description: A summary of a phase of radiotherapy treatment that has been delivered. A phase consists of a set of identical fractions. In this context, identical means that each fraction uses the same modality, technique, dose per fraction, and is applied to the same treatment volume or volumes. Because of their spatial relationship or the technique used, all treatment volumes do not necessarily receive the same total dose during a phase.
package_name: hl7.fhir.us.codex
derivation: constraint
name: RadiotherapyTreatedPhase
type: Procedure
elements:
  category:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/codex-radiation-therapy/ValueSet/codexrt-radiotherapy-category-vs'}
    index: 30
  usedReference:
    mustSupport: true
    index: 50
    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: 51
          min: 0
  focalDevice:
    index: 47
    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: 48
            elements:
              manipulated:
                type: Reference
                refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-seed-device']
                index: 49
  reasonCode:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs'}
    mustSupport: true
    index: 42
  performed:
    choices: [performedPeriod]
    index: 34
  performed[x]:
    elements:
      start: {short: The date and time when the first therapeutic radiation was delivered., mustSupport: true, index: 36}
      end: {short: An end date is expected if the status is 'stopped' or 'completed', mustSupport: true, index: 37}
  extension:
    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}
              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
        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
        fractionsDelivered:
          match: {url: null}
          schema: {short: Number of Fractions Delivered, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered', index: 5}
          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: 6
            extensions:
              totalDoseDelivered: {url: null, index: 7}
              fractionsDelivered: {url: null, max: 0, short: Not used in this profile., 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:
                index: 7
                slicing:
                  slices:
                    totalDoseDelivered:
                      match: {}
                      schema: {index: 7}
                    fractionsDelivered:
                      match: {}
                      schema: {short: Not used in this profile., 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
        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
        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: 13}
          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: 14}
          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: 15}
          min: 0
  code:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '1222565005', system: 'http://snomed.info/sct', display: Radiotherapy treatment phase (regime/therapy)}
    index: 31
  identifier:
    mustSupport: true
    array: true
    min: 2
    index: 16
    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: 17
            elements:
              use:
                pattern: {type: Code, value: usual}
                index: 18
              system: {mustSupport: true, index: 19}
              value: {mustSupport: true, index: 20}
            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: 21
            elements:
              use:
                pattern: {type: Code, value: official}
                index: 22
              system: {mustSupport: true, index: 23}
              value: {mustSupport: true, index: 24}
            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'}
    mustSupport: true
    index: 44
    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: 45}
      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: 46}
    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: 45
        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: 45}
              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: 46}
              min: 0
              max: 1
  basedOn:
    index: 25
    slicing:
      rules: open
      description: Slicing based on the profile
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        planned-phase:
          match: {}
          schema:
            short: Radiotherapy Planned Phase that planned the treatment summarized in this Radiotherapy Treated Phase.
            refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-phase']
            type: Reference
            mustSupport: true
            index: 26
          min: 0
          max: 1
        phase-prescription:
          match: {}
          schema:
            short: Radiotherapy Phase Prescription that prescribed the treatment summarized in this Radiotherapy Treated Phase.
            refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-phase-prescription']
            type: Reference
            mustSupport: true
            index: 27
          min: 0
          max: 1
  partOf:
    index: 28
    slicing:
      rules: open
      description: Slicing based on the profile
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        course-summary:
          match: {}
          schema:
            short: Radiotherapy Course Summary that summarizes the course of which this Radiotherapy Treated Phase is a part.
            refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-summary']
            type: Reference
            mustSupport: true
            index: 29
          min: 0
          max: 1
  performedPeriod: {type: Period, choiceOf: performed, index: 35}
  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: 41
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient']
    index: 32
  performer:
    mustSupport: true
    index: 38
    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: 39
            elements:
              actor:
                type: Reference
                short: Organization that provided the radiotherapy treatment.
                refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization']
                index: 40
  reasonReference: {mustSupport: true, index: 43}
package_version: radiation-therapy-2.0.0-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}
      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
  imageGuidedRadiotherapyModality: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality', min: 0, type: Extension, mustSupport: true, index: 4}
  fractionsDelivered: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-fractions-delivered', min: 0, max: 1, short: Number of Fractions Delivered, type: Extension, mustSupport: true, index: 5}
  doseDeliveredToVolume:
    url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume
    type: Extension
    mustSupport: true
    index: 6
    extensions:
      totalDoseDelivered: {url: null, index: 7}
      fractionsDelivered: {url: null, max: 0, short: Not used in this profile., 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:
        index: 7
        slicing:
          slices:
            totalDoseDelivered:
              match: {}
              schema: {index: 7}
            fractionsDelivered:
              match: {}
              schema: {short: Not used in this profile., 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
  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}
  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: 13}
  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: 14}
  intrafractionVerification: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-intrafraction-verification', min: 0, type: Extension, mustSupport: true, index: 15}
class: profile
kind: resource
url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treated-phase
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure
version: 2.0.0-ballot
required: [category]