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 |
JSON representation of the Radiotherapy logical model.
{
"resourceType" : "StructureDefinition",
"id" : "Radiotherapy",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition Radiotherapy</b></p><a name=\"Radiotherapy\"> </a><a name=\"hcRadiotherapy\"> </a><a name=\"Radiotherapy-en-US\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy\" title=\"Radiotherapy\">Radiotherapy</a><a name=\"Radiotherapy\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Radiotherapy<br/><span style=\"font-weight:bold\">Instances of this logical model are not marked to be the target of a Reference</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.episodeEventReference\" title=\"EpisodeEvent element containing the data regarding the patient's cancer\">episodeEventReference</a><a name=\"Radiotherapy.episodeEventReference\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-EpisodeEvent.html\">EpisodeEvent</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Episode Event reference<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.radiotherapy\" title=\"Whether it was performed at the registering hospital or another hospital.\">radiotherapy</a><a name=\"Radiotherapy.radiotherapy\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Radiotherapy<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.intent\" title=\"Radiotherapy intent refers to whether the intention of treatment is to cure the patient or to treat symptoms and palliate\">intent</a><a name=\"Radiotherapy.intent\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Intent<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.setting\" title=\"Whether radiotherapy is delivered as the main treatment modality (definitive) or if it is delivered before or after another treatment such as surgery\">setting</a><a name=\"Radiotherapy.setting\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Setting<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.beamQuality\" title=\"Describes the type of radiation therapy given. If external beam, please specify if delivered with Photons (most common), electrons, carbon, or protons.\">beamQuality</a><a name=\"Radiotherapy.beamQuality\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Beam quality<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.otherBeam\" title=\"Beam quality Other; specify\">otherBeam</a><a name=\"Radiotherapy.otherBeam\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Beam quality Other; specify<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.treatmentTechnique\" title=\"Refers to the type of radiotherapy treatment delivered\">treatmentTechnique</a><a name=\"Radiotherapy.treatmentTechnique\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Treatment technique<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.totalDoseTdGy\" title=\"Refers to the total dose delivered to the patient in Gy\">totalDoseTdGy</a><a name=\"Radiotherapy.totalDoseTdGy\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Total Dose (TD) Gy<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.fractionSizeFs\" title=\"Refers to the Dose per fraction delivered to the patient.\">fractionSizeFs</a><a name=\"Radiotherapy.fractionSizeFs\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Fraction Size (FS)<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.numberOfFractions\" title=\"Refers to the total number of fractions delivered to the patient\">numberOfFractions</a><a name=\"Radiotherapy.numberOfFractions\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Number of fractions<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.adaptiveRt\" title=\"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.\">adaptiveRt</a><a name=\"Radiotherapy.adaptiveRt\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Adaptive RT<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.igrtImageGuideRadiotherapy\" title=\"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.\">igrtImageGuideRadiotherapy</a><a name=\"Radiotherapy.igrtImageGuideRadiotherapy\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">IGRT (image guide radiotherapy)<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.startDate\" title=\"Date when the first radiation treatment was delivered\">startDate</a><a name=\"Radiotherapy.startDate\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Start date<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.endDate\" title=\"Date when the last radiation treatment ended\">endDate</a><a name=\"Radiotherapy.endDate\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">End date<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.treatmentSites\" title=\"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\">treatmentSites</a><a name=\"Radiotherapy.treatmentSites\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Treatment Sites:<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.treatmentSites.primary\" title=\"Primary\">primary</a><a name=\"Radiotherapy.treatmentSites.primary\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Primary<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.treatmentSites.neck\" title=\"Neck\">neck</a><a name=\"Radiotherapy.treatmentSites.neck\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Neck<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.treatmentSites.primaryAndIpsilateralNeck\" title=\"Primary and Ipsilateral Neck\">primaryAndIpsilateralNeck</a><a name=\"Radiotherapy.treatmentSites.primaryAndIpsilateralNeck\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Primary and Ipsilateral Neck<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.treatmentSites.primaryAndBilateralNeck\" title=\"Primary and Bilateral Neck\">primaryAndBilateralNeck</a><a name=\"Radiotherapy.treatmentSites.primaryAndBilateralNeck\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Primary and Bilateral Neck<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.treatmentSites.distantMetastasis\" title=\"Distant Metastasis\">distantMetastasis</a><a name=\"Radiotherapy.treatmentSites.distantMetastasis\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Distant Metastasis<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.metastaticTreatmentSites\" title=\"Designates which treatment sites were irradiated. Lung Vs Mediastinum Vs Bone Vs soft tissue vs liver Vs other.\">metastaticTreatmentSites</a><a name=\"Radiotherapy.metastaticTreatmentSites\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Metastatic Treatment Sites:<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.metastaticTreatmentSites.lung\" title=\"Lung\">lung</a><a name=\"Radiotherapy.metastaticTreatmentSites.lung\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Lung\n<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.metastaticTreatmentSites.mediastinum\" title=\"Mediastinum\">mediastinum</a><a name=\"Radiotherapy.metastaticTreatmentSites.mediastinum\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Mediastinum\n<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.metastaticTreatmentSites.bone\" title=\"Bone\">bone</a><a name=\"Radiotherapy.metastaticTreatmentSites.bone\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Bone<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.metastaticTreatmentSites.softTissue\" title=\"Soft Tissue\">softTissue</a><a name=\"Radiotherapy.metastaticTreatmentSites.softTissue\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Soft Tissue<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.metastaticTreatmentSites.liver\" title=\"Liver\">liver</a><a name=\"Radiotherapy.metastaticTreatmentSites.liver\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Liver<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.treatmentCompletedAsPlanned\" title=\"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\">treatmentCompletedAsPlanned</a><a name=\"Radiotherapy.treatmentCompletedAsPlanned\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Treatment Completed as Planned?<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.regionalDeepHyperthemia\" title=\"Regional deep hyperthemia\">regionalDeepHyperthemia</a><a name=\"Radiotherapy.regionalDeepHyperthemia\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Regional deep hyperthemia<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.regionalDeepHyperthemia.startDate\" title=\"RDH_startdate\">startDate</a><a name=\"Radiotherapy.regionalDeepHyperthemia.startDate\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Regional deep hyperthemia<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.regionalDeepHyperthemia.endDate\" title=\"RDH_enddate\">endDate</a><a name=\"Radiotherapy.regionalDeepHyperthemia.endDate\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Regional deep hyperthemia<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Radiotherapy-definitions.html#Radiotherapy.clinicalTreatmentResponse\" title=\"Clinical treatment response for the radiotherapy\">clinicalTreatmentResponse</a><a name=\"Radiotherapy.clinicalTreatmentResponse\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Clinical treatment response<table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"url" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Radiotherapy",
"version" : "0.1.0",
"name" : "RadiotherapyI4rc",
"title" : "Radiotherapy",
"status" : "draft",
"date" : "2024-11-12T10:15:38+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" : "Radiotherapy",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "150",
"display" : "Europe"
}
]
}
],
"fhirVersion" : "4.0.1",
"kind" : "logical",
"abstract" : false,
"type" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Radiotherapy",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"element" : [
{
"id" : "Radiotherapy",
"path" : "Radiotherapy",
"short" : "Radiotherapy",
"definition" : "Radiotherapy",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false
},
{
"id" : "Radiotherapy.episodeEventReference",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.episodeEventReference",
"short" : "Episode Event reference",
"definition" : "EpisodeEvent element containing the data regarding the patient's cancer",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.episodeEventReference",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"
}
]
},
{
"id" : "Radiotherapy.radiotherapy",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.radiotherapy",
"short" : "Radiotherapy",
"definition" : "Whether it was performed at the registering hospital or another hospital.",
"comment" : "Yes done at the hospital; Yes done at a different hospital; Not Done; Unknown.\nCustom",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.radiotherapy",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.intent",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.intent",
"short" : "Intent",
"definition" : "Radiotherapy intent refers to whether the intention of treatment is to cure the patient or to treat symptoms and palliate",
"comment" : "Palliative; Curative; Unknwon\nPalliative - 4179711\nCurative - \nUnknown - 4129922",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.intent",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.setting",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.setting",
"short" : "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",
"comment" : "Preoperative; Preoperative concomitant to systemic treatment;\nPostoperative;Postoperative concomitant to systemic treatment;\nDefinitive; Definitive concomitant to systemic treatment; Unknown \nPreoperative - 4059384\nPreoperative concomitant to systemic treatment - \nPostoperative - 4058775\nPostoperative concomitant to systemic treatment - \nDefinitive - \nDefinitive concomitant to systemic treatment - Unknown - 4129922",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.setting",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.beamQuality",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.beamQuality",
"short" : "Beam quality",
"definition" : "Describes the type of radiation therapy given. If external beam, please specify if delivered with Photons (most common), electrons, carbon, or protons.",
"comment" : "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\nExternal beam RT Photons - 607996\n External beam RT Electrons - 4165039\nExternal Beam RT Carbons - \nExternal Beam RT Protons - 4024005\nBrachytherapy interstitial endocavitary contact - 4012485\nRadionuclide therapy - 4161415\nBoron neutron capture Therapy - 4058601\nother - 4077953\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.beamQuality",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.otherBeam",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.otherBeam",
"short" : "Beam quality Other; specify",
"definition" : "Beam quality Other; specify",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.otherBeam",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Radiotherapy.treatmentTechnique",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentTechnique",
"short" : "Treatment technique",
"definition" : "Refers to the type of radiotherapy treatment delivered",
"comment" : "2D; 3D; IMRT CONVENTIONAL; VMAT; Tomotherapy; SBRT; FLASH THERAPY; PASSIVE SCATTERING; SINGLE BEAM OPTIMIZATION; IMPT; OTHER; unknown\n2D - 603132\n3D - 4043011\nIMRT CONVENTIONAL - 40480519\nVMAT - 603135\nTomotherapy - 3662120\nSBRT - 4215577\nFLASH THERAPY - \nPASSIVE SCATTERING - \nSINGLE BEAM OPTIMIZATION - \nIMPT - \nOther - 4077990\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.treatmentTechnique",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.totalDoseTdGy",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.totalDoseTdGy",
"short" : "Total Dose (TD) Gy",
"definition" : "Refers to the total dose delivered to the patient in Gy",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.totalDoseTdGy",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "decimal"
}
]
},
{
"id" : "Radiotherapy.fractionSizeFs",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.fractionSizeFs",
"short" : "Fraction Size (FS)",
"definition" : "Refers to the Dose per fraction delivered to the patient.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.fractionSizeFs",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "decimal"
}
]
},
{
"id" : "Radiotherapy.numberOfFractions",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.numberOfFractions",
"short" : "Number of fractions",
"definition" : "Refers to the total number of fractions delivered to the patient",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.numberOfFractions",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "decimal"
}
]
},
{
"id" : "Radiotherapy.adaptiveRt",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.adaptiveRt",
"short" : "Adaptive RT",
"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.",
"comment" : "Yes; No; Unknown.\nYes - 4188539\nNo - 4188540\nUnknown - 4129922",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.adaptiveRt",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.igrtImageGuideRadiotherapy",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.igrtImageGuideRadiotherapy",
"short" : "IGRT (image guide radiotherapy)",
"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.",
"comment" : "Yes; No; Unknown.\nYes - 4188539\nNo - 4188540\nUnknown - 4129922",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.igrtImageGuideRadiotherapy",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.startDate",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.startDate",
"short" : "Start date",
"definition" : "Date when the first radiation treatment was delivered",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.startDate",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Radiotherapy.endDate",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.endDate",
"short" : "End date",
"definition" : "Date when the last radiation treatment ended",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.endDate",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Radiotherapy.treatmentSites",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites",
"short" : "Treatment Sites:",
"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",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.treatmentSites",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.id",
"path" : "Radiotherapy.treatmentSites.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.extension",
"path" : "Radiotherapy.treatmentSites.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.modifierExtension",
"path" : "Radiotherapy.treatmentSites.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.primary",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites.primary",
"short" : "Primary",
"definition" : "Primary",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.treatmentSites.primary",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.neck",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites.neck",
"short" : "Neck",
"definition" : "Neck",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.treatmentSites.neck",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.primaryAndIpsilateralNeck",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites.primaryAndIpsilateralNeck",
"short" : "Primary and Ipsilateral Neck",
"definition" : "Primary and Ipsilateral Neck",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.treatmentSites.primaryAndIpsilateralNeck",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.primaryAndBilateralNeck",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites.primaryAndBilateralNeck",
"short" : "Primary and Bilateral Neck",
"definition" : "Primary and Bilateral Neck",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.treatmentSites.primaryAndBilateralNeck",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.distantMetastasis",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites.distantMetastasis",
"short" : "Distant Metastasis",
"definition" : "Distant Metastasis",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.treatmentSites.distantMetastasis",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites",
"short" : "Metastatic Treatment Sites:",
"definition" : "Designates which treatment sites were irradiated. Lung Vs Mediastinum Vs Bone Vs soft tissue vs liver Vs other.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.metastaticTreatmentSites",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.id",
"path" : "Radiotherapy.metastaticTreatmentSites.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.extension",
"path" : "Radiotherapy.metastaticTreatmentSites.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.modifierExtension",
"path" : "Radiotherapy.metastaticTreatmentSites.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.lung",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites.lung",
"short" : "Lung\n",
"definition" : "Lung",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.metastaticTreatmentSites.lung",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.mediastinum",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites.mediastinum",
"short" : "Mediastinum\n",
"definition" : "Mediastinum",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.metastaticTreatmentSites.mediastinum",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.bone",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites.bone",
"short" : "Bone",
"definition" : "Bone",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.metastaticTreatmentSites.bone",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.softTissue",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites.softTissue",
"short" : "Soft Tissue",
"definition" : "Soft Tissue",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.metastaticTreatmentSites.softTissue",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.liver",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites.liver",
"short" : "Liver",
"definition" : "Liver",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.metastaticTreatmentSites.liver",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.treatmentCompletedAsPlanned",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentCompletedAsPlanned",
"short" : "Treatment Completed as Planned?",
"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",
"comment" : "Completion; Toxicity; Comorbidity; Patient intolerance; Patient decision; Death; Unknown.\nCompletion - 4058777 \nToxicity - 438028\nComorbidity - 4162706 \nPatient intolerance - 4105297\nPatients decision - \nDeath - 4306655\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.treatmentCompletedAsPlanned",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.regionalDeepHyperthemia",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.regionalDeepHyperthemia",
"short" : "Regional deep hyperthemia",
"definition" : "Regional deep hyperthemia",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Radiotherapy.regionalDeepHyperthemia",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id" : "Radiotherapy.regionalDeepHyperthemia.id",
"path" : "Radiotherapy.regionalDeepHyperthemia.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Radiotherapy.regionalDeepHyperthemia.extension",
"path" : "Radiotherapy.regionalDeepHyperthemia.extension",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "url"
}
],
"description" : "Extensions are always sliced by (at least) url",
"rules" : "open"
},
"short" : "Additional content defined by implementations",
"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.",
"comment" : "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.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Radiotherapy.regionalDeepHyperthemia.modifierExtension",
"path" : "Radiotherapy.regionalDeepHyperthemia.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "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.",
"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](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Radiotherapy.regionalDeepHyperthemia.startDate",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.regionalDeepHyperthemia.startDate",
"short" : "Regional deep hyperthemia",
"definition" : "RDH_startdate",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.regionalDeepHyperthemia.startDate",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Radiotherapy.regionalDeepHyperthemia.endDate",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.regionalDeepHyperthemia.endDate",
"short" : "Regional deep hyperthemia",
"definition" : "RDH_enddate",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.regionalDeepHyperthemia.endDate",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Radiotherapy.clinicalTreatmentResponse",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.clinicalTreatmentResponse",
"short" : "Clinical treatment response",
"definition" : "Clinical treatment response for the radiotherapy",
"comment" : " complete response; partial response; stable disease; progression; unknown\nComplete Remission - 32946\nPartial Remission - 32947\nStable Disease - 32948\nProgression - 32949",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Radiotherapy.clinicalTreatmentResponse",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Radiotherapy",
"path" : "Radiotherapy",
"short" : "Radiotherapy",
"definition" : "Radiotherapy"
},
{
"id" : "Radiotherapy.episodeEventReference",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.episodeEventReference",
"short" : "Episode Event reference",
"definition" : "EpisodeEvent element containing the data regarding the patient's cancer",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"
}
]
},
{
"id" : "Radiotherapy.radiotherapy",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.radiotherapy",
"short" : "Radiotherapy",
"definition" : "Whether it was performed at the registering hospital or another hospital.",
"comment" : "Yes done at the hospital; Yes done at a different hospital; Not Done; Unknown.\nCustom",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.intent",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.intent",
"short" : "Intent",
"definition" : "Radiotherapy intent refers to whether the intention of treatment is to cure the patient or to treat symptoms and palliate",
"comment" : "Palliative; Curative; Unknwon\nPalliative - 4179711\nCurative - \nUnknown - 4129922",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.setting",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.setting",
"short" : "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",
"comment" : "Preoperative; Preoperative concomitant to systemic treatment;\nPostoperative;Postoperative concomitant to systemic treatment;\nDefinitive; Definitive concomitant to systemic treatment; Unknown \nPreoperative - 4059384\nPreoperative concomitant to systemic treatment - \nPostoperative - 4058775\nPostoperative concomitant to systemic treatment - \nDefinitive - \nDefinitive concomitant to systemic treatment - Unknown - 4129922 ",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.beamQuality",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.beamQuality",
"short" : "Beam quality",
"definition" : "Describes the type of radiation therapy given. If external beam, please specify if delivered with Photons (most common), electrons, carbon, or protons.",
"comment" : "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\nExternal beam RT Photons - 607996\n External beam RT Electrons - 4165039\nExternal Beam RT Carbons - \nExternal Beam RT Protons - 4024005\nBrachytherapy interstitial endocavitary contact - 4012485\nRadionuclide therapy - 4161415\nBoron neutron capture Therapy - 4058601\nother - 4077953\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.otherBeam",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.otherBeam",
"short" : "Beam quality Other; specify",
"definition" : "Beam quality Other; specify",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Radiotherapy.treatmentTechnique",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentTechnique",
"short" : "Treatment technique",
"definition" : "Refers to the type of radiotherapy treatment delivered",
"comment" : "2D; 3D; IMRT CONVENTIONAL; VMAT; Tomotherapy; SBRT; FLASH THERAPY; PASSIVE SCATTERING; SINGLE BEAM OPTIMIZATION; IMPT; OTHER; unknown\n2D - 603132\n3D - 4043011\nIMRT CONVENTIONAL - 40480519\nVMAT - 603135\nTomotherapy - 3662120\nSBRT - 4215577\nFLASH THERAPY - \nPASSIVE SCATTERING - \nSINGLE BEAM OPTIMIZATION - \nIMPT - \nOther - 4077990\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.totalDoseTdGy",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.totalDoseTdGy",
"short" : "Total Dose (TD) Gy",
"definition" : "Refers to the total dose delivered to the patient in Gy",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "decimal"
}
]
},
{
"id" : "Radiotherapy.fractionSizeFs",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.fractionSizeFs",
"short" : "Fraction Size (FS)",
"definition" : "Refers to the Dose per fraction delivered to the patient.",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "decimal"
}
]
},
{
"id" : "Radiotherapy.numberOfFractions",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.numberOfFractions",
"short" : "Number of fractions",
"definition" : "Refers to the total number of fractions delivered to the patient",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "decimal"
}
]
},
{
"id" : "Radiotherapy.adaptiveRt",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.adaptiveRt",
"short" : "Adaptive RT",
"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.",
"comment" : "Yes; No; Unknown.\nYes - 4188539\nNo - 4188540\nUnknown - 4129922",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.igrtImageGuideRadiotherapy",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.igrtImageGuideRadiotherapy",
"short" : "IGRT (image guide radiotherapy)",
"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.",
"comment" : "Yes; No; Unknown.\nYes - 4188539\nNo - 4188540\nUnknown - 4129922",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.startDate",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.startDate",
"short" : "Start date",
"definition" : "Date when the first radiation treatment was delivered",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Radiotherapy.endDate",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.endDate",
"short" : "End date",
"definition" : "Date when the last radiation treatment ended",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Radiotherapy.treatmentSites",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites",
"short" : "Treatment Sites:",
"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",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.primary",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites.primary",
"short" : "Primary",
"definition" : "Primary",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.neck",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites.neck",
"short" : "Neck",
"definition" : "Neck",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.primaryAndIpsilateralNeck",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites.primaryAndIpsilateralNeck",
"short" : "Primary and Ipsilateral Neck",
"definition" : "Primary and Ipsilateral Neck",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.primaryAndBilateralNeck",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites.primaryAndBilateralNeck",
"short" : "Primary and Bilateral Neck",
"definition" : "Primary and Bilateral Neck",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.treatmentSites.distantMetastasis",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentSites.distantMetastasis",
"short" : "Distant Metastasis",
"definition" : "Distant Metastasis",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites",
"short" : "Metastatic Treatment Sites:",
"definition" : "Designates which treatment sites were irradiated. Lung Vs Mediastinum Vs Bone Vs soft tissue vs liver Vs other.",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.lung",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites.lung",
"short" : "Lung\n",
"definition" : "Lung",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.mediastinum",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites.mediastinum",
"short" : "Mediastinum\n",
"definition" : "Mediastinum",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.bone",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites.bone",
"short" : "Bone",
"definition" : "Bone",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.softTissue",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites.softTissue",
"short" : "Soft Tissue",
"definition" : "Soft Tissue",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.metastaticTreatmentSites.liver",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.metastaticTreatmentSites.liver",
"short" : "Liver",
"definition" : "Liver",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Radiotherapy.treatmentCompletedAsPlanned",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.treatmentCompletedAsPlanned",
"short" : "Treatment Completed as Planned?",
"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",
"comment" : "Completion; Toxicity; Comorbidity; Patient intolerance; Patient decision; Death; Unknown.\nCompletion - 4058777 \nToxicity - 438028\nComorbidity - 4162706 \nPatient intolerance - 4105297\nPatients decision - \nDeath - 4306655\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Radiotherapy.regionalDeepHyperthemia",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.regionalDeepHyperthemia",
"short" : "Regional deep hyperthemia",
"definition" : "Regional deep hyperthemia",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "BackboneElement"
}
]
},
{
"id" : "Radiotherapy.regionalDeepHyperthemia.startDate",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.regionalDeepHyperthemia.startDate",
"short" : "Regional deep hyperthemia",
"definition" : "RDH_startdate",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Radiotherapy.regionalDeepHyperthemia.endDate",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.regionalDeepHyperthemia.endDate",
"short" : "Regional deep hyperthemia",
"definition" : "RDH_enddate",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Radiotherapy.clinicalTreatmentResponse",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Radiotherapy.clinicalTreatmentResponse",
"short" : "Clinical treatment response",
"definition" : "Clinical treatment response for the radiotherapy",
"comment" : " complete response; partial response; stable disease; progression; unknown\nComplete Remission - 32946\nPartial Remission - 32947\nStable Disease - 32948\nProgression - 32949\n",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
}
]
}
}