Name Flags Card. Type Description & Constraints doco
. . Procedure I 0 .. * USCoreProcedureProfile An action that is being or was performed on a patient
mcode-reason-required: One of reasonCode or reasonReference SHALL be present
. . . Slices for extension S 0 .. * Extension Extension
Slice: Unordered, Open by value:url
. . . mcode-procedure-intent S 0..1 CodeableConcept Procedure Intent Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent
Binding: Procedure Intent Value Set (required)
. . . mcode-treatment-termination-reason S 0..1 CodeableConcept Treatment 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 S 0..* (Complex) Radiotherapy Modality And Technique Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
. . . mcode-radiotherapy-sessions S 0..1 unsignedInt Radiotherapy Number of Sessions Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions
. . . mcode-radiotherapy-dose-delivered-to-volume S 0..* (Complex) Radiotherapy Dose Delivered To Volume Extension
URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
. . . category S 1..1 CodeableConcept Classification of the procedure
Required Pattern: At least the following
. . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
. . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: 108290001
. . . code 1 .. 1 CodeableConcept Identification of the procedure
Required Pattern: At least the following
. . . . coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
. . . . . system 1..1 uri Identity of the terminology system
Fixed Value: http://hl7.org/fhir/us/mcode/CodeSystem/snomed-tbd-cs
. . . . . code 1..1 code Symbol in syntax defined by the system
Fixed Value: USCRS-33292
. . . subject 1 .. 1 Reference(Cancer Patient Profile) Who the procedure was performed on
. . . performed[x] 1 .. 1 Period When the procedure was performed
. . . reasonCode S 0 .. * CodeableConcept Coded reason procedure performed
Binding: Cancer Disorder Value Set (extensible)
. . . reasonReference S 0 .. * Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile) The justification that the procedure was performed
. . . bodySite S 0 .. * CodeableConcept All body structure(s) treated
Binding: Radiotherapy Treatment Location Value Set (required)

doco Documentation for this format
<status value="active" /> <date value="2021-10-30T17:51:56+00:00" /> <publisher value="HL7 International Clinical Interoperability Council" /> <contact> <name value="HL7 International Clinical Interoperability Council" /> <telecom> <system value="url" /> <value value="http://www.hl7.org/Special/committees/cic" /> </telecom> <telecom> <system value="email" /> <value value="ciclist@lists.HL7.org" /> </telecom> </contact> <description value="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 value="urn:iso:std:iso:3166" /> <code value="US" /> <display value="United States of America" /> </coding> </jurisdiction> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Procedure" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" /> <derivation value="constraint" /> <differential> <element id="Procedure"> <path value="Procedure" /> <constraint> <key value="mcode-reason-required" /> <severity value="warning" /> <human value="One of reasonCode or reasonReference SHALL be present" /> <expression value="reasonCode.exists() or reasonReference.exists()" /> <source value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary" /> </constraint> </element> <element id="Procedure.extension"> <path value="Procedure.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Procedure.extension:ExtensionEBRT"> <path value="Procedure.extension" /> <sliceName value="ExtensionEBRT" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique" /> </type> <isModifier value="false" /> </element> <element id="Procedure.extension:ExtensionEBRT.extension"> <path value="Procedure.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Procedure.extension:ExtensionEBRT.extension:modality"> <path value="Procedure.extension.extension" /> <sliceName value="modality" /> <min value="0" /> </element> <element id="Procedure.extension:ExtensionEBRT.extension:modality.value[x].coding.code"> <path value="Procedure.extension.extension.value[x].coding.code" /> <short value="LF.ebrt" /> </element> <element id="Procedure.extension:ExtensionEBRT.extension:modality.value[x].text"> <path value="Procedure.extension.extension.value[x].text" /> <short value="[體外放射治療技術]" /> </element> <element id="Procedure.extension:ExtensionRTH"> <path value="Procedure.extension" /> <sliceName value="ExtensionRTH" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" /> </type> <isModifier value="false" /> </element> <element id="Procedure.extension:ExtensionRTH.extension"> <path value="Procedure.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Procedure.extension:ExtensionRTH.extension:volume"> <path value="Procedure.extension.extension" /> <sliceName value="volume" /> <min value="0" /> </element> <element id="Procedure.extension:ExtensionRTH.extension:volume.value[x].reference"> <path value="Procedure.extension.extension.value[x].reference" /> <short value="LF.rth" /> </element> <element id="Procedure.extension:ExtensionRTH.extension:volume.value[x].display"> <path value="Procedure.extension.extension.value[x].display" /> <short value="[最高放射劑量臨床標靶體積]" /> </element> <element id="Procedure.extension:ExtensionRTH.extension:totalDoseDelivered"> <path value="Procedure.extension.extension" /> <sliceName value="totalDoseDelivered" /> <min value="0" /> </element> <element id="Procedure.extension:ExtensionRTH.extension:totalDoseDelivered.value[x].value"> <path value="Procedure.extension.extension.value[x].value" /> <short value="LF.rth_dose" /> </element> <element id="Procedure.extension:ExtensionRTH.extension:totalDoseDelivered.value[x].system"> <path value="Procedure.extension.extension.value[x].system" /> <short value="[最高放射劑量臨床標靶體積劑量]" /> </element> <element id="Procedure.extension:ExtensionRTH.extension:fractionsDelivered"> <path value="Procedure.extension.extension" /> <sliceName value="fractionsDelivered" /> <short value="LF.rth_nf" /> <min value="0" /> </element> <element id="Procedure.extension:ExtensionRTH.extension:fractionsDelivered.value[x]"> <path value="Procedure.extension.extension.value[x]" /> <short value="LF.rth_nf" /> </element> <element id="Procedure.extension:ExtensionRTL"> <path value="Procedure.extension" /> <sliceName value="ExtensionRTL" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" /> </type> <isModifier value="false" /> </element> <element id="Procedure.extension:ExtensionRTL.extension"> <path value="Procedure.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Procedure.extension:ExtensionRTL.extension:volume"> <path value="Procedure.extension.extension" /> <sliceName value="volume" /> <min value="0" /> </element> <element id="Procedure.extension:ExtensionRTL.extension:volume.value[x].reference"> <path value="Procedure.extension.extension.value[x].reference" /> <short value="LF.rtl" /> </element> <element id="Procedure.extension:ExtensionRTL.extension:volume.value[x].display"> <path value="Procedure.extension.extension.value[x].display" /> <short value="[較低放射劑量臨床標靶體積]" /> </element> <element id="Procedure.extension:ExtensionRTL.extension:totalDoseDelivered"> <path value="Procedure.extension.extension" /> <sliceName value="totalDoseDelivered" /> <min value="0" /> </element> <element id="Procedure.extension:ExtensionRTL.extension:totalDoseDelivered.value[x].value"> <path value="Procedure.extension.extension.value[x].value" /> <short value="LF.rtl_dose" /> </element> <element id="Procedure.extension:ExtensionRTL.extension:totalDoseDelivered.value[x].system"> <path value="Procedure.extension.extension.value[x].system" /> <short value="LF.rtl_dose" /> </element> <element id="Procedure.extension:ExtensionRTL.extension:fractionsDelivered"> <path value="Procedure.extension.extension" /> <sliceName value="fractionsDelivered" /> <min value="0" /> </element> <element id="Procedure.extension:ExtensionRTL.extension:fractionsDelivered.value[x]"> <path value="Procedure.extension.extension.value[x]" /> <short value="LF.rtl_nf" /> </element> <element id="Procedure.extension:ExtensionORTTech"> <path value="Procedure.extension" /> <sliceName value="ExtensionORTTech" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique" /> </type> <isModifier value="false" /> </element> <element id="Procedure.extension:ExtensionORTTech.extension"> <path value="Procedure.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Procedure.extension:ExtensionORTTech.extension:modality"> <path value="Procedure.extension.extension" /> <sliceName value="modality" /> <min value="0" /> </element> <element id="Procedure.extension:ExtensionORTTech.extension:modality.value[x].coding.code"> <path value="Procedure.extension.extension.value[x].coding.code" /> <short value="LF.ort_tech" /> </element> <element id="Procedure.extension:ExtensionORTTech.extension:modality.value[x].text"> <path value="Procedure.extension.extension.value[x].text" /> <short value="[其他放射治療技術]" /> </element> <element id="Procedure.extension:ExtensionORT"> <path value="Procedure.extension" /> <sliceName value="ExtensionORT" /> <min value="0" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" /> </type> <isModifier value="false" /> </element> <element id="Procedure.extension:ExtensionORT.extension"> <path value="Procedure.extension.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Procedure.extension:ExtensionORT.extension:volume"> <path value="Procedure.extension.extension" /> <sliceName value="volume" /> <min value="0" /> </element> <element id="Procedure.extension:ExtensionORT.extension:volume.value[x].reference"> <path value="Procedure.extension.extension.value[x].reference" /> <short value="LF.ort" /> </element> <element id="Procedure.extension:ExtensionORT.extension:volume.value[x].display"> <path value="Procedure.extension.extension.value[x].display" /> <short value="[其他放射治療臨床標靶體積]" /> </element> <element id="Procedure.extension:ExtensionORT.extension:totalDoseDelivered"> <path value="Procedure.extension.extension" /> <sliceName value="totalDoseDelivered" /> <min value="0" /> </element> <element id="Procedure.extension:ExtensionORT.extension:totalDoseDelivered.value[x].value"> <path value="Procedure.extension.extension.value[x].value" /> <short value="LF.ort_dose" /> </element> <element id="Procedure.extension:ExtensionORT.extension:totalDoseDelivered.value[x].system"> <path value="Procedure.extension.extension.value[x].system" /> <short value="LF.ort_dose" /> </element> <element id="Procedure.extension:ExtensionORT.extension:fractionsDelivered"> <path value="Procedure.extension.extension" /> <sliceName value="fractionsDelivered" /> <min value="0" /> </element> <element id="Procedure.extension:ExtensionORT.extension:fractionsDelivered.value[x]"> <path value="Procedure.extension.extension.value[x]" /> <short value="LF.ort_nf" /> </element> <element id="Procedure.identifier"> <path value="Procedure.identifier" /> <min value="1" /> </element> <element id="Procedure.identifier.system"> <path value="Procedure.identifier.system" /> <min value="1" /> <fixedUri value="https://build.fhir.org/ig/HL7/fhir-mCODE-ig/" /> </element> <element id="Procedure.identifier.value"> <path value="Procedure.identifier.value" /> <short value="[Radiotherapy Course Summary]" /> <min value="1" /> </element> <element id="Procedure.status"> <path value="Procedure.status" /> <short value="[preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown]請填入(completed)" /> <fixedCode value="completed" /> </element> <element id="Procedure.statusReason.coding.code"> <path value="Procedure.statusReason.coding.code" /> <short value="LF.rtstatus" /> </element> <element id="Procedure.statusReason.text"> <path value="Procedure.statusReason.text" /> <short value="[放射治療執行狀態]" /> <min value="1" /> </element> <element id="Procedure.category"> <path value="Procedure.category" /> <max value="0" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="108290001" /> </coding> </patternCodeableConcept> <mustSupport value="false" /> </element> <element id="Procedure.code"> <path value="Procedure.code" /> <short value="放射治療與手術順序,區域治療與全身性治療順序" /> </element> <element id="Procedure.code.coding"> <path value="Procedure.code.coding" /> <max value="3" /> </element> <element id="Procedure.code.coding.code"> <path value="Procedure.code.coding.code" /> <short value="[USCRS-33529], LF.srs, LF.sls" /> <definition value="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). coding[0].code請填入USCRS-33529" /> </element> <element id="Procedure.code.coding.display"> <path value="Procedure.code.coding.display" /> <short value="[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 value="A representation of the meaning of the code in the system, following the rules of the system. coding[0].display請輸入Radiotherapy Course of Treatment (regime/therapy) coding[1].display請輸入放射治療與手術順序 coding[2].display請輸入放射治療與手術順序" /> <min value="1" /> </element> <element id="Procedure.code.coding.userSelected"> <path value="Procedure.code.coding.userSelected" /> <short value="[False, True, True]" /> <definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). coding[0].userSelected請輸入FALSE coding[1].userSelected請輸入True coding[2].userSelected請輸入True" /> </element> <element id="Procedure.subject"> <path value="Procedure.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient" /> </type> </element> <element id="Procedure.subject.reference"> <path value="Procedure.subject.reference" /> <short value="患者 Resource Link" /> <min value="1" /> </element> <element id="Procedure.performed[x]"> <path value="Procedure.performed[x]" /> <definition value="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. performedPeriod.star-放射治療開始日期 performedPeriod.end-放射治療結束日期" /> <type> <code value="Period" /> </type> </element> <element id="Procedure.performed[x].start"> <path value="Procedure.performed[x].start" /> <short value="LF.drt_1st" /> <definition value="The start of the period. The boundary is inclusive. 放射治療開始日期" /> </element> <element id="Procedure.performed[x].end"> <path value="Procedure.performed[x].end" /> <short value="LF.drt_end" /> <definition value="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. 放射治療結束日期" /> </element> <element id="Procedure.reasonCode"> <path value="Procedure.reasonCode" /> <max value="0" /> <mustSupport value="true" /> </element> <element id="Procedure.reasonReference"> <path value="Procedure.reasonReference" /> <max value="0" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition" /> <targetProfile value="http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-secondary-cancer-condition" /> </type> <mustSupport value="true" /> </element> <element id="Procedure.bodySite"> <path value="Procedure.bodySite" /> <short value="All body structure(s) treated" /> <definition value="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 value="0" /> <mustSupport value="true" /> </element> <element id="Procedure.outcome"> <path value="Procedure.outcome" /> <min value="1" /> </element> <element id="Procedure.outcome.coding.code"> <path value="Procedure.outcome.coding.code" /> <short value="LF.rtsumm" /> <min value="1" /> </element> <element id="Procedure.outcome.text"> <path value="Procedure.outcome.text" /> <short value="[放射治療臨床標靶體積摘要]" /> <min value="1" /> </element> <element id="Procedure.focalDevice"> <path value="Procedure.focalDevice" /> <min value="2" /> </element> <element id="Procedure.focalDevice.action"> <path value="Procedure.focalDevice.action" /> <min value="1" /> </element> <element id="Procedure.focalDevice.action.coding.code"> <path value="Procedure.focalDevice.action.coding.code" /> <short value="LF.rtmodal, LF.ort_modal" /> <min value="1" /> </element> <element id="Procedure.focalDevice.action.text"> <path value="Procedure.focalDevice.action.text" /> <short value="[放射治療儀器, 其他放射治療儀器]" /> <min value="1" /> </element> <element id="Procedure.focalDevice.manipulated.display"> <path value="Procedure.focalDevice.manipulated.display" /> <short value="[放射治療儀器, 其他放射治療儀器]" /> <min value="1" /> </element> </differential> </StructureDefinition>