PanCareSurPass Project HL7 FHIR Implementation Guide
1.0.0 - release 150

PanCareSurPass Project HL7 FHIR Implementation Guide, published by PanCareSurPass Project. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/pcsp/ and changes regularly. See the Directory of published versions

## Logical Model: Radiotherapy - Detailed Descriptions

Active as of 2025-10-16

Definitions for the Radiotherapy logical model.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. Radiotherapy
Definition | Radiotherapy
Short | Radiotherapy
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. Radiotherapy.relatedDiagnosis
Definition | Identifier of the diagnosis for which this radiotherapy is performed
Short | Related Diagnosis
Control | 0..1
Type | Identifier
4. Radiotherapy.relatedRelapse
Definition | Identifier of the relapse/progression (after FLT) for which this radiotherapy is performed
Short | Related relapse/progression (after FLT)
Control | 0..1
Type | Identifier
6. Radiotherapy.identifier
Definition | Progressive number of radotherapy episode. An EPISODE might be a single or several courses of pre-planned treatment within a consecutive time period to different sites. For example, if a patient had radiotherapy to a limb and also to the lungs for a Ewing?s sarcoma these should be entered in one episode of treatment but as separate radiotherapy courses with their respective site, total dose, and number of fractions. They will both be within one episode
Short | Identifier of the radotherapy episode
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
8. Radiotherapy.istitutionOfTreatment
Definition | Please indicate the institution in which the radiotherapeutic treatment was given
Short | Institution of treatment
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Radiotherapy.istitutionOfTreatment.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
12. Radiotherapy.istitutionOfTreatment.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Radiotherapy.istitutionOfTreatment.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
14. Radiotherapy.istitutionOfTreatment.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Radiotherapy.istitutionOfTreatment.description
Definition | Please provide name, city and countryof the institution
Short | Institution description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. Radiotherapy.istitutionOfTreatment.name
Definition | Institution name
Short | Institution name
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. Radiotherapy.istitutionOfTreatment.address
Definition | Institution address
Short | Institution address
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Radiotherapy.istitutionOfTreatment.address.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
24. Radiotherapy.istitutionOfTreatment.address.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Radiotherapy.istitutionOfTreatment.address.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
26. Radiotherapy.istitutionOfTreatment.address.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
28. Radiotherapy.istitutionOfTreatment.address.name
Definition | Institution city
Short | Institution city
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. Radiotherapy.istitutionOfTreatment.address.country
Definition | Institution country
Short | Institution country
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. Radiotherapy.startDate
Definition | Enter the date on which the first treatment (fraction) of radiotherapy was given, in a DD/MM/YYYY format. If the date is unkown or partially missed insert the year at the best of your knowledge.
Short | Start date
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
34. Radiotherapy.enddate
Definition | Enter the full date on which the last treatment (fraction) of radiotherapy was given in a DD/MM/YYYY format. When only a single radiation treatment/fraction was given, the start and end dates will be the same. If the date is unkown or partially missed insert the year at the best of your knowledge.
Short | End date
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
36. Radiotherapy.type
Definition | External Beam Radiation: The radiation is produced by a large machine, and the type of the machine needs to be recorded in the subsequent field. Brachytherapy: a material that is radioactive (often a fine wire or a tiny ?seed?) is placed on or in the body to give a very localized high dose of radiation. Details will be asked in the next field Metabolic or radionuclide treatment/therapy: a liquid substance is injected into the blood stream and carries radiation throughout the body with the aim of reaching tumour tissue. Also in this case, details will be asked in the subsequent field. 1 => External beam 2 => Brachytherapy 3 => Metabolic/radionuclide therapy
Short | Type of radiotherapy
Control | 1..1
Type | CodeableConcept
38. Radiotherapy.deviceType
Definition | A detailed description of the type of machine can be found in the user's manual. If you have the name of a machine but cannot find it in this list, please select Other and add the name in free text. If you know the treatment was with external beam but not which machine or energy, select 'Unknown'. 1 =>Orthovoltage / kilovoltage usually 200 - 300kv X rays/photons 2 =>Linac (Linear Accelerator) megavoltage MV X Rays/photons 3 =>Linac (Linear Accelerator) electrons 4 => Cobalt - MV gamma rays / photons 5 => Proton Beam 6 => Other, if other specify the name -9922 => Unknown
Short | type of machine (If external beam)
Control | 0..1
Type | CodeableConcept
40. Radiotherapy.brachytherapyType
Definition | ? Surface brachytherapy - a radiation source (radioactive material) is positioned on a superficial tumour ? Interstitial brachytherapy ? a radiation source is implanted into a tumour ? Intracavitary or intraluminal brachytherapy - a radiation source is introduced in special applicators into a body cavity or lumen 1 => Surface brachytherapy 2 => Interstitial brachytherapy 3 => Intracavitary or intraluminal brachytherapy -9922=> Unknown
Short | type of brachytherapy (if brachytherapy)
Control | 0..1
Type | CodeableConcept
42. Radiotherapy.isotopes
Definition | Specify the radioactive material (isotopes) used: If not listed, select 'Other then specify' 1 => Iridium (Ir) 2 => Gold (Au) 3 => Iodine (I) 4 => Caesium (Cs) 5 => Other -9922 => Unknown
Short | Radioactive materials (if brachytherapy)
Control | 0..1
Type | CodeableConcept
44. Radiotherapy.radionuclides
Definition | A detailed description of the radionuclides can be found in the user's manual. If you have the name of a radionuclide but cannot find it in this list, please select Other and add the name in free text. If you know the treatment was with external beam but not which machine or energy, select 'Unknown'. 1 => Iodine-131 2 => MIBG 3 =>Yttrium 90 4 => Other -9922 => Unknown
Short | radionuclides (required If metabolic/radionuclide)
Control | 0..1
Type | CodeableConcept
46. Radiotherapy.numberOfCourses
Definition | For Metabolic/radionuclide therapy
Short | Number of courses (If metabolic/radionuclide)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
48. Radiotherapy.target
Definition | Site' refers to the radiation therapy treatment field, i.e. the part of the body that received the radiation dose in order to treat the tumour. Required if Type of radiotherapy = 1 or 2 (External Beam, Brachytherapy)� If more than one body site was treated with radiotherapy, you can add anther site and describe; upto 5 sites are allowed by the system
Short | Target
Control | 0..5
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Radiotherapy.target.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
52. Radiotherapy.target.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Radiotherapy.target.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
54. Radiotherapy.target.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
56. Radiotherapy.target.site
Definition | RT sites are coded with a 3 tier level (see list). The first is ?Tier 1?. The first digit/s of the code, describes the large topographical body areas e.g. brain, chest, abdomen, limb. Since radiation fields often involve more than one topographical area we have added ?cervico-thoracic?, ?thoraco abdominal? and ?abdomino pelvic? areas to Tier 1. The second (Tier 2) includes subcategories of Tier 1 sites e.g. brain stem, heart, liver, upper limb. Where the information is available a third (Tier 3) of further subdivisions includes more detailed areas. When using the SurPass platform, as you start typing the name of the site, a drop down list with related terms will appear (special sites like Inverted Y are included). If the RT site listed in the medical record cannot reasonably be matched to one of the sites listed in the computer, choose ??Other' (.98 in tier 2) and then add in free text the name of this RT site.
Short | Body Site Code
Control | 1..1
Type | CodeableConcept
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Radiotherapy.target.site.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
60. Radiotherapy.target.site.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Radiotherapy.target.site.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
62. Radiotherapy.target.site.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. Radiotherapy.target.site.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Radiotherapy.target.site.notes
Definition | Record any available details on the shielded tissue/organ (or size of shielded area).
Short | Additional description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
68. Radiotherapy.target.laterality
Definition | Report laterality of the radiation. R = right, L = left, B = bilateral
Short | Laterality
Control | 0..1
Type | CodeableConcept
70. Radiotherapy.target.details
Definition | If needed it is possible to add details
Short | Details
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
72. Radiotherapy.target.from
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the starting point using the vertebrae to identify the upper limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Thoracic / dorsal vertebra 10)
Short | Start point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
74. Radiotherapy.target.to
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the ending point using the vertebrae to identify the lower limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Lumbar vertebra 3)
Short | End point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
76. Radiotherapy.target.position
Definition | Specify whether the radiation was anterior or posterior. 1 => Anterior 2 => Posterior -9922 = NK
Short | Position
Control | 0..1
Type | CodeableConcept
78. Radiotherapy.target.totalDose
Definition | Specify the total dose given to the primary radiation therapy site. If the dose is not known, write NK.
Short | Total dose
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. Radiotherapy.target.totalDose.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
82. Radiotherapy.target.totalDose.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Radiotherapy.target.totalDose.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
84. Radiotherapy.target.totalDose.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
86. Radiotherapy.target.totalDose.completionStatus
Definition | Check in case of incomplete doses
Short | The reported doses are incomplete (either under- or over-estimated)
Control | 0..1
Type | CodeableConcept
88. Radiotherapy.target.totalDose.statusReason
Definition | Specify reasons of incomplete estimated doses
Short | Specify reasons why
Control | 0..1
Type | CodeableConcept
90. Radiotherapy.target.totalDose.notKnown
Definition | Not known dose
Short | Not known dose
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
92. Radiotherapy.target.totalDose.dose
Definition | Specify the total dose given to the primary radiation therapy site.
Short | Dose
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
94. Radiotherapy.target.totalDose.unit
Definition | External Beam Radiation Therapy (EBRT) and Brachytherapy doses are in Gy. If doses are reported in cGY, roughly two zeroes need to be deleted (e.g. 100 cGy = 1 Gy). specify if dose is recorded in bequerels (MBq or GBq) or curies (Ci) or Unkwnon
Short | Measure unit
Control | 0..1
Type | CodeableConcept
96. Radiotherapy.target.totalDose.fractions
Definition | A FRACTION of radiation treatment is a single attendance for treatment; if 'not known' insert NK
Short | Number of fractions (if external beam)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
98. Radiotherapy.target.boost
Definition | A boost is an extra dose of radiotherapy directed to a smaller area inside the primary radiation field. (only if type is External Beam)
Short | Boost
Control | 0..5
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Radiotherapy.target.boost.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
102. Radiotherapy.target.boost.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Radiotherapy.target.boost.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
104. Radiotherapy.target.boost.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
106. Radiotherapy.target.boost.type
Definition | Specify radiation type of the boost. 1 => External Beam 2 => Brachytherapy -9922 => NK �
Short | Type of Boost
Control | 1..1
Type | CodeableConcept
108. Radiotherapy.target.boost.given
Definition | Flag indicating if a boost was given, not given or unknown
Short | Boost given
Control | 0..1
Type | CodeableConcept
110. Radiotherapy.target.boost.site
Definition | Site' refers to the radiation therapy treatment field. As you start typing the name of the site, a drop down list with related terms will appear (special sites like Inverted Y are included). If the RT site listed in the medical record cannot reasonably be matched to one of the sites listed in the computer, choose: ??Other' and then add in free text the name of this RT site. required if given
Short | Boost site
Control | 0..1
Type | CodeableConcept
112. Radiotherapy.target.boost.laterality
Definition | Report laterality of the radiation. R = right, L = left, B = bilateral
Short | Laterality
Control | 0..1
Type | CodeableConcept
114. Radiotherapy.target.boost.details
Definition | If needed it is possible to add details
Short | Details
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
116. Radiotherapy.target.boost.from
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the starting point using the vertebrae to identify the upper limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Thoracic / dorsal vertebra 10)
Short | Start point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
118. Radiotherapy.target.boost.to
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the ending point using the vertebrae to identify the lower limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Lumbar vertebra 3)
Short | End point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
120. Radiotherapy.target.boost.position
Definition | Specify whether the radiation was anterior or posterior. 1 => Anterior 2 => Posterior -9922 = NK
Short | Position
Control | 0..1
Type | CodeableConcept
122. Radiotherapy.target.boost.totalDose
Definition | Specify the total dose given to the boost site.
Short | Total dose
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. Radiotherapy.target.boost.totalDose.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
126. Radiotherapy.target.boost.totalDose.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Radiotherapy.target.boost.totalDose.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
128. Radiotherapy.target.boost.totalDose.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
130. Radiotherapy.target.boost.totalDose.completionStatus
Definition | Check in case of incomplete doses
Short | The reported doses are incomplete (either under- or over-estimated)
Control | 0..1
Type | CodeableConcept
132. Radiotherapy.target.boost.totalDose.statusReason
Definition | Specify reasons of incomplete estimated doses
Short | Specify reasons why
Control | 0..1
Type | CodeableConcept
134. Radiotherapy.target.boost.totalDose.notKnown
Definition | Not known dose
Short | Not known dose
Control | 0..1
Type | CodeableConcept
136. Radiotherapy.target.boost.totalDose.dose
Definition | Specify the total dose given to the boost site.
Short | Dose
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
138. Radiotherapy.target.boost.totalDose.unit
Definition | Specify the unit of the boost in case of external beam radiotherapy as Gy. specify if dose is recorded in bequerels (MBq or GBq) or curies (Ci) or Unkwnon
Short | Unit
Control | 0..1
Type | CodeableConcept
140. Radiotherapy.target.boost.totalDose.fractions
Definition | A fraction of radiation treatment is a single attendance for treatment. Please specify the number of fractions given as included in the boost. If not known, insert NK.
Short | Number of fractions (if external beam)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
142. Radiotherapy.target.shielding
Definition | Shielding, in some records this is called ?blocking? or ?blocks?.
Short | Shielding
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Radiotherapy.target.shielding.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
146. Radiotherapy.target.shielding.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Radiotherapy.target.shielding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
148. Radiotherapy.target.shielding.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
150. Radiotherapy.target.shielding.status
Definition | Specify if shielding was used or not. Yes; No; NK �
Short | Shielding status
Control | 0..1
Type | CodeableConcept
152. Radiotherapy.target.shielding.position
Definition | Describe the positioning of shielding
Short | Position of shielding
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
154. Radiotherapy.organAtRisk
Definition | Organs at Risk
Short | Organ at Risk
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. Radiotherapy.organAtRisk.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
158. Radiotherapy.organAtRisk.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing | This element introduces a set of slices on `Radiotherapy.organAtRisk.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
160. Radiotherapy.organAtRisk.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
162. Radiotherapy.organAtRisk.dosimetry
Definition | Specify if there is available information on Dosimetry of Organs at Risk [Yes/No]
Short | Dosimetry on Organ at Risk
Control | 0..1
Type | CodeableConcept
164. Radiotherapy.organAtRisk.dosimetryDocument
Definition | If Dosimetry on Organ at Risk is available, upload here the electronic / scanned version(s) of any relevant document(s)
Short | Electronic / scanned version(s) of relevant document(s)
Control | 0..2
Type | Binary
166. Radiotherapy.files
Definition | Radiotherapy file(s) can be uploaded here
Short | Upload radiotherapy file (1)
Control | 0..2
Type | Binary
168. Radiotherapy.notes
Definition | Notes
Short | Notes
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be foundhere

0. Radiotherapy
Definition | Radiotherapy
Short | Radiotherapy
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. Radiotherapy.relatedDiagnosis
Definition | Identifier of the diagnosis for which this radiotherapy is performed
Short | Related Diagnosis
Control | 0..1
Type | Identifier
4. Radiotherapy.relatedRelapse
Definition | Identifier of the relapse/progression (after FLT) for which this radiotherapy is performed
Short | Related relapse/progression (after FLT)
Control | 0..1
Type | Identifier
6. Radiotherapy.identifier
Definition | Progressive number of radotherapy episode. An EPISODE might be a single or several courses of pre-planned treatment within a consecutive time period to different sites. For example, if a patient had radiotherapy to a limb and also to the lungs for a Ewing?s sarcoma these should be entered in one episode of treatment but as separate radiotherapy courses with their respective site, total dose, and number of fractions. They will both be within one episode
Short | Identifier of the radotherapy episode
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
8. Radiotherapy.istitutionOfTreatment
Definition | Please indicate the institution in which the radiotherapeutic treatment was given
Short | Institution of treatment
Control | 0..1
Type | BackboneElement
10. Radiotherapy.istitutionOfTreatment.description
Definition | Please provide name, city and countryof the institution
Short | Institution description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
12. Radiotherapy.istitutionOfTreatment.name
Definition | Institution name
Short | Institution name
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
14. Radiotherapy.istitutionOfTreatment.address
Definition | Institution address
Short | Institution address
Control | 0..1
Type | BackboneElement
16. Radiotherapy.istitutionOfTreatment.address.name
Definition | Institution city
Short | Institution city
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. Radiotherapy.istitutionOfTreatment.address.country
Definition | Institution country
Short | Institution country
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. Radiotherapy.startDate
Definition | Enter the date on which the first treatment (fraction) of radiotherapy was given, in a DD/MM/YYYY format. If the date is unkown or partially missed insert the year at the best of your knowledge.
Short | Start date
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
22. Radiotherapy.enddate
Definition | Enter the full date on which the last treatment (fraction) of radiotherapy was given in a DD/MM/YYYY format. When only a single radiation treatment/fraction was given, the start and end dates will be the same. If the date is unkown or partially missed insert the year at the best of your knowledge.
Short | End date
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
24. Radiotherapy.type
Definition | External Beam Radiation: The radiation is produced by a large machine, and the type of the machine needs to be recorded in the subsequent field. Brachytherapy: a material that is radioactive (often a fine wire or a tiny ?seed?) is placed on or in the body to give a very localized high dose of radiation. Details will be asked in the next field Metabolic or radionuclide treatment/therapy: a liquid substance is injected into the blood stream and carries radiation throughout the body with the aim of reaching tumour tissue. Also in this case, details will be asked in the subsequent field. 1 => External beam 2 => Brachytherapy 3 => Metabolic/radionuclide therapy
Short | Type of radiotherapy
Control | 1..1
Type | CodeableConcept
26. Radiotherapy.deviceType
Definition | A detailed description of the type of machine can be found in the user's manual. If you have the name of a machine but cannot find it in this list, please select Other and add the name in free text. If you know the treatment was with external beam but not which machine or energy, select 'Unknown'. 1 =>Orthovoltage / kilovoltage usually 200 - 300kv X rays/photons 2 =>Linac (Linear Accelerator) megavoltage MV X Rays/photons 3 =>Linac (Linear Accelerator) electrons 4 => Cobalt - MV gamma rays / photons 5 => Proton Beam 6 => Other, if other specify the name -9922 => Unknown
Short | type of machine (If external beam)
Control | 0..1
Type | CodeableConcept
28. Radiotherapy.brachytherapyType
Definition | ? Surface brachytherapy - a radiation source (radioactive material) is positioned on a superficial tumour ? Interstitial brachytherapy ? a radiation source is implanted into a tumour ? Intracavitary or intraluminal brachytherapy - a radiation source is introduced in special applicators into a body cavity or lumen 1 => Surface brachytherapy 2 => Interstitial brachytherapy 3 => Intracavitary or intraluminal brachytherapy -9922=> Unknown
Short | type of brachytherapy (if brachytherapy)
Control | 0..1
Type | CodeableConcept
30. Radiotherapy.isotopes
Definition | Specify the radioactive material (isotopes) used: If not listed, select 'Other then specify' 1 => Iridium (Ir) 2 => Gold (Au) 3 => Iodine (I) 4 => Caesium (Cs) 5 => Other -9922 => Unknown
Short | Radioactive materials (if brachytherapy)
Control | 0..1
Type | CodeableConcept
32. Radiotherapy.radionuclides
Definition | A detailed description of the radionuclides can be found in the user's manual. If you have the name of a radionuclide but cannot find it in this list, please select Other and add the name in free text. If you know the treatment was with external beam but not which machine or energy, select 'Unknown'. 1 => Iodine-131 2 => MIBG 3 =>Yttrium 90 4 => Other -9922 => Unknown
Short | radionuclides (required If metabolic/radionuclide)
Control | 0..1
Type | CodeableConcept
34. Radiotherapy.numberOfCourses
Definition | For Metabolic/radionuclide therapy
Short | Number of courses (If metabolic/radionuclide)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
36. Radiotherapy.target
Definition | Site' refers to the radiation therapy treatment field, i.e. the part of the body that received the radiation dose in order to treat the tumour. Required if Type of radiotherapy = 1 or 2 (External Beam, Brachytherapy)� If more than one body site was treated with radiotherapy, you can add anther site and describe; upto 5 sites are allowed by the system
Short | Target
Control | 0..5
Type | BackboneElement
38. Radiotherapy.target.site
Definition | RT sites are coded with a 3 tier level (see list). The first is ?Tier 1?. The first digit/s of the code, describes the large topographical body areas e.g. brain, chest, abdomen, limb. Since radiation fields often involve more than one topographical area we have added ?cervico-thoracic?, ?thoraco abdominal? and ?abdomino pelvic? areas to Tier 1. The second (Tier 2) includes subcategories of Tier 1 sites e.g. brain stem, heart, liver, upper limb. Where the information is available a third (Tier 3) of further subdivisions includes more detailed areas. When using the SurPass platform, as you start typing the name of the site, a drop down list with related terms will appear (special sites like Inverted Y are included). If the RT site listed in the medical record cannot reasonably be matched to one of the sites listed in the computer, choose ??Other' (.98 in tier 2) and then add in free text the name of this RT site.
Short | Body Site Code
Control | 1..1
Type | CodeableConcept
40. Radiotherapy.target.site.notes
Definition | Record any available details on the shielded tissue/organ (or size of shielded area).
Short | Additional description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
42. Radiotherapy.target.laterality
Definition | Report laterality of the radiation. R = right, L = left, B = bilateral
Short | Laterality
Control | 0..1
Type | CodeableConcept
44. Radiotherapy.target.details
Definition | If needed it is possible to add details
Short | Details
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
46. Radiotherapy.target.from
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the starting point using the vertebrae to identify the upper limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Thoracic / dorsal vertebra 10)
Short | Start point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
48. Radiotherapy.target.to
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the ending point using the vertebrae to identify the lower limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Lumbar vertebra 3)
Short | End point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
50. Radiotherapy.target.position
Definition | Specify whether the radiation was anterior or posterior. 1 => Anterior 2 => Posterior -9922 = NK
Short | Position
Control | 0..1
Type | CodeableConcept
52. Radiotherapy.target.totalDose
Definition | Specify the total dose given to the primary radiation therapy site. If the dose is not known, write NK.
Short | Total dose
Control | 0..1
Type | BackboneElement
54. Radiotherapy.target.totalDose.completionStatus
Definition | Check in case of incomplete doses
Short | The reported doses are incomplete (either under- or over-estimated)
Control | 0..1
Type | CodeableConcept
56. Radiotherapy.target.totalDose.statusReason
Definition | Specify reasons of incomplete estimated doses
Short | Specify reasons why
Control | 0..1
Type | CodeableConcept
58. Radiotherapy.target.totalDose.notKnown
Definition | Not known dose
Short | Not known dose
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
60. Radiotherapy.target.totalDose.dose
Definition | Specify the total dose given to the primary radiation therapy site.
Short | Dose
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
62. Radiotherapy.target.totalDose.unit
Definition | External Beam Radiation Therapy (EBRT) and Brachytherapy doses are in Gy. If doses are reported in cGY, roughly two zeroes need to be deleted (e.g. 100 cGy = 1 Gy). specify if dose is recorded in bequerels (MBq or GBq) or curies (Ci) or Unkwnon
Short | Measure unit
Control | 0..1
Type | CodeableConcept
64. Radiotherapy.target.totalDose.fractions
Definition | A FRACTION of radiation treatment is a single attendance for treatment; if 'not known' insert NK
Short | Number of fractions (if external beam)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
66. Radiotherapy.target.boost
Definition | A boost is an extra dose of radiotherapy directed to a smaller area inside the primary radiation field. (only if type is External Beam)
Short | Boost
Control | 0..5
Type | BackboneElement
68. Radiotherapy.target.boost.type
Definition | Specify radiation type of the boost. 1 => External Beam 2 => Brachytherapy -9922 => NK �
Short | Type of Boost
Control | 1..1
Type | CodeableConcept
70. Radiotherapy.target.boost.given
Definition | Flag indicating if a boost was given, not given or unknown
Short | Boost given
Control | 0..1
Type | CodeableConcept
72. Radiotherapy.target.boost.site
Definition | Site' refers to the radiation therapy treatment field. As you start typing the name of the site, a drop down list with related terms will appear (special sites like Inverted Y are included). If the RT site listed in the medical record cannot reasonably be matched to one of the sites listed in the computer, choose: ??Other' and then add in free text the name of this RT site. required if given
Short | Boost site
Control | 0..1
Type | CodeableConcept
74. Radiotherapy.target.boost.laterality
Definition | Report laterality of the radiation. R = right, L = left, B = bilateral
Short | Laterality
Control | 0..1
Type | CodeableConcept
76. Radiotherapy.target.boost.details
Definition | If needed it is possible to add details
Short | Details
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
78. Radiotherapy.target.boost.from
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the starting point using the vertebrae to identify the upper limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Thoracic / dorsal vertebra 10)
Short | Start point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
80. Radiotherapy.target.boost.to
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the ending point using the vertebrae to identify the lower limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Lumbar vertebra 3)
Short | End point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
82. Radiotherapy.target.boost.position
Definition | Specify whether the radiation was anterior or posterior. 1 => Anterior 2 => Posterior -9922 = NK
Short | Position
Control | 0..1
Type | CodeableConcept
84. Radiotherapy.target.boost.totalDose
Definition | Specify the total dose given to the boost site.
Short | Total dose
Control | 1..1
Type | BackboneElement
86. Radiotherapy.target.boost.totalDose.completionStatus
Definition | Check in case of incomplete doses
Short | The reported doses are incomplete (either under- or over-estimated)
Control | 0..1
Type | CodeableConcept
88. Radiotherapy.target.boost.totalDose.statusReason
Definition | Specify reasons of incomplete estimated doses
Short | Specify reasons why
Control | 0..1
Type | CodeableConcept
90. Radiotherapy.target.boost.totalDose.notKnown
Definition | Not known dose
Short | Not known dose
Control | 0..1
Type | CodeableConcept
92. Radiotherapy.target.boost.totalDose.dose
Definition | Specify the total dose given to the boost site.
Short | Dose
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
94. Radiotherapy.target.boost.totalDose.unit
Definition | Specify the unit of the boost in case of external beam radiotherapy as Gy. specify if dose is recorded in bequerels (MBq or GBq) or curies (Ci) or Unkwnon
Short | Unit
Control | 0..1
Type | CodeableConcept
96. Radiotherapy.target.boost.totalDose.fractions
Definition | A fraction of radiation treatment is a single attendance for treatment. Please specify the number of fractions given as included in the boost. If not known, insert NK.
Short | Number of fractions (if external beam)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
98. Radiotherapy.target.shielding
Definition | Shielding, in some records this is called ?blocking? or ?blocks?.
Short | Shielding
Control | 0..1
Type | BackboneElement
100. Radiotherapy.target.shielding.status
Definition | Specify if shielding was used or not. Yes; No; NK �
Short | Shielding status
Control | 0..1
Type | CodeableConcept
102. Radiotherapy.target.shielding.position
Definition | Describe the positioning of shielding
Short | Position of shielding
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
104. Radiotherapy.organAtRisk
Definition | Organs at Risk
Short | Organ at Risk
Control | 0..1
Type | BackboneElement
106. Radiotherapy.organAtRisk.dosimetry
Definition | Specify if there is available information on Dosimetry of Organs at Risk [Yes/No]
Short | Dosimetry on Organ at Risk
Control | 0..1
Type | CodeableConcept
108. Radiotherapy.organAtRisk.dosimetryDocument
Definition | If Dosimetry on Organ at Risk is available, upload here the electronic / scanned version(s) of any relevant document(s)
Short | Electronic / scanned version(s) of relevant document(s)
Control | 0..2
Type | Binary
110. Radiotherapy.files
Definition | Radiotherapy file(s) can be uploaded here
Short | Upload radiotherapy file (1)
Control | 0..2
Type | Binary
112. Radiotherapy.notes
Definition | Notes
Short | Notes
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension

Guidance on how to interpret the contents of this table can be foundhere

0. Radiotherapy
Definition | Radiotherapy
Short | Radiotherapy
Control | 0..*
Is Modifier | false
Logical Model | Instances of this logical model are not marked to be the target of a Reference
2. Radiotherapy.relatedDiagnosis
Definition | Identifier of the diagnosis for which this radiotherapy is performed
Short | Related Diagnosis
Control | 0..1
Type | Identifier
4. Radiotherapy.relatedRelapse
Definition | Identifier of the relapse/progression (after FLT) for which this radiotherapy is performed
Short | Related relapse/progression (after FLT)
Control | 0..1
Type | Identifier
6. Radiotherapy.identifier
Definition | Progressive number of radotherapy episode. An EPISODE might be a single or several courses of pre-planned treatment within a consecutive time period to different sites. For example, if a patient had radiotherapy to a limb and also to the lungs for a Ewing?s sarcoma these should be entered in one episode of treatment but as separate radiotherapy courses with their respective site, total dose, and number of fractions. They will both be within one episode
Short | Identifier of the radotherapy episode
Note | This is a business identifier, not a resource identifier (see discussion)
Control | 0..*
Type | Identifier
8. Radiotherapy.istitutionOfTreatment
Definition | Please indicate the institution in which the radiotherapeutic treatment was given
Short | Institution of treatment
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Radiotherapy.istitutionOfTreatment.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
12. Radiotherapy.istitutionOfTreatment.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Radiotherapy.istitutionOfTreatment.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
14. Radiotherapy.istitutionOfTreatment.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. Radiotherapy.istitutionOfTreatment.description
Definition | Please provide name, city and countryof the institution
Short | Institution description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
18. Radiotherapy.istitutionOfTreatment.name
Definition | Institution name
Short | Institution name
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
20. Radiotherapy.istitutionOfTreatment.address
Definition | Institution address
Short | Institution address
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Radiotherapy.istitutionOfTreatment.address.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
24. Radiotherapy.istitutionOfTreatment.address.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Radiotherapy.istitutionOfTreatment.address.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
26. Radiotherapy.istitutionOfTreatment.address.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
28. Radiotherapy.istitutionOfTreatment.address.name
Definition | Institution city
Short | Institution city
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
30. Radiotherapy.istitutionOfTreatment.address.country
Definition | Institution country
Short | Institution country
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
32. Radiotherapy.startDate
Definition | Enter the date on which the first treatment (fraction) of radiotherapy was given, in a DD/MM/YYYY format. If the date is unkown or partially missed insert the year at the best of your knowledge.
Short | Start date
Control | 1..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
34. Radiotherapy.enddate
Definition | Enter the full date on which the last treatment (fraction) of radiotherapy was given in a DD/MM/YYYY format. When only a single radiation treatment/fraction was given, the start and end dates will be the same. If the date is unkown or partially missed insert the year at the best of your knowledge.
Short | End date
Control | 0..1
Type | dateTime
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
36. Radiotherapy.type
Definition | External Beam Radiation: The radiation is produced by a large machine, and the type of the machine needs to be recorded in the subsequent field. Brachytherapy: a material that is radioactive (often a fine wire or a tiny ?seed?) is placed on or in the body to give a very localized high dose of radiation. Details will be asked in the next field Metabolic or radionuclide treatment/therapy: a liquid substance is injected into the blood stream and carries radiation throughout the body with the aim of reaching tumour tissue. Also in this case, details will be asked in the subsequent field. 1 => External beam 2 => Brachytherapy 3 => Metabolic/radionuclide therapy
Short | Type of radiotherapy
Control | 1..1
Type | CodeableConcept
38. Radiotherapy.deviceType
Definition | A detailed description of the type of machine can be found in the user's manual. If you have the name of a machine but cannot find it in this list, please select Other and add the name in free text. If you know the treatment was with external beam but not which machine or energy, select 'Unknown'. 1 =>Orthovoltage / kilovoltage usually 200 - 300kv X rays/photons 2 =>Linac (Linear Accelerator) megavoltage MV X Rays/photons 3 =>Linac (Linear Accelerator) electrons 4 => Cobalt - MV gamma rays / photons 5 => Proton Beam 6 => Other, if other specify the name -9922 => Unknown
Short | type of machine (If external beam)
Control | 0..1
Type | CodeableConcept
40. Radiotherapy.brachytherapyType
Definition | ? Surface brachytherapy - a radiation source (radioactive material) is positioned on a superficial tumour ? Interstitial brachytherapy ? a radiation source is implanted into a tumour ? Intracavitary or intraluminal brachytherapy - a radiation source is introduced in special applicators into a body cavity or lumen 1 => Surface brachytherapy 2 => Interstitial brachytherapy 3 => Intracavitary or intraluminal brachytherapy -9922=> Unknown
Short | type of brachytherapy (if brachytherapy)
Control | 0..1
Type | CodeableConcept
42. Radiotherapy.isotopes
Definition | Specify the radioactive material (isotopes) used: If not listed, select 'Other then specify' 1 => Iridium (Ir) 2 => Gold (Au) 3 => Iodine (I) 4 => Caesium (Cs) 5 => Other -9922 => Unknown
Short | Radioactive materials (if brachytherapy)
Control | 0..1
Type | CodeableConcept
44. Radiotherapy.radionuclides
Definition | A detailed description of the radionuclides can be found in the user's manual. If you have the name of a radionuclide but cannot find it in this list, please select Other and add the name in free text. If you know the treatment was with external beam but not which machine or energy, select 'Unknown'. 1 => Iodine-131 2 => MIBG 3 =>Yttrium 90 4 => Other -9922 => Unknown
Short | radionuclides (required If metabolic/radionuclide)
Control | 0..1
Type | CodeableConcept
46. Radiotherapy.numberOfCourses
Definition | For Metabolic/radionuclide therapy
Short | Number of courses (If metabolic/radionuclide)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
48. Radiotherapy.target
Definition | Site' refers to the radiation therapy treatment field, i.e. the part of the body that received the radiation dose in order to treat the tumour. Required if Type of radiotherapy = 1 or 2 (External Beam, Brachytherapy)� If more than one body site was treated with radiotherapy, you can add anther site and describe; upto 5 sites are allowed by the system
Short | Target
Control | 0..5
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Radiotherapy.target.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
52. Radiotherapy.target.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Radiotherapy.target.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
54. Radiotherapy.target.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
56. Radiotherapy.target.site
Definition | RT sites are coded with a 3 tier level (see list). The first is ?Tier 1?. The first digit/s of the code, describes the large topographical body areas e.g. brain, chest, abdomen, limb. Since radiation fields often involve more than one topographical area we have added ?cervico-thoracic?, ?thoraco abdominal? and ?abdomino pelvic? areas to Tier 1. The second (Tier 2) includes subcategories of Tier 1 sites e.g. brain stem, heart, liver, upper limb. Where the information is available a third (Tier 3) of further subdivisions includes more detailed areas. When using the SurPass platform, as you start typing the name of the site, a drop down list with related terms will appear (special sites like Inverted Y are included). If the RT site listed in the medical record cannot reasonably be matched to one of the sites listed in the computer, choose ??Other' (.98 in tier 2) and then add in free text the name of this RT site.
Short | Body Site Code
Control | 1..1
Type | CodeableConcept
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Radiotherapy.target.site.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
60. Radiotherapy.target.site.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Radiotherapy.target.site.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
62. Radiotherapy.target.site.coding
Definition | A reference to a code defined by a terminology system.
Short | Code defined by a terminology system
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control | 0..*
Type | Coding
Is Modifier | false
Summary | true
Requirements | Allows for alternative encodings within a code system, and translations to other code systems.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
64. Radiotherapy.target.site.text
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Short | Plain text representation of the concept
Comments | Very often the text is the same as a displayName of one of the codings.
Control | 0..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Radiotherapy.target.site.notes
Definition | Record any available details on the shielded tissue/organ (or size of shielded area).
Short | Additional description
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
68. Radiotherapy.target.laterality
Definition | Report laterality of the radiation. R = right, L = left, B = bilateral
Short | Laterality
Control | 0..1
Type | CodeableConcept
70. Radiotherapy.target.details
Definition | If needed it is possible to add details
Short | Details
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
72. Radiotherapy.target.from
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the starting point using the vertebrae to identify the upper limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Thoracic / dorsal vertebra 10)
Short | Start point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
74. Radiotherapy.target.to
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the ending point using the vertebrae to identify the lower limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Lumbar vertebra 3)
Short | End point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
76. Radiotherapy.target.position
Definition | Specify whether the radiation was anterior or posterior. 1 => Anterior 2 => Posterior -9922 = NK
Short | Position
Control | 0..1
Type | CodeableConcept
78. Radiotherapy.target.totalDose
Definition | Specify the total dose given to the primary radiation therapy site. If the dose is not known, write NK.
Short | Total dose
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
80. Radiotherapy.target.totalDose.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
82. Radiotherapy.target.totalDose.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Radiotherapy.target.totalDose.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
84. Radiotherapy.target.totalDose.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
86. Radiotherapy.target.totalDose.completionStatus
Definition | Check in case of incomplete doses
Short | The reported doses are incomplete (either under- or over-estimated)
Control | 0..1
Type | CodeableConcept
88. Radiotherapy.target.totalDose.statusReason
Definition | Specify reasons of incomplete estimated doses
Short | Specify reasons why
Control | 0..1
Type | CodeableConcept
90. Radiotherapy.target.totalDose.notKnown
Definition | Not known dose
Short | Not known dose
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
92. Radiotherapy.target.totalDose.dose
Definition | Specify the total dose given to the primary radiation therapy site.
Short | Dose
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
94. Radiotherapy.target.totalDose.unit
Definition | External Beam Radiation Therapy (EBRT) and Brachytherapy doses are in Gy. If doses are reported in cGY, roughly two zeroes need to be deleted (e.g. 100 cGy = 1 Gy). specify if dose is recorded in bequerels (MBq or GBq) or curies (Ci) or Unkwnon
Short | Measure unit
Control | 0..1
Type | CodeableConcept
96. Radiotherapy.target.totalDose.fractions
Definition | A FRACTION of radiation treatment is a single attendance for treatment; if 'not known' insert NK
Short | Number of fractions (if external beam)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
98. Radiotherapy.target.boost
Definition | A boost is an extra dose of radiotherapy directed to a smaller area inside the primary radiation field. (only if type is External Beam)
Short | Boost
Control | 0..5
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Radiotherapy.target.boost.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
102. Radiotherapy.target.boost.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Radiotherapy.target.boost.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
104. Radiotherapy.target.boost.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
106. Radiotherapy.target.boost.type
Definition | Specify radiation type of the boost. 1 => External Beam 2 => Brachytherapy -9922 => NK �
Short | Type of Boost
Control | 1..1
Type | CodeableConcept
108. Radiotherapy.target.boost.given
Definition | Flag indicating if a boost was given, not given or unknown
Short | Boost given
Control | 0..1
Type | CodeableConcept
110. Radiotherapy.target.boost.site
Definition | Site' refers to the radiation therapy treatment field. As you start typing the name of the site, a drop down list with related terms will appear (special sites like Inverted Y are included). If the RT site listed in the medical record cannot reasonably be matched to one of the sites listed in the computer, choose: ??Other' and then add in free text the name of this RT site. required if given
Short | Boost site
Control | 0..1
Type | CodeableConcept
112. Radiotherapy.target.boost.laterality
Definition | Report laterality of the radiation. R = right, L = left, B = bilateral
Short | Laterality
Control | 0..1
Type | CodeableConcept
114. Radiotherapy.target.boost.details
Definition | If needed it is possible to add details
Short | Details
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
116. Radiotherapy.target.boost.from
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the starting point using the vertebrae to identify the upper limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Thoracic / dorsal vertebra 10)
Short | Start point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
118. Radiotherapy.target.boost.to
Definition | When the radiation involves more than one site, eventually covering different body areas (e.g. torax and abdomen), select the ending point using the vertebrae to identify the lower limit (e.g.: Thoraco-Abdominal (area): Paraspinal - Lumbar vertebra 3)
Short | End point
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
120. Radiotherapy.target.boost.position
Definition | Specify whether the radiation was anterior or posterior. 1 => Anterior 2 => Posterior -9922 = NK
Short | Position
Control | 0..1
Type | CodeableConcept
122. Radiotherapy.target.boost.totalDose
Definition | Specify the total dose given to the boost site.
Short | Total dose
Control | 1..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. Radiotherapy.target.boost.totalDose.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
126. Radiotherapy.target.boost.totalDose.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Radiotherapy.target.boost.totalDose.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
128. Radiotherapy.target.boost.totalDose.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
130. Radiotherapy.target.boost.totalDose.completionStatus
Definition | Check in case of incomplete doses
Short | The reported doses are incomplete (either under- or over-estimated)
Control | 0..1
Type | CodeableConcept
132. Radiotherapy.target.boost.totalDose.statusReason
Definition | Specify reasons of incomplete estimated doses
Short | Specify reasons why
Control | 0..1
Type | CodeableConcept
134. Radiotherapy.target.boost.totalDose.notKnown
Definition | Not known dose
Short | Not known dose
Control | 0..1
Type | CodeableConcept
136. Radiotherapy.target.boost.totalDose.dose
Definition | Specify the total dose given to the boost site.
Short | Dose
Control | 0..1
Type | decimal
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
138. Radiotherapy.target.boost.totalDose.unit
Definition | Specify the unit of the boost in case of external beam radiotherapy as Gy. specify if dose is recorded in bequerels (MBq or GBq) or curies (Ci) or Unkwnon
Short | Unit
Control | 0..1
Type | CodeableConcept
140. Radiotherapy.target.boost.totalDose.fractions
Definition | A fraction of radiation treatment is a single attendance for treatment. Please specify the number of fractions given as included in the boost. If not known, insert NK.
Short | Number of fractions (if external beam)
Control | 0..1
Type | integer
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
142. Radiotherapy.target.shielding
Definition | Shielding, in some records this is called ?blocking? or ?blocks?.
Short | Shielding
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
144. Radiotherapy.target.shielding.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
146. Radiotherapy.target.shielding.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Radiotherapy.target.shielding.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
148. Radiotherapy.target.shielding.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
150. Radiotherapy.target.shielding.status
Definition | Specify if shielding was used or not. Yes; No; NK �
Short | Shielding status
Control | 0..1
Type | CodeableConcept
152. Radiotherapy.target.shielding.position
Definition | Describe the positioning of shielding
Short | Position of shielding
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
154. Radiotherapy.organAtRisk
Definition | Organs at Risk
Short | Organ at Risk
Control | 0..1
Type | BackboneElement
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
156. Radiotherapy.organAtRisk.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
158. Radiotherapy.organAtRisk.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | This element introduces a set of slices on `Radiotherapy.organAtRisk.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
160. Radiotherapy.organAtRisk.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
162. Radiotherapy.organAtRisk.dosimetry
Definition | Specify if there is available information on Dosimetry of Organs at Risk [Yes/No]
Short | Dosimetry on Organ at Risk
Control | 0..1
Type | CodeableConcept
164. Radiotherapy.organAtRisk.dosimetryDocument
Definition | If Dosimetry on Organ at Risk is available, upload here the electronic / scanned version(s) of any relevant document(s)
Short | Electronic / scanned version(s) of relevant document(s)
Control | 0..2
Type | Binary
166. Radiotherapy.files
Definition | Radiotherapy file(s) can be uploaded here
Short | Upload radiotherapy file (1)
Control | 0..2
Type | Binary
168. Radiotherapy.notes
Definition | Notes
Short | Notes
Control | 0..1
Type | string
Primitive Value | This primitive element may be present, or absent, or replaced by an extension