description: A Radiotherapy Course Prescription is a high-level request for a complete Course of Radiotherapy, which may be fulfilled by one or more Phases.
package_name: hl7.fhir.us.codex-radiation-therapy
derivation: constraint
name: RadiotherapyCoursePrescription
type: ServiceRequest
elements:
  category:
    mustSupport: true
    index: 14
    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: 15
          min: 1
          max: 1
  asNeeded:
    choices: []
    index: 23
  specimen: {index: 27}
  reasonCode:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs'}
    mustSupport: true
    index: 25
  note: {mustSupport: true, index: 29}
  extension:
    mustSupport: true
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        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}
              radiotherapyTreatmentDevice: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-device', min: 0, type: Extension, mustSupport: true, index: 3}
              radiotherapyTreatmentApplicatorType: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-applicator-type', min: 0, type: Extension, mustSupport: true, index: 4}
            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
                    radiotherapyTreatmentDevice:
                      match: {}
                      schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-device', index: 3}
                      min: 0
                    radiotherapyTreatmentApplicatorType:
                      match: {}
                      schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-applicator-type', index: 4}
                      min: 0
        treatment-intent:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent', index: 5}
          min: 0
          max: 1
        radiotherapy-dose-prescribed-to-volume:
          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: 6
            extensions:
              fractionDose: {url: null, max: 0, short: Not used in this profile. See Phase Prescriptions for detailed Fractionation., index: 7}
            elements:
              extension:
                short: Not used in this profile. See Phase Prescriptions for detailed Fractionation.
                index: 7
                slicing:
                  slices:
                    fractionDose:
                      match: {}
                      schema: {short: Not used in this profile. See Phase Prescriptions for detailed Fractionation., index: 7}
                      max: 0
  requester:
    type: Reference
    mustSupport: true
    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: 24
  occurrencePeriod: {type: Period, mustSupport: true, index: 21}
  status: {mustSupport: true, index: 12}
  code:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: USCRS-33529, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs', display: Radiotherapy Course of Treatment (regime/therapy)}
    index: 17
  identifier:
    mustSupport: true
    index: 8
    elements:
      system: {mustSupport: true, index: 9}
      value: {mustSupport: true, index: 10}
    required: [value]
  doNotPerform: {index: 16}
  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: 28
  intent:
    mustSupport: true
    pattern: {type: Code, value: original-order}
    index: 13
  replaces: {short: Previous retired request that is replaced by this request, mustSupport: true, index: 11}
  quantity:
    choices: []
    index: 19
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 20
  reasonReference:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Condition']
    index: 26
package_version: 1.0.0-ballot
extensions:
  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}
      radiotherapyTreatmentDevice: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-device', min: 0, type: Extension, mustSupport: true, index: 3}
      radiotherapyTreatmentApplicatorType: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-applicator-type', min: 0, type: Extension, mustSupport: true, index: 4}
    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
            radiotherapyTreatmentDevice:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-device', index: 3}
              min: 0
            radiotherapyTreatmentApplicatorType:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-treatment-applicator-type', index: 4}
              min: 0
  treatment-intent: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent', min: 0, max: 1, type: Extension, mustSupport: true, index: 5}
  radiotherapy-dose-prescribed-to-volume:
    url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume
    type: Extension
    mustSupport: true
    index: 6
    extensions:
      fractionDose: {url: null, max: 0, short: Not used in this profile. See Phase Prescriptions for detailed Fractionation., index: 7}
    elements:
      extension:
        short: Not used in this profile. See Phase Prescriptions for detailed Fractionation.
        index: 7
        slicing:
          slices:
            fractionDose:
              match: {}
              schema: {short: Not used in this profile. See Phase Prescriptions for detailed Fractionation., index: 7}
              max: 0
class: profile
kind: resource
url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-prescription
base: http://hl7.org/fhir/StructureDefinition/ServiceRequest
version: 1.0.0-ballot
required: [category, code]