{ "resourceType": "StructureDefinition", "id": "VGHKS-mcode-radiotherapy-course-summary-Radio1", "text": { "status": "extensions", "div": "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Procedure I0..*USCoreProcedureProfileAn action that is being or was performed on a patient
mcode-reason-required: One of reasonCode or reasonReference SHALL be present
\".\"\".\"\".\" Slices for extension S0..*ExtensionExtension
Slice: Unordered, Open by value:url
\".\"\".\"\".\" mcode-procedure-intent S0..1CodeableConceptProcedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (required)
\".\"\".\"\".\" mcode-treatment-termination-reason S0..1CodeableConceptTreatment Termination Reason Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason
Binding: Treatment Termination Reason Value Set (required)
\".\"\".\"\".\" mcode-radiotherapy-modality-and-technique S0..*(Complex)Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
\".\"\".\"\".\" mcode-radiotherapy-sessions S0..1unsignedIntRadiotherapy Number of Sessions Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions
\".\"\".\"\".\" mcode-radiotherapy-dose-delivered-to-volume S0..*(Complex)Radiotherapy Dose Delivered To Volume Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
\".\"\".\"\".\" category S1..1CodeableConceptClassification of the procedure
Required Pattern: At least the following
\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: 108290001
\".\"\".\"\".\" code 1..1CodeableConceptIdentification of the procedure
Required Pattern: At least the following
\".\"\".\"\".\"\".\" coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
\".\"\".\"\".\"\".\"\".\" system1..1uriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/snomed-tbd-cs
\".\"\".\"\".\"\".\"\".\" code1..1codeSymbol in syntax defined by the system
Fixed Value: USCRS-33292
\".\"\".\"\".\" subject 1..1Reference(Cancer Patient Profile)Who the procedure was performed on
\".\"\".\"\".\" performed[x] 1..1PeriodWhen the procedure was performed
\".\"\".\"\".\" reasonCode S0..*CodeableConceptCoded reason procedure performed
Binding: Cancer Disorder Value Set (extensible)
\".\"\".\"\".\" reasonReference S0..*Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile)The justification that the procedure was performed
\".\"\".\"\".\" bodySite S0..*CodeableConceptAll body structure(s) treated
Binding: Radiotherapy Treatment Location Value Set (required)

\"doco\" Documentation for this format
" }, "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/VGHKS-mcode-radiotherapy-course-summary-Radio1", "version": "1.18.1", "name": "VGHKSRadiotherapyCourseSummaryRadio1", "title": "VGHKS Radiotherapy Course Summary Radio1 Profile", "status": "active", "date": "2021-10-30T17:51:56+00:00", "publisher": "HL7 International Clinical Interoperability Council", "contact": [ { "name": "HL7 International Clinical Interoperability Council", "telecom": [ { "system": "url", "value": "http://www.hl7.org/Special/committees/cic" }, { "system": "email", "value": "ciclist@lists.HL7.org" } ] } ], "description": "A summary of a course of radiotherapy delivered to a patient. It records the treatment intent, termination reason, modalities, techniques, number of sessions, and doses delivered to one or more body volumes. Whether the course has been fully delivered or stopped is indicated in the status element.", "jurisdiction": [ { "coding": [ { "system": "urn:iso:std:iso:3166", "code": "US", "display": "United States of America" } ] } ], "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" } ], "kind": "resource", "abstract": false, "type": "Procedure", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure", "derivation": "constraint", "differential": { "element": [ { "id": "Procedure", "path": "Procedure", "constraint": [ { "key": "mcode-reason-required", "severity": "warning", "human": "One of reasonCode or reasonReference SHALL be present", "expression": "reasonCode.exists() or reasonReference.exists()", "source": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary" } ] }, { "id": "Procedure.extension", "path": "Procedure.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Procedure.extension:ExtensionEBRT", "path": "Procedure.extension", "sliceName": "ExtensionEBRT", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique" ] } ], "isModifier": false }, { "id": "Procedure.extension:ExtensionEBRT.extension", "path": "Procedure.extension.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Procedure.extension:ExtensionEBRT.extension:modality", "path": "Procedure.extension.extension", "sliceName": "modality", "min": 0 }, { "id": "Procedure.extension:ExtensionEBRT.extension:modality.value[x].coding.code", "path": "Procedure.extension.extension.value[x].coding.code", "short": "LF.ebrt" }, { "id": "Procedure.extension:ExtensionEBRT.extension:modality.value[x].text", "path": "Procedure.extension.extension.value[x].text", "short": "[體外放射治療技術]" }, { "id": "Procedure.extension:ExtensionRTH", "path": "Procedure.extension", "sliceName": "ExtensionRTH", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ] } ], "isModifier": false }, { "id": "Procedure.extension:ExtensionRTH.extension", "path": "Procedure.extension.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Procedure.extension:ExtensionRTH.extension:volume", "path": "Procedure.extension.extension", "sliceName": "volume", "min": 0 }, { "id": "Procedure.extension:ExtensionRTH.extension:volume.value[x].reference", "path": "Procedure.extension.extension.value[x].reference", "short": "LF.rth" }, { "id": "Procedure.extension:ExtensionRTH.extension:volume.value[x].display", "path": "Procedure.extension.extension.value[x].display", "short": "[最高放射劑量臨床標靶體積]" }, { "id": "Procedure.extension:ExtensionRTH.extension:totalDoseDelivered", "path": "Procedure.extension.extension", "sliceName": "totalDoseDelivered", "min": 0 }, { "id": "Procedure.extension:ExtensionRTH.extension:totalDoseDelivered.value[x].value", "path": "Procedure.extension.extension.value[x].value", "short": "LF.rth_dose" }, { "id": "Procedure.extension:ExtensionRTH.extension:totalDoseDelivered.value[x].system", "path": "Procedure.extension.extension.value[x].system", "short": "[最高放射劑量臨床標靶體積劑量]" }, { "id": "Procedure.extension:ExtensionRTH.extension:fractionsDelivered", "path": "Procedure.extension.extension", "sliceName": "fractionsDelivered", "short": "LF.rth_nf", "min": 0 }, { "id": "Procedure.extension:ExtensionRTH.extension:fractionsDelivered.value[x]", "path": "Procedure.extension.extension.value[x]", "short": "LF.rth_nf" }, { "id": "Procedure.extension:ExtensionRTL", "path": "Procedure.extension", "sliceName": "ExtensionRTL", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ] } ], "isModifier": false }, { "id": "Procedure.extension:ExtensionRTL.extension", "path": "Procedure.extension.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Procedure.extension:ExtensionRTL.extension:volume", "path": "Procedure.extension.extension", "sliceName": "volume", "min": 0 }, { "id": "Procedure.extension:ExtensionRTL.extension:volume.value[x].reference", "path": "Procedure.extension.extension.value[x].reference", "short": "LF.rtl" }, { "id": "Procedure.extension:ExtensionRTL.extension:volume.value[x].display", "path": "Procedure.extension.extension.value[x].display", "short": "[較低放射劑量臨床標靶體積]" }, { "id": "Procedure.extension:ExtensionRTL.extension:totalDoseDelivered", "path": "Procedure.extension.extension", "sliceName": "totalDoseDelivered", "min": 0 }, { "id": "Procedure.extension:ExtensionRTL.extension:totalDoseDelivered.value[x].value", "path": "Procedure.extension.extension.value[x].value", "short": "LF.rtl_dose" }, { "id": "Procedure.extension:ExtensionRTL.extension:totalDoseDelivered.value[x].system", "path": "Procedure.extension.extension.value[x].system", "short": "LF.rtl_dose" }, { "id": "Procedure.extension:ExtensionRTL.extension:fractionsDelivered", "path": "Procedure.extension.extension", "sliceName": "fractionsDelivered", "min": 0 }, { "id": "Procedure.extension:ExtensionRTL.extension:fractionsDelivered.value[x]", "path": "Procedure.extension.extension.value[x]", "short": "LF.rtl_nf" }, { "id": "Procedure.extension:ExtensionORTTech", "path": "Procedure.extension", "sliceName": "ExtensionORTTech", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique" ] } ], "isModifier": false }, { "id": "Procedure.extension:ExtensionORTTech.extension", "path": "Procedure.extension.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Procedure.extension:ExtensionORTTech.extension:modality", "path": "Procedure.extension.extension", "sliceName": "modality", "min": 0 }, { "id": "Procedure.extension:ExtensionORTTech.extension:modality.value[x].coding.code", "path": "Procedure.extension.extension.value[x].coding.code", "short": "LF.ort_tech" }, { "id": "Procedure.extension:ExtensionORTTech.extension:modality.value[x].text", "path": "Procedure.extension.extension.value[x].text", "short": "[其他放射治療技術]" }, { "id": "Procedure.extension:ExtensionORT", "path": "Procedure.extension", "sliceName": "ExtensionORT", "min": 0, "max": "1", "type": [ { "code": "Extension", "profile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" ] } ], "isModifier": false }, { "id": "Procedure.extension:ExtensionORT.extension", "path": "Procedure.extension.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "rules": "open" }, "min": 0 }, { "id": "Procedure.extension:ExtensionORT.extension:volume", "path": "Procedure.extension.extension", "sliceName": "volume", "min": 0 }, { "id": "Procedure.extension:ExtensionORT.extension:volume.value[x].reference", "path": "Procedure.extension.extension.value[x].reference", "short": "LF.ort" }, { "id": "Procedure.extension:ExtensionORT.extension:volume.value[x].display", "path": "Procedure.extension.extension.value[x].display", "short": "[其他放射治療臨床標靶體積]" }, { "id": "Procedure.extension:ExtensionORT.extension:totalDoseDelivered", "path": "Procedure.extension.extension", "sliceName": "totalDoseDelivered", "min": 0 }, { "id": "Procedure.extension:ExtensionORT.extension:totalDoseDelivered.value[x].value", "path": "Procedure.extension.extension.value[x].value", "short": "LF.ort_dose" }, { "id": "Procedure.extension:ExtensionORT.extension:totalDoseDelivered.value[x].system", "path": "Procedure.extension.extension.value[x].system", "short": "LF.ort_dose" }, { "id": "Procedure.extension:ExtensionORT.extension:fractionsDelivered", "path": "Procedure.extension.extension", "sliceName": "fractionsDelivered", "min": 0 }, { "id": "Procedure.extension:ExtensionORT.extension:fractionsDelivered.value[x]", "path": "Procedure.extension.extension.value[x]", "short": "LF.ort_nf" }, { "id": "Procedure.identifier", "path": "Procedure.identifier", "min": 1 }, { "id": "Procedure.identifier.system", "path": "Procedure.identifier.system", "min": 1, "fixedUri": "https://build.fhir.org/ig/HL7/fhir-mCODE-ig/" }, { "id": "Procedure.identifier.value", "path": "Procedure.identifier.value", "short": "[Radiotherapy Course Summary]", "min": 1 }, { "id": "Procedure.status", "path": "Procedure.status", "short": "[preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown]請填入(completed)", "fixedCode": "completed" }, { "id": "Procedure.statusReason.coding.code", "path": "Procedure.statusReason.coding.code", "short": "LF.rtstatus" }, { "id": "Procedure.statusReason.text", "path": "Procedure.statusReason.text", "short": "[放射治療執行狀態]", "min": 1 }, { "id": "Procedure.category", "path": "Procedure.category", "max": "0", "patternCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "108290001" } ] }, "mustSupport": false }, { "id": "Procedure.code", "path": "Procedure.code", "short": "放射治療與手術順序,區域治療與全身性治療順序" }, { "id": "Procedure.code.coding", "path": "Procedure.code.coding", "max": "3" }, { "id": "Procedure.code.coding.code", "path": "Procedure.code.coding.code", "short": "[USCRS-33529], LF.srs, LF.sls", "definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).\r\ncoding[0].code請填入USCRS-33529" }, { "id": "Procedure.code.coding.display", "path": "Procedure.code.coding.display", "short": "[Radiotherapy Course of Treatment (regime/therapy),放射治療與手術順序,放射治療與手術順序]", "definition": "A representation of the meaning of the code in the system, following the rules of the system.\r\ncoding[0].display請輸入Radiotherapy Course of Treatment (regime/therapy)\r\ncoding[1].display請輸入放射治療與手術順序\r\ncoding[2].display請輸入放射治療與手術順序", "min": 1 }, { "id": "Procedure.code.coding.userSelected", "path": "Procedure.code.coding.userSelected", "short": "[False, True, True]", "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).\r\ncoding[0].userSelected請輸入FALSE\r\ncoding[1].userSelected請輸入True\r\ncoding[2].userSelected請輸入True" }, { "id": "Procedure.subject", "path": "Procedure.subject", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient" ] } ] }, { "id": "Procedure.subject.reference", "path": "Procedure.subject.reference", "short": "患者 Resource Link", "min": 1 }, { "id": "Procedure.performed[x]", "path": "Procedure.performed[x]", "definition": "Estimated or actual date, date-time, period, or age when the procedure was performed. Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.\r\n\r\nperformedPeriod.star-放射治療開始日期\r\nperformedPeriod.end-放射治療結束日期", "type": [ { "code": "Period" } ] }, { "id": "Procedure.performed[x].start", "path": "Procedure.performed[x].start", "short": "LF.drt_1st", "definition": "The start of the period. The boundary is inclusive.\r\n放射治療開始日期" }, { "id": "Procedure.performed[x].end", "path": "Procedure.performed[x].end", "short": "LF.drt_end", "definition": "The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.\r\n放射治療結束日期" }, { "id": "Procedure.reasonCode", "path": "Procedure.reasonCode", "max": "0", "mustSupport": true }, { "id": "Procedure.reasonReference", "path": "Procedure.reasonReference", "max": "0", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition", "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-secondary-cancer-condition" ] } ], "mustSupport": true }, { "id": "Procedure.bodySite", "path": "Procedure.bodySite", "short": "All body structure(s) treated", "definition": "Coded body structure(s) treated in this course of radiotherapy. These codes represent general locations. For additional detail, refer to the BodyStructures references in the doseDeliveredToVolume extension.", "max": "0", "mustSupport": true }, { "id": "Procedure.outcome", "path": "Procedure.outcome", "min": 1 }, { "id": "Procedure.outcome.coding.code", "path": "Procedure.outcome.coding.code", "short": "LF.rtsumm", "min": 1 }, { "id": "Procedure.outcome.text", "path": "Procedure.outcome.text", "short": "[放射治療臨床標靶體積摘要]", "min": 1 }, { "id": "Procedure.focalDevice", "path": "Procedure.focalDevice", "min": 2 }, { "id": "Procedure.focalDevice.action", "path": "Procedure.focalDevice.action", "min": 1 }, { "id": "Procedure.focalDevice.action.coding.code", "path": "Procedure.focalDevice.action.coding.code", "short": "LF.rtmodal, LF.ort_modal", "min": 1 }, { "id": "Procedure.focalDevice.action.text", "path": "Procedure.focalDevice.action.text", "short": "[放射治療儀器, 其他放射治療儀器]", "min": 1 }, { "id": "Procedure.focalDevice.manipulated.display", "path": "Procedure.focalDevice.manipulated.display", "short": "[放射治療儀器, 其他放射治療儀器]", "min": 1 } ] } }