description: A summary of a phase of radiotherapy treatment that has been delivered. The scope is a treatment consisting of one or multiple identical fractions.  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-radiation-therapy
derivation: constraint
name: RadiotherapyTreatedPhase
type: Procedure
elements:
  category:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '108290001', system: 'http://snomed.info/sct'}
    index: 11
  reasonCode:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs'}
    mustSupport: true
    index: 20
  performed:
    choices: [performedPeriod]
    index: 15
  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}
              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
        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}
            elements:
              extension:
                index: 7
                slicing:
                  slices:
                    totalDoseDelivered:
                      match: {}
                      schema: {index: 7}
                    fractionsDelivered:
                      match: {}
                      schema: {short: Not used in this profile., index: 8}
                      max: 0
  code:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: USCRS-33527, system: 'http://hl7.org/fhir/us/codex-radiation-therapy/CodeSystem/snomed-requested-cs', display: Radiotherapy Treatment Phase (therapy/regime)}
    index: 12
  bodySite:
    short: All body structure(s) treated with this plan
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs'}
    index: 21
  basedOn: {short: Should Reference a Radiotherapy Planned Phase, mustSupport: true, index: 9}
  partOf:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-summary']
    index: 10
  performedPeriod:
    type: Period
    choiceOf: performed
    index: 16
    elements:
      start: {short: The date and time when the first therapeutic radiation was delivered., mustSupport: true, index: 18}
      end: {short: An end date is expected if the status is 'stopped' or 'completed', mustSupport: true, index: 19}
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient']
    index: 13
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
  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}
    elements:
      extension:
        index: 7
        slicing:
          slices:
            totalDoseDelivered:
              match: {}
              schema: {index: 7}
            fractionsDelivered:
              match: {}
              schema: {short: Not used in this profile., index: 8}
              max: 0
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: 1.0.0-ballot