description: A Radiotherapy Phase Prescription is a request for one series of fractionated treatments using radiotherapy.\nIt can define treatment parameters such as modality or technique, and prescribe dose to multiple targets.
package_name: hl7.fhir.us.codex-radiation-therapy
derivation: constraint
name: RadiotherapyPhasePrescription
type: ServiceRequest
elements:
  category:
    mustSupport: true
    index: 25
    slicing:
      rules: open
      description: Slicing requires the given value but allows additional categories
      discriminator:
      - {path: $this, type: pattern}
      min: 1
      slices:
        required:
          match:
            coding:
            - {code: '108290001', system: 'http://snomed.info/sct', display: Radiation oncology AND/OR radiotherapy}
          schema:
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: '108290001', system: 'http://snomed.info/sct', display: Radiation oncology AND/OR radiotherapy}
            _required: true
            index: 26
          min: 1
          max: 1
  asNeeded:
    choices: []
    index: 33
  specimen: {index: 40}
  reasonCode:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs'}
    mustSupport: true
    index: 38
  extension:
    mustSupport: true
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: 1
      slices:
        respiratoryMotionManagement:
          match: {url: null}
          schema: {short: Respiratory Motion Management, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management', index: 1}
          min: 0
        freeBreathingMotionManagementTechnique:
          match: {url: null}
          schema: {short: Free-Breathing Motion Management Technique, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique', index: 2}
          min: 0
        modalityAndTechnique:
          match: {url: null}
          schema:
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
            index: 3
            extensions:
              radiotherapyEnergyOrIsotope: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope', min: 0, type: Extension, mustSupport: true, index: 4}
              radiotherapyTreatmentApplicatorType: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type', min: 0, type: Extension, mustSupport: true, index: 5}
            elements:
              extension:
                type: Extension
                mustSupport: true
                url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
                index: 4
                slicing:
                  slices:
                    radiotherapyEnergyOrIsotope:
                      match: {}
                      schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope', index: 4}
                      min: 0
                    radiotherapyTreatmentApplicatorType:
                      match: {}
                      schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type', index: 5}
                      min: 0
        imageGuidedRadiotherapyModality:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality', index: 6}
          min: 0
        radiotherapyFractionsPrescribed:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed', index: 7}
          min: 1
          max: 1
        radiotherapyDosePrescribedToVolume:
          match: {url: null}
          schema:
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
            index: 8
            extensions:
              fractions: {url: null, max: 0, short: 'Not used in this profile. In a Treatment Plan, all volumes are involved in all fractions.', index: 9}
            elements:
              extension:
                short: Not used in this profile. In a Treatment Plan, all volumes are involved in all fractions.
                index: 9
                slicing:
                  slices:
                    fractions:
                      match: {}
                      schema: {short: 'Not used in this profile. In a Treatment Plan, all volumes are involved in all fractions.', index: 9}
                      max: 0
        radiotherapyReasonForRevisionOrAdaptation:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-reason-for-revision-or-adaptation', index: 10}
          min: 0
  locationReference:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-location']
    index: 37
  requester:
    type: Reference
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole']
    index: 34
  status: {mustSupport: true, index: 23}
  code:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '1222565005', system: 'http://snomed.info/sct', display: Radiotherapy treatment phase (regime/therapy)}
    index: 28
  identifier:
    mustSupport: true
    array: true
    min: 2
    index: 11
    slicing:
      rules: open
      description: At least one display name and and one DICOM style UID as technical globally unqiue key
      discriminator:
      - {path: use, type: value}
      min: 2
      slices:
        displayName:
          match: {use: usual}
          schema:
            short: The name that is displayed to the user.
            mustSupport: true
            _required: true
            index: 12
            elements:
              use:
                pattern: {type: Code, value: usual}
                index: 13
              system: {mustSupport: true, index: 14}
              value: {mustSupport: true, index: 15}
            required: [value, system, use]
        official:
          match: {use: official}
          schema:
            short: A business identifier for the request or procedure, which is independent of its FHIR representation, such as a GUID or DICOM UID.
            mustSupport: true
            array: true
            min: 1
            _required: true
            index: 16
            elements:
              use:
                pattern: {type: Code, value: official}
                index: 17
              system: {mustSupport: true, index: 18}
              value: {mustSupport: true, index: 19}
            required: [value, system, use]
  doNotPerform: {index: 27}
  bodySite:
    short: Body site that is treated with radiotherapy
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs'}
    mustSupport: true
    index: 41
    extensions:
      locationQualifier: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier', min: 0, type: Extension, short: General location qualifier (excluding laterality) for this bodySite, index: 42}
      lateralityQualifier: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier', min: 0, max: 1, type: Extension, short: Laterality qualifier for this bodySite, index: 43}
    elements:
      extension:
        type: Extension
        short: General location qualifier (excluding laterality) for this bodySite
        url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier
        index: 42
        slicing:
          slices:
            locationQualifier:
              match: {}
              schema: {type: Extension, short: General location qualifier (excluding laterality) for this bodySite, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-body-location-qualifier', index: 42}
              min: 0
            lateralityQualifier:
              match: {}
              schema: {type: Extension, short: Laterality qualifier for this bodySite, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-laterality-qualifier', index: 43}
              min: 0
              max: 1
  intent:
    mustSupport: true
    pattern: {type: Code, value: original-order}
    index: 24
  replaces:
    type: Reference
    short: Previous retired prescription that is replaced by this prescription
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-phase-prescription']
    index: 22
  basedOn:
    index: 20
    slicing:
      rules: open
      description: Slicing based on the profile
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        course-prescription:
          match: {}
          schema:
            short: Radiotherapy Course Prescription that this Radiotherapy Phase Prescription fulfills.
            refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-prescription']
            type: Reference
            mustSupport: true
            index: 21
          min: 0
          max: 1
  quantity:
    choices: []
    index: 30
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 31
  performer:
    mustSupport: true
    index: 35
    slicing:
      rules: open
      description: Slicing based on the profile
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        treatmentOrSeedDevice:
          match: {}
          schema:
            short: Radiotherapy Treatment Device or Seed Device used as part of therapy.
            refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-seed-device', 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-device']
            type: Reference
            mustSupport: true
            array: true
            index: 36
          min: 0
  reasonReference:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Condition']
    index: 39
package_version: 1.0.0
extensions:
  respiratoryMotionManagement: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-respiratory-motion-management', min: 0, short: Respiratory Motion Management, type: Extension, mustSupport: true, index: 1}
  freeBreathingMotionManagementTechnique: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-free-breathing-motion-mgmt-technique', min: 0, short: Free-Breathing Motion Management Technique, type: Extension, mustSupport: true, index: 2}
  modalityAndTechnique:
    url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique
    type: Extension
    mustSupport: true
    index: 3
    extensions:
      radiotherapyEnergyOrIsotope: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope', min: 0, type: Extension, mustSupport: true, index: 4}
      radiotherapyTreatmentApplicatorType: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type', min: 0, type: Extension, mustSupport: true, index: 5}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
        index: 4
        slicing:
          slices:
            radiotherapyEnergyOrIsotope:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope', index: 4}
              min: 0
            radiotherapyTreatmentApplicatorType:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type', index: 5}
              min: 0
  imageGuidedRadiotherapyModality: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality', min: 0, type: Extension, mustSupport: true, index: 6}
  radiotherapyFractionsPrescribed: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-prescribed', min: 1, max: 1, type: Extension, mustSupport: true, index: 7}
  radiotherapyDosePrescribedToVolume:
    url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
    type: Extension
    mustSupport: true
    index: 8
    extensions:
      fractions: {url: null, max: 0, short: 'Not used in this profile. In a Treatment Plan, all volumes are involved in all fractions.', index: 9}
    elements:
      extension:
        short: Not used in this profile. In a Treatment Plan, all volumes are involved in all fractions.
        index: 9
        slicing:
          slices:
            fractions:
              match: {}
              schema: {short: 'Not used in this profile. In a Treatment Plan, all volumes are involved in all fractions.', index: 9}
              max: 0
  radiotherapyReasonForRevisionOrAdaptation: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-reason-for-revision-or-adaptation', min: 0, type: Extension, mustSupport: true, index: 10}
class: profile
kind: resource
url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-phase-prescription
base: http://hl7.org/fhir/StructureDefinition/ServiceRequest
version: 1.0.0
required: [extension, category, code]