{ "description": "This flag is true if the fractionation was uniform (i.e., treated with same modality and dose per fraction) and false if the fractionation was mixed. Treatment technique may vary in uniform fractionation.\\nIf the fractionation was uniform, then the correspondence between the physical and biologically effective dose can be determined at the course level.\\nIf the fractionation was not uniform, then the correspondence between the physical and biologically effective dose has to be determined per the phase level.\\nThe flag was introduced to support determination of whether fractionation was uniform when viewing the Radiotherapy Course Summary (without first checking the details of each treatment phase).\\nThis is important in registry use cases to efficiently assess whether checking phase level information is needed.", "_filename": "StructureDefinition-codexrt-radiotherapy-uniform-fractionation.json", "package_name": "hl7.fhir.us.codex-radiation-therapy", "date": "2024-04-09T14:41:12+00:00", "derivation": "constraint", "publisher": "HL7 International / Cross-Group Projects", "fhirVersion": "4.0.1", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166", "display": "United States of America" } ] } ], "name": "UniformFractionation", "mapping": [ { "uri": "http://hl7.org/v3", "name": "RIM Mapping", "identity": "rim" } ], "abstract": false, "type": "Extension", "experimental": null, "resourceType": "StructureDefinition", "title": "Uniform Fractionation", "package_version": "2.0.0-ballot", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "cgp" } ], "snapshot": { "element": [ { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension", "min": 0, "definition": "This flag is true if the fractionation was uniform (i.e., treated with same modality and dose per fraction) and false if the fractionation was mixed. Treatment technique may vary in uniform fractionation.\nIf the fractionation was uniform, then the correspondence between the physical and biologically effective dose can be determined at the course level.\nIf the fractionation was not uniform, then the correspondence between the physical and biologically effective dose has to be determined per the phase level.\nThe flag was introduced to support determination of whether fractionation was uniform when viewing the Radiotherapy Course Summary (without first checking the details of each treatment phase).\nThis is important in registry use cases to efficiently assess whether checking phase level information is needed.", "isModifier": false, "short": "Uniform Fractionation", "max": "1", "id": "Extension", "condition": [ "ele-1" ], "base": { "max": "*", "min": 0, "path": "Extension" } }, { "path": "Extension.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "isModifier": false, "short": "Unique id for inter-element referencing", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.id", "base": { "max": "1", "min": 0, "path": "Element.id" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension.extension", "min": 0, "definition": "An Extension", "isModifier": false, "short": "Extension", "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "max": "0", "id": "Extension.extension", "base": { "max": "*", "min": 0, "path": "Element.extension" }, "isSummary": false }, { "path": "Extension.url", "min": 1, "definition": "Source of the definition for the extension code - a logical name or a URL.", "isModifier": false, "short": "identifies the meaning of the extension", "fixedUri": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "uri" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.url", "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Extension.value[x]", "min": 0, "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).", "isModifier": false, "short": "Uniform Fractionation Was Used", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "boolean" } ], "max": "1", "id": "Extension.value[x]", "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "isSummary": false } ] }, "status": "active", "id": "d149a10c-9895-4d85-937d-b3395b77aaad", "kind": "complex-type", "url": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation", "identifier": [ { "value": "urn:oid:2.16.840.1.113883.4.642.40.14.42.38", "system": "urn:ietf:rfc:3986" } ], "context": [ { "type": "extension", "expression": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume" }, { "type": "extension", "expression": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume" }, { "type": "extension", "expression": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-prescribed-to-volume" } ], "version": "2.0.0-ballot", "differential": { "element": [ { "id": "Extension", "max": "1", "path": "Extension", "short": "Uniform Fractionation", "definition": "This flag is true if the fractionation was uniform (i.e., treated with same modality and dose per fraction) and false if the fractionation was mixed. Treatment technique may vary in uniform fractionation.\nIf the fractionation was uniform, then the correspondence between the physical and biologically effective dose can be determined at the course level.\nIf the fractionation was not uniform, then the correspondence between the physical and biologically effective dose has to be determined per the phase level.\nThe flag was introduced to support determination of whether fractionation was uniform when viewing the Radiotherapy Course Summary (without first checking the details of each treatment phase).\nThis is important in registry use cases to efficiently assess whether checking phase level information is needed." }, { "id": "Extension.extension", "max": "0", "path": "Extension.extension" }, { "id": "Extension.url", "path": "Extension.url", "fixedUri": "http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation" }, { "id": "Extension.value[x]", "path": "Extension.value[x]", "type": [ { "code": "boolean" } ], "short": "Uniform Fractionation Was Used" } ] }, "contact": [ { "name": "HL7 International / Cross-Group Projects", "telecom": [ { "value": "http://www.hl7.org/Special/committees/cgp", "system": "url" }, { "value": "cgplist@lists.HL7.org", "system": "email" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension" }