description: The treatment of a single fraction of a radiotherapy treatment plan. package_name: hl7.fhir.us.codex-radiation-therapy derivation: constraint name: RadiotherapyTreatedFraction type: Procedure elements: category: binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs'} index: 32 usedReference: mustSupport: true index: 51 slicing: rules: open description: Slicing based on the profile discriminator: - {path: $this.resolve(), type: profile} min: null slices: treatmentDevice: match: {} schema: short: Radiotherapy Treatment Device used as part of therapy. refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-device'] type: Reference mustSupport: true array: true index: 52 min: 0 focalDevice: index: 48 slicing: rules: open description: Slicing based on the profile discriminator: - {path: manipulated.resolve(), type: profile} min: null slices: seedDevice: match: {} schema: short: Radiotherapy Seed Device used as part of therapy. mustSupport: true array: true index: 49 elements: manipulated: type: Reference refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-seed-device'] index: 50 encounter: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-session'] index: 35 performed: choices: [performedPeriod] index: 37 performed[x]: elements: start: {short: The date and time when the first therapeutic radiation was delivered., mustSupport: true, index: 39} end: {short: An end date is expected if the status is 'stopped' or 'completed', mustSupport: true, index: 40} extension: index: 0 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: null slices: radiotherapyFractionNumberInPhase: match: {url: null} schema: {short: Fraction Number in Phase, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fraction-number-in-phase', index: 15} 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: 1 extensions: radiotherapyEnergyOrIsotope: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope', min: 0, type: Extension, mustSupport: true, index: 2} radiotherapyTreatmentApplicatorType: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type', min: 0, type: Extension, mustSupport: true, index: 3} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope index: 2 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: 2} 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: 3} min: 0 radiotherapyDicomRecord: match: {url: null} schema: {type: Extension, short: DICOM Treatment Record, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference', index: 16} min: 0 intrafractionVerification: match: {url: null} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification', index: 13} 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: 4} min: 0 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: 11} min: 0 radiotherapyFractionNumberInPlan: match: {url: null} schema: {short: Fraction Number in Plan, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fraction-number-in-plan', index: 14} 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 extensions: totalDoseDelivered: {url: null, index: 6} fractionsDelivered: {url: null, max: 0, index: 7} pointDose: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', min: 0, max: 1, type: Extension, mustSupport: true, index: 8} primaryPlanDose: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose', min: 0, max: 1, type: Extension, mustSupport: true, index: 9} radiobiologicMetric: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric', min: 0, type: Extension, mustSupport: true, index: 10} elements: extension: index: 6 slicing: slices: totalDoseDelivered: match: {} schema: {index: 6} fractionsDelivered: match: {} schema: {index: 7} max: 0 pointDose: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', index: 8} min: 0 max: 1 primaryPlanDose: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose', index: 9} min: 0 max: 1 radiobiologicMetric: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric', index: 10} 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: 12} min: 0 code: pattern: type: CodeableConcept value: coding: - {code: '1297069006', system: 'http://snomed.info/sct', display: Fractionated dose radiotherapy (procedure)} index: 33 identifier: mustSupport: true array: true min: 2 index: 17 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: 18 elements: use: pattern: {type: Code, value: usual} index: 19 system: {mustSupport: true, index: 20} value: {mustSupport: true, index: 21} 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: 22 elements: use: pattern: {type: Code, value: official} index: 23 system: {mustSupport: true, index: 24} value: {mustSupport: true, index: 25} required: [value, system, use] bodySite: short: All body structure(s) treated with this procedure. binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs'} index: 45 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: 46} 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: 47} 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: 46 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: 46} 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: 47} min: 0 max: 1 basedOn: index: 26 slicing: rules: open description: Slicing based on the profile discriminator: - {path: $this.resolve(), type: profile} min: null slices: treatment-plan: match: {} schema: short: Radiotherapy Treatment Plan that planned the treatment of which one fraction was delivered. refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-plan'] type: Reference mustSupport: true index: 27 min: 0 max: 1 planned-phase: match: {} schema: short: Radiotherapy Planned Phase that describes which treatment of which one fraction was delivered. refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-phase'] type: Reference mustSupport: true index: 28 min: 0 max: 1 partOf: index: 29 slicing: rules: open description: Slicing based on the profile discriminator: - {path: $this.resolve(), type: profile} min: null slices: treated-plan: match: {} schema: short: Radiotherapy Treated Plan of which this Radiotherapy Treated Fraction is a part. refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treated-plan'] type: Reference mustSupport: true index: 30 min: 0 max: 1 treated-phase: match: {} schema: short: Radiotherapy Treated Phase of which this Radiotherapy Treated Fraction is a part. refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treated-phase'] type: Reference mustSupport: true index: 31 min: 0 max: 1 performedPeriod: {type: Period, choiceOf: performed, index: 38} location: type: Reference short: Location where the radiotherapy treatment was performed. mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'] index: 44 subject: type: Reference refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient'] index: 34 performer: mustSupport: true index: 41 slicing: rules: open description: Slicing based on the profile discriminator: - {path: actor.resolve(), type: profile} min: null slices: organization: match: {} schema: mustSupport: true array: true index: 42 elements: actor: type: Reference short: Organization that provided the radiotherapy treatment. refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization'] index: 43 package_version: 2.0.0 extensions: radiotherapyFractionNumberInPhase: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fraction-number-in-phase', min: 0, max: 1, short: Fraction Number in Phase, type: Extension, mustSupport: true, index: 15} modalityAndTechnique: url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique type: Extension mustSupport: true index: 1 extensions: radiotherapyEnergyOrIsotope: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope', min: 0, type: Extension, mustSupport: true, index: 2} radiotherapyTreatmentApplicatorType: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type', min: 0, type: Extension, mustSupport: true, index: 3} elements: extension: type: Extension mustSupport: true url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope index: 2 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: 2} 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: 3} min: 0 radiotherapyDicomRecord: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference', min: 0, type: Extension, short: DICOM Treatment Record, index: 16} intrafractionVerification: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification', min: 0, type: Extension, mustSupport: true, index: 13} imageGuidedRadiotherapyModality: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality', min: 0, type: Extension, mustSupport: true, index: 4} 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: 11} radiotherapyFractionNumberInPlan: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fraction-number-in-plan', min: 0, max: 1, short: Fraction Number in Plan, type: Extension, mustSupport: true, index: 14} doseDeliveredToVolume: url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume type: Extension mustSupport: true index: 5 extensions: totalDoseDelivered: {url: null, index: 6} fractionsDelivered: {url: null, max: 0, index: 7} pointDose: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', min: 0, max: 1, type: Extension, mustSupport: true, index: 8} primaryPlanDose: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose', min: 0, max: 1, type: Extension, mustSupport: true, index: 9} radiobiologicMetric: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric', min: 0, type: Extension, mustSupport: true, index: 10} elements: extension: index: 6 slicing: slices: totalDoseDelivered: match: {} schema: {index: 6} fractionsDelivered: match: {} schema: {index: 7} max: 0 pointDose: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', index: 8} min: 0 max: 1 primaryPlanDose: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-primary-plan-dose', index: 9} min: 0 max: 1 radiobiologicMetric: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric', index: 10} min: 0 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: 12} class: profile kind: resource url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treated-fraction base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure version: 2.0.0 required: [category]