to the patient in Gy | ||||||
Short | Total Dose (TD) Gy | ||||||
Control | 1..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
18. Radiotherapy.fractionSizeFs | |||||||
Definition | Refers to the Dose per fraction delivered to the patient. | ||||||
Short | Fraction Size (FS) | ||||||
Control | 1..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
20. Radiotherapy.numberOfFractions | |||||||
Definition | Refers to the total number of fractions delivered to the patient | ||||||
Short | Number of fractions | ||||||
Control | 1..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
22. Radiotherapy.adaptiveRt | |||||||
Definition | Refers to whether treatment planning was changed or adapted after the initial radiation plan was developed. This could be due to a change in the patient?s anatomy or if the tumor changed in size. | ||||||
Short | Adaptive RT | ||||||
Comments | Yes; No; Unknown. Yes - 4188539 No - 4188540 Unknown - 4129922 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
24. Radiotherapy.igrtImageGuideRadiotherapy | |||||||
Definition | Refers to whether image guided radiotherapy was used for delivery of radiotherapy and to check the patient set up. This includes MV, KV, or Cone Beam CT imaging. | ||||||
Short | IGRT (image guide radiotherapy) | ||||||
Comments | Yes; No; Unknown. Yes - 4188539 No - 4188540 Unknown - 4129922 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
26. Radiotherapy.startDate | |||||||
Definition | Date when the first radiation treatment was delivered | ||||||
Short | Start date | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
28. Radiotherapy.endDate | |||||||
Definition | Date when the last radiation treatment ended | ||||||
Short | End date | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
30. Radiotherapy.treatmentSites | |||||||
Definition | Refers to the areas that the radiation is targeting. This could include the primary tumor , the neck lymph nodes, the ipsilateral neck and the primary, the bilateral neck and the primary, or a distant metastatic lesion | ||||||
Short | Treatment Sites: | ||||||
Control | 0..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||||
32. Radiotherapy.treatmentSites.modifierExtension | |||||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
Short | Extensions that cannot be ignored even if unrecognized | ||||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
Summary | true | ||||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
Alternate Names | extensions, user content, modifiers | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||||
34. Radiotherapy.treatmentSites.primary | |||||||
Definition | Primary | ||||||
Short | Primary | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
36. Radiotherapy.treatmentSites.neck | |||||||
Definition | Neck | ||||||
Short | Neck | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
38. Radiotherapy.treatmentSites.primaryAndIpsilateralNeck | |||||||
Definition | Primary and Ipsilateral Neck | ||||||
Short | Primary and Ipsilateral Neck | ||||||
Control | 1..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
40. Radiotherapy.treatmentSites.primaryAndBilateralNeck | |||||||
Definition | Primary and Bilateral Neck | ||||||
Short | Primary and Bilateral Neck | ||||||
Control | 1..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
42. Radiotherapy.treatmentSites.distantMetastasis | |||||||
Definition | Distant Metastasis | ||||||
Short | Distant Metastasis | ||||||
Control | 1..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
44. Radiotherapy.metastaticTreatmentSites | |||||||
Definition | Designates which treatment sites were irradiated. Lung Vs Mediastinum Vs Bone Vs soft tissue vs liver Vs other. | ||||||
Short | Metastatic Treatment Sites: | ||||||
Control | 0..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||||
46. Radiotherapy.metastaticTreatmentSites.modifierExtension | |||||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
Short | Extensions that cannot be ignored even if unrecognized | ||||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
Summary | true | ||||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
Alternate Names | extensions, user content, modifiers | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||||
48. Radiotherapy.metastaticTreatmentSites.lung | |||||||
Definition | Lung | ||||||
Short | Lung | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
50. Radiotherapy.metastaticTreatmentSites.mediastinum | |||||||
Definition | Mediastinum | ||||||
Short | Mediastinum | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
52. Radiotherapy.metastaticTreatmentSites.bone | |||||||
Definition | Bone | ||||||
Short | Bone | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
54. Radiotherapy.metastaticTreatmentSites.softTissue | |||||||
Definition | Soft Tissue | ||||||
Short | Soft Tissue | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
56. Radiotherapy.metastaticTreatmentSites.liver | |||||||
Definition | Liver | ||||||
Short | Liver | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
58. Radiotherapy.treatmentCompletedAsPlanned | |||||||
Definition | Refers to whether patient completed all treatment as planned or if it had to be interrupted due to several reasons including toxicity, a co-morbidity preventing the delivery of radiation (pulmonary embolism, failure to thrive during RT), death due to progression of the cancer or patient decision | ||||||
Short | Treatment Completed as Planned? | ||||||
Comments | Completion; Toxicity; Comorbidity; Patient intolerance; Patient decision; Death; Unknown. Completion - 4058777 Toxicity - 438028 Comorbidity - 4162706 Patient intolerance - 4105297 Patients decision - Death - 4306655 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
60. Radiotherapy.regionalDeepHyperthemia | |||||||
Definition | Regional deep hyperthemia | ||||||
Short | Regional deep hyperthemia | ||||||
Control | 1..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||||
62. Radiotherapy.regionalDeepHyperthemia.modifierExtension | |||||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
Short | Extensions that cannot be ignored even if unrecognized | ||||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
Summary | true | ||||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
Alternate Names | extensions, user content, modifiers | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) | ||||||
64. Radiotherapy.regionalDeepHyperthemia.startDate | |||||||
Definition | RDH_startdate | ||||||
Short | Regional deep hyperthemia | ||||||
Control | 0..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
66. Radiotherapy.regionalDeepHyperthemia.endDate | |||||||
Definition | RDH_enddate | ||||||
Short | Regional deep hyperthemia | ||||||
Control | 0..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
68. Radiotherapy.clinicalTreatmentResponse | |||||||
Definition | Clinical treatment response for the radiotherapy | ||||||
Short | Clinical treatment response | ||||||
Comments | complete response; partial response; stable disease; progression; unknown Complete Remission - 32946 Partial Remission - 32947 Stable Disease - 32948 Progression - 32949 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
|
Guidance on how to interpret the contents of this table can be found here
0. Radiotherapy | |||||||
Definition | Radiotherapy | ||||||
Short | Radiotherapy | ||||||
Control | 0..* | ||||||
Is Modifier | false | ||||||
Logical Model | Instances of this logical model are not marked to be the target of a Reference | ||||||
2. Radiotherapy.episodeEventReference | |||||||
Definition | EpisodeEvent element containing the data regarding the patient's cancer | ||||||
Short | Episode Event reference | ||||||
Control | 1..1 | ||||||
Type | http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent | ||||||
Obligations |
| ||||||
4. Radiotherapy.radiotherapy | |||||||
Definition | Whether it was performed at the registering hospital or another hospital. | ||||||
Short | Radiotherapy | ||||||
Comments | Yes done at the hospital; Yes done at a different hospital; Not Done; Unknown. Custom | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
6. Radiotherapy.intent | |||||||
Definition | Radiotherapy intent refers to whether the intention of treatment is to cure the patient or to treat symptoms and palliate | ||||||
Short | Intent | ||||||
Comments | Palliative; Curative; Unknwon Palliative - 4179711 Curative - Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
8. Radiotherapy.setting | |||||||
Definition | Whether radiotherapy is delivered as the main treatment modality (definitive) or if it is delivered before or after another treatment such as surgery | ||||||
Short | Setting | ||||||
Comments | Preoperative; Preoperative concomitant to systemic treatment;
Postoperative;Postoperative concomitant to systemic treatment;
Definitive; Definitive concomitant to systemic treatment; Unknown | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
10. Radiotherapy.beamQuality | |||||||
Definition | Describes the type of radiation therapy given. If external beam, please specify if delivered with Photons (most common), electrons, carbon, or protons. | ||||||
Short | Beam quality | ||||||
Comments | External beam RT Photons; External beam RT Electrons; External Beam RT Carbons; External Beam RT Protons; Brachytherapy interstitial endocavitary contact; Radionuclide therapy; Boron neutron capture Therapy; other; unknown
External beam RT Photons - 607996
External beam RT Electrons - 4165039
External Beam RT Carbons - | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
12. Radiotherapy.otherBeam | |||||||
Definition | Beam quality Other; specify | ||||||
Short | Beam quality Other; specify | ||||||
Control | 0..1 | ||||||
Type | string | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
14. Radiotherapy.treatmentTechnique | |||||||
Definition | Refers to the type of radiotherapy treatment delivered | ||||||
Short | Treatment technique | ||||||
Comments | 2D; 3D; IMRT CONVENTIONAL; VMAT; Tomotherapy; SBRT; FLASH THERAPY; PASSIVE SCATTERING; SINGLE BEAM OPTIMIZATION; IMPT; OTHER; unknown 2D - 603132 3D - 4043011 IMRT CONVENTIONAL - 40480519 VMAT - 603135 Tomotherapy - 3662120 SBRT - 4215577 FLASH THERAPY - PASSIVE SCATTERING - SINGLE BEAM OPTIMIZATION - IMPT - Other - 4077990 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
16. Radiotherapy.totalDoseTdGy | |||||||
Definition | Refers to the total dose delivered to the patient in Gy | ||||||
Short | Total Dose (TD) Gy | ||||||
Control | 1..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
18. Radiotherapy.fractionSizeFs | |||||||
Definition | Refers to the Dose per fraction delivered to the patient. | ||||||
Short | Fraction Size (FS) | ||||||
Control | 1..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
20. Radiotherapy.numberOfFractions | |||||||
Definition | Refers to the total number of fractions delivered to the patient | ||||||
Short | Number of fractions | ||||||
Control | 1..1 | ||||||
Type | decimal | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
22. Radiotherapy.adaptiveRt | |||||||
Definition | Refers to whether treatment planning was changed or adapted after the initial radiation plan was developed. This could be due to a change in the patient?s anatomy or if the tumor changed in size. | ||||||
Short | Adaptive RT | ||||||
Comments | Yes; No; Unknown. Yes - 4188539 No - 4188540 Unknown - 4129922 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
24. Radiotherapy.igrtImageGuideRadiotherapy | |||||||
Definition | Refers to whether image guided radiotherapy was used for delivery of radiotherapy and to check the patient set up. This includes MV, KV, or Cone Beam CT imaging. | ||||||
Short | IGRT (image guide radiotherapy) | ||||||
Comments | Yes; No; Unknown. Yes - 4188539 No - 4188540 Unknown - 4129922 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
26. Radiotherapy.startDate | |||||||
Definition | Date when the first radiation treatment was delivered | ||||||
Short | Start date | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
28. Radiotherapy.endDate | |||||||
Definition | Date when the last radiation treatment ended | ||||||
Short | End date | ||||||
Control | 1..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
30. Radiotherapy.treatmentSites | |||||||
Definition | Refers to the areas that the radiation is targeting. This could include the primary tumor , the neck lymph nodes, the ipsilateral neck and the primary, the bilateral neck and the primary, or a distant metastatic lesion | ||||||
Short | Treatment Sites: | ||||||
Control | 0..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||||
32. Radiotherapy.treatmentSites.id | |||||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||||
Short | Unique id for inter-element referencing | ||||||
Control | 0..1 | ||||||
Type | string | ||||||
Is Modifier | false | ||||||
XML Format | In the XML format, this property is represented as an attribute. | ||||||
Summary | false | ||||||
34. Radiotherapy.treatmentSites.extension | |||||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||||
Short | Additional content defined by implementations | ||||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | false | ||||||
Summary | false | ||||||
Alternate Names | extensions, user content | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||||
Slicing | This element introduces a set of slices on Radiotherapy.treatmentSites.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
36. Radiotherapy.treatmentSites.modifierExtension | |||||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
Short | Extensions that cannot be ignored even if unrecognized | ||||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
Summary | true | ||||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
Alternate Names | extensions, user content, modifiers | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||||
38. Radiotherapy.treatmentSites.primary | |||||||
Definition | Primary | ||||||
Short | Primary | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
40. Radiotherapy.treatmentSites.neck | |||||||
Definition | Neck | ||||||
Short | Neck | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
42. Radiotherapy.treatmentSites.primaryAndIpsilateralNeck | |||||||
Definition | Primary and Ipsilateral Neck | ||||||
Short | Primary and Ipsilateral Neck | ||||||
Control | 1..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
44. Radiotherapy.treatmentSites.primaryAndBilateralNeck | |||||||
Definition | Primary and Bilateral Neck | ||||||
Short | Primary and Bilateral Neck | ||||||
Control | 1..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
46. Radiotherapy.treatmentSites.distantMetastasis | |||||||
Definition | Distant Metastasis | ||||||
Short | Distant Metastasis | ||||||
Control | 1..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
48. Radiotherapy.metastaticTreatmentSites | |||||||
Definition | Designates which treatment sites were irradiated. Lung Vs Mediastinum Vs Bone Vs soft tissue vs liver Vs other. | ||||||
Short | Metastatic Treatment Sites: | ||||||
Control | 0..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||||
50. Radiotherapy.metastaticTreatmentSites.id | |||||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||||
Short | Unique id for inter-element referencing | ||||||
Control | 0..1 | ||||||
Type | string | ||||||
Is Modifier | false | ||||||
XML Format | In the XML format, this property is represented as an attribute. | ||||||
Summary | false | ||||||
52. Radiotherapy.metastaticTreatmentSites.extension | |||||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||||
Short | Additional content defined by implementations | ||||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | false | ||||||
Summary | false | ||||||
Alternate Names | extensions, user content | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||||
Slicing | This element introduces a set of slices on Radiotherapy.metastaticTreatmentSites.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
54. Radiotherapy.metastaticTreatmentSites.modifierExtension | |||||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
Short | Extensions that cannot be ignored even if unrecognized | ||||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
Summary | true | ||||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
Alternate Names | extensions, user content, modifiers | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||||
56. Radiotherapy.metastaticTreatmentSites.lung | |||||||
Definition | Lung | ||||||
Short | Lung | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
58. Radiotherapy.metastaticTreatmentSites.mediastinum | |||||||
Definition | Mediastinum | ||||||
Short | Mediastinum | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
60. Radiotherapy.metastaticTreatmentSites.bone | |||||||
Definition | Bone | ||||||
Short | Bone | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
62. Radiotherapy.metastaticTreatmentSites.softTissue | |||||||
Definition | Soft Tissue | ||||||
Short | Soft Tissue | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
64. Radiotherapy.metastaticTreatmentSites.liver | |||||||
Definition | Liver | ||||||
Short | Liver | ||||||
Control | 0..1 | ||||||
Type | boolean | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
66. Radiotherapy.treatmentCompletedAsPlanned | |||||||
Definition | Refers to whether patient completed all treatment as planned or if it had to be interrupted due to several reasons including toxicity, a co-morbidity preventing the delivery of radiation (pulmonary embolism, failure to thrive during RT), death due to progression of the cancer or patient decision | ||||||
Short | Treatment Completed as Planned? | ||||||
Comments | Completion; Toxicity; Comorbidity; Patient intolerance; Patient decision; Death; Unknown. Completion - 4058777 Toxicity - 438028 Comorbidity - 4162706 Patient intolerance - 4105297 Patients decision - Death - 4306655 Unknown - 4129922 | ||||||
Control | 1..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
| ||||||
68. Radiotherapy.regionalDeepHyperthemia | |||||||
Definition | Regional deep hyperthemia | ||||||
Short | Regional deep hyperthemia | ||||||
Control | 1..1 | ||||||
Type | BackboneElement | ||||||
Obligations |
| ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||||
70. Radiotherapy.regionalDeepHyperthemia.id | |||||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||||
Short | Unique id for inter-element referencing | ||||||
Control | 0..1 | ||||||
Type | string | ||||||
Is Modifier | false | ||||||
XML Format | In the XML format, this property is represented as an attribute. | ||||||
Summary | false | ||||||
72. Radiotherapy.regionalDeepHyperthemia.extension | |||||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||||
Short | Additional content defined by implementations | ||||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | false | ||||||
Summary | false | ||||||
Alternate Names | extensions, user content | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||||
Slicing | This element introduces a set of slices on Radiotherapy.regionalDeepHyperthemia.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||||
74. Radiotherapy.regionalDeepHyperthemia.modifierExtension | |||||||
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). | ||||||
Short | Extensions that cannot be ignored even if unrecognized | ||||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||||
Control | 0..* | ||||||
Type | Extension | ||||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||||
Summary | true | ||||||
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. | ||||||
Alternate Names | extensions, user content, modifiers | ||||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||||
76. Radiotherapy.regionalDeepHyperthemia.startDate | |||||||
Definition | RDH_startdate | ||||||
Short | Regional deep hyperthemia | ||||||
Control | 0..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
78. Radiotherapy.regionalDeepHyperthemia.endDate | |||||||
Definition | RDH_enddate | ||||||
Short | Regional deep hyperthemia | ||||||
Control | 0..1 | ||||||
Type | date | ||||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||||
Obligations |
| ||||||
80. Radiotherapy.clinicalTreatmentResponse | |||||||
Definition | Clinical treatment response for the radiotherapy | ||||||
Short | Clinical treatment response | ||||||
Comments | complete response; partial response; stable disease; progression; unknown Complete Remission - 32946 Partial Remission - 32947 Stable Disease - 32948 Progression - 32949 | ||||||
Control | 0..1 | ||||||
Type | CodeableConcept | ||||||
Obligations |
|