description: A summary of the treatment progress in a radiotherapy course.\nWhenever new contributions in the scope of the same course are delivered, this resource is updated (no new resource created).
package_name: hl7.fhir.us.codex-radiation-therapy
derivation: constraint
name: RadiotherapyCourseSummary
type: Procedure
elements:
  extension:
    index: 0
    slicing:
      slices:
        modalityAndTechnique:
          match: {}
          schema:
            index: 0
            extensions:
              radiotherapyEnergyOrIsotope: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope', min: 0, type: Extension, mustSupport: true, index: 1}
              radiotherapyTreatmentApplicatorType: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type', min: 0, type: Extension, mustSupport: true, index: 2}
            elements:
              extension:
                type: Extension
                mustSupport: true
                url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
                index: 1
                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: 1}
                      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: 2}
                      min: 0
        doseDeliveredToVolume:
          match: {}
          schema:
            index: 3
            extensions:
              pointDose: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', min: 0, max: 1, type: Extension, mustSupport: true, index: 5}
              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: 6}
              uniformFractionation: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation', min: 1, max: 1, type: Extension, mustSupport: true, index: 7}
            elements:
              extension:
                array: true
                min: 2
                index: 4
                slicing:
                  slices:
                    pointDose:
                      match: {}
                      schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', index: 5}
                      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: 6}
                      min: 0
                      max: 1
                    uniformFractionation:
                      match: {}
                      schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation', index: 7}
                      min: 1
                      max: 1
        respiratoryMotionManagement:
          match: {}
          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: 8}
          min: 0
        freeBreathingMotionManagementTechnique:
          match: {}
          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: 9}
          min: 0
        imageGuidedRadiotherapyModality:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality', index: 10}
          min: 0
        courseInvolvesReirradiation:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation', index: 11}
          min: 0
          max: 1
  identifier:
    mustSupport: true
    array: true
    min: 2
    index: 12
    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: 13
            elements:
              use:
                pattern: {type: Code, value: usual}
                index: 14
              system: {mustSupport: true, index: 15}
              value: {mustSupport: true, index: 16}
            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: 17
            elements:
              use:
                pattern: {type: Code, value: official}
                index: 18
              system: {mustSupport: true, index: 19}
              value: {mustSupport: true, index: 20}
            required: [value, system, use]
  basedOn:
    index: 21
    slicing:
      rules: open
      description: Slicing based on the profile
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        planned-course:
          match: {}
          schema:
            short: Radiotherapy Planned Course that planned the treatment summarized in this Radiotherapy Course Summary.
            refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-course']
            type: Reference
            mustSupport: true
            index: 22
          min: 0
          max: 1
        course-prescription:
          match: {}
          schema:
            short: Radiotherapy Course Prescription that prescribed the treatment summarized in this Radiotherapy Course Summary.
            refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-prescription']
            type: Reference
            mustSupport: true
            index: 23
          min: 0
          max: 1
  performed[x]:
    elements:
      start: {short: The date and time when the first therapeutic radiation was delivered., mustSupport: true, index: 24}
      end: {short: An end date is expected if the status is 'stopped' or 'completed', mustSupport: true, index: 25}
  location:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-location']
    index: 26
  bodySite:
    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: 27}
      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: 28}
    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: 27
        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: 27}
              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: 28}
              min: 0
              max: 1
  focalDevice:
    index: 29
    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: 30
            elements:
              manipulated:
                type: Reference
                refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-seed-device']
                index: 31
  usedReference:
    mustSupport: true
    index: 32
    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: 33
          min: 0
package_version: 1.0.0
extensions:
  modalityAndTechnique:
    url: null
    index: 0
    extensions:
      radiotherapyEnergyOrIsotope: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope', min: 0, type: Extension, mustSupport: true, index: 1}
      radiotherapyTreatmentApplicatorType: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-applicator-type', min: 0, type: Extension, mustSupport: true, index: 2}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-energy-or-isotope
        index: 1
        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: 1}
              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: 2}
              min: 0
  doseDeliveredToVolume:
    url: null
    index: 3
    extensions:
      pointDose: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', min: 0, max: 1, type: Extension, mustSupport: true, index: 5}
      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: 6}
      uniformFractionation: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation', min: 1, max: 1, type: Extension, mustSupport: true, index: 7}
    elements:
      extension:
        array: true
        min: 2
        index: 4
        slicing:
          slices:
            pointDose:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', index: 5}
              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: 6}
              min: 0
              max: 1
            uniformFractionation:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-uniform-fractionation', index: 7}
              min: 1
              max: 1
  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: 8}
  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: 9}
  imageGuidedRadiotherapyModality: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-image-guided-radiotherapy-modality', min: 0, type: Extension, mustSupport: true, index: 10}
  courseInvolvesReirradiation: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation', min: 0, max: 1, type: Extension, mustSupport: true, index: 11}
class: profile
kind: resource
url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-summary
base: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary
version: 1.0.0