description: A Radiotherapy Treatment Plan resource describes the radiotherapy treatment that is planned to be delivered with a single treatment plan. package_name: hl7.fhir.us.codex derivation: constraint name: RadiotherapyTreatmentPlan type: ServiceRequest elements: category: index: 32 slicing: rules: open description: Slicing requires the given value but allows additional categories discriminator: - {path: $this, type: pattern} min: 1 slices: radiotherapy: match: {} schema: binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs'} _required: true index: 33 min: 1 max: 1 asNeeded: choices: [] index: 39 specimen: {index: 46} reasonCode: binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs'} mustSupport: true index: 44 extension: mustSupport: true index: 0 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: 1 slices: radiotherapyReasonForRevisionOrAdaptation: match: {url: null} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-reason-for-revision-or-adaptation', index: 12} 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: 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 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: 14} min: 0 radiotherapyDosePlannedToVolume: match: {url: null} schema: type: Extension mustSupport: true url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume index: 6 extensions: totalDose: {url: null, short: Total Physical Radiation Dose Planned, index: 7} fractions: {url: null, max: 0, short: 'Not used in this profile. In a phase, all volumes are involved in all fractions.', index: 8} pointDose: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', min: 0, max: 1, type: Extension, mustSupport: true, index: 9} 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: 10} radiobiologicMetric: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric', min: 0, type: Extension, mustSupport: true, index: 11} elements: extension: short: Total Physical Radiation Dose Planned index: 7 slicing: slices: totalDose: match: {} schema: {short: Total Physical Radiation Dose Planned, index: 7} fractions: match: {} schema: {short: 'Not used in this profile. In a phase, all volumes are involved in all fractions.', index: 8} max: 0 pointDose: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', index: 9} 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: 10} 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: 11} min: 0 radiotherapyFractionsPlanned: match: {url: null} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-planned', index: 5} min: 1 max: 1 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: 15} min: 0 radiotherapyDicomPlan: match: {url: null} schema: {type: Extension, short: DICOM Treatment Plan, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference', index: 16} min: 0 max: 1 locationReference: type: Reference short: Location where the radiotherapy treatment is requested. mustSupport: true refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-location'] index: 43 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: 40 code: pattern: type: CodeableConcept value: coding: - {code: '1255724003', system: 'http://snomed.info/sct', display: Radiotherapy treatment plan (regime/therapy)} index: 35 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] doNotPerform: {index: 34} bodySite: short: Body site that is treated with radiotherapy binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs'} mustSupport: true index: 47 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: 48} 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: 49} 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: 48 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: 48} 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: 49} min: 0 max: 1 intent: pattern: {type: Code, value: filler-order} index: 31 replaces: type: Reference short: Previous retired plan that is replaced by this plan mustSupport: true refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-plan'] index: 30 basedOn: index: 26 slicing: rules: open description: Slicing based on the profile discriminator: - {path: $this.resolve(), type: profile} min: null slices: plan-prescription: match: {} schema: short: Radiotherapy Plan Prescription that this Treatment Plan fulfills. refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-plan-prescription'] type: Reference mustSupport: true index: 27 min: 0 max: 1 planned-phase: match: {} schema: short: Radiotherapy Planned Phase that this Treatment Plan fulfills (in most cases together with other treatment plans). refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-phase'] type: Reference mustSupport: true index: 28 min: 0 max: 1 planned-course: match: {} schema: short: Radiotherapy Planned Course that this Treatment Plan fulfills (in most cases together with other treatment plans). refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-course'] type: Reference mustSupport: true index: 29 min: 0 max: 1 quantity: choices: [] index: 37 performer: mustSupport: true index: 41 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: 42 min: 0 reasonReference: type: Reference mustSupport: true refers: ['http://hl7.org/fhir/StructureDefinition/Condition'] index: 45 package_version: radiation-therapy-2.0.0 extensions: radiotherapyReasonForRevisionOrAdaptation: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-reason-for-revision-or-adaptation', min: 0, type: Extension, mustSupport: true, index: 12} 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 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: 14} radiotherapyDosePlannedToVolume: url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume type: Extension mustSupport: true index: 6 extensions: totalDose: {url: null, short: Total Physical Radiation Dose Planned, index: 7} fractions: {url: null, max: 0, short: 'Not used in this profile. In a phase, all volumes are involved in all fractions.', index: 8} pointDose: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', min: 0, max: 1, type: Extension, mustSupport: true, index: 9} 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: 10} radiobiologicMetric: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiobiologic-metric', min: 0, type: Extension, mustSupport: true, index: 11} elements: extension: short: Total Physical Radiation Dose Planned index: 7 slicing: slices: totalDose: match: {} schema: {short: Total Physical Radiation Dose Planned, index: 7} fractions: match: {} schema: {short: 'Not used in this profile. In a phase, all volumes are involved in all fractions.', index: 8} max: 0 pointDose: match: {} schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', index: 9} 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: 10} 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: 11} min: 0 radiotherapyFractionsPlanned: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-planned', min: 1, max: 1, type: Extension, mustSupport: true, index: 5} 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: 15} radiotherapyDicomPlan: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference', min: 0, max: 1, type: Extension, short: DICOM Treatment Plan, index: 16} class: profile kind: resource url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-plan base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest version: 2.0.0 required: [extension, category]