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.
package_name: hl7.fhir.us.mcode
derivation: constraint
name: RadiotherapyCourseSummary
type: Procedure
elements:
  extension:
    mustSupport: true
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        treatmentIntent:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent', index: 1}
          min: 0
          max: 1
        terminationReason:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason', index: 2}
          min: 0
          max: 1
        modalityAndTechnique:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique', index: 3}
          min: 0
        actualNumberOfSessions:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions', index: 4}
          min: 0
          max: 1
        doseDeliveredToVolume:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume', index: 5}
          min: 0
  code:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '1217123003', system: 'http://snomed.info/sct', version: 'http://snomed.info/sct/900000000000207008'}
    index: 6
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient']
    index: 7
  performed:
    choices: [performedPeriod]
    index: 9
  performedPeriod: {type: Period, choiceOf: performed, index: 10}
  reasonCode:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs'}
    mustSupport: true
    index: 11
  reasonReference:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition', 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-secondary-cancer-condition']
    index: 12
  bodySite:
    short: All body structure(s) treated
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs'}
    mustSupport: true
    index: 13
    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: 14}
      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: 15}
    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: 14
        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: 14}
              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: 15}
              min: 0
              max: 1
package_version: 3.0.0-ballot
extensions:
  treatmentIntent: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent', min: 0, max: 1, type: Extension, mustSupport: true, index: 1}
  terminationReason: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason', min: 0, max: 1, type: Extension, mustSupport: true, index: 2}
  modalityAndTechnique: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique', min: 0, type: Extension, mustSupport: true, index: 3}
  actualNumberOfSessions: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions', min: 0, max: 1, type: Extension, mustSupport: true, index: 4}
  doseDeliveredToVolume: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume', min: 0, type: Extension, mustSupport: true, index: 5}
class: profile
kind: resource
url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure
version: 3.0.0-ballot