description: A Radiotherapy Treatment Plan resource describes the treatment that is planned to be delivered with a single Radiotherapy Treatment Plan.
package_name: hl7.fhir.us.codex
derivation: constraint
name: RadiotherapyTreatmentPlan
type: ServiceRequest
elements:
  category:
    mustSupport: true
    index: 17
    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: 18
          min: 1
          max: 1
  asNeeded:
    choices: []
    index: 27
  specimen: {index: 31}
  reasonCode:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs'}
    mustSupport: true
    index: 29
  occurrenceTiming:
    type: Timing
    mustSupport: true
    index: 24
    elements:
      repeat:
        elements:
          boundsPeriod: {type: Period, index: 25}
  note: {mustSupport: true, index: 33}
  extension:
    mustSupport: true
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: 1
      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
        radiotherapy-fractions-planned:
          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
        radiotherapy-dose-planned-to-volume:
          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:
              fractions: {url: null, max: 0, short: 'Not used in this profile. In a Phase, all volumes are involved in all Fractions.', index: 7}
            elements:
              extension:
                short: Not used in this profile. In a Phase, all volumes are involved in all Fractions.
                index: 7
                slicing:
                  slices:
                    fractions:
                      match: {}
                      schema: {short: 'Not used in this profile. In a Phase, all volumes are involved in all Fractions.', index: 7}
                      max: 0
        radiotherapy-reason-for-revision:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-reason-for-revision', index: 8}
          min: 0
          max: 1
        radiotherapy-dicom-plan:
          match: {url: null}
          schema: {type: Extension, short: DICOM Treatment Plan, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference', index: 9}
          min: 0
          max: 1
  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: 28
  status: {mustSupport: true, index: 15}
  code:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: USCRS-33951, system: 'http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs', display: Radiotherapy Treatment Plan (therapy/regime)}
    index: 20
  identifier:
    mustSupport: true
    index: 10
    elements:
      system: {mustSupport: true, index: 11}
      value: {mustSupport: true, index: 12}
    required: [value]
  doNotPerform: {index: 19}
  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: 32
  intent:
    mustSupport: true
    pattern: {type: Code, value: filler-order}
    index: 16
  replaces: {short: Previous retired request that is replaced by this request, mustSupport: true, index: 14}
  basedOn: {short: Should Reference a Radiotherapy Plan Prescription and the Radiotherapy Planned Phase to which this Treatment Plan belongs., index: 13}
  quantity:
    choices: []
    index: 22
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 23
  reasonReference:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Condition']
    index: 30
package_version: radiation-therapy-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
  radiotherapy-fractions-planned: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-planned', min: 1, max: 1, type: Extension, mustSupport: true, index: 5}
  radiotherapy-dose-planned-to-volume:
    url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume
    type: Extension
    mustSupport: true
    index: 6
    extensions:
      fractions: {url: null, max: 0, short: 'Not used in this profile. In a Phase, all volumes are involved in all Fractions.', index: 7}
    elements:
      extension:
        short: Not used in this profile. In a Phase, all volumes are involved in all Fractions.
        index: 7
        slicing:
          slices:
            fractions:
              match: {}
              schema: {short: 'Not used in this profile. In a Phase, all volumes are involved in all Fractions.', index: 7}
              max: 0
  radiotherapy-reason-for-revision: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotheraphy-reason-for-revision', min: 0, max: 1, type: Extension, mustSupport: true, index: 8}
  radiotherapy-dicom-plan: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-dicom-reference', min: 0, max: 1, type: Extension, short: DICOM Treatment Plan, index: 9}
class: profile
kind: resource
url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-plan
base: http://hl7.org/fhir/StructureDefinition/ServiceRequest
version: 1.0.0-ballot
required: [extension, category, code]