description: A Radiotherapy Planned Course covers all radiotherapy plans to deliver a complete course.
package_name: hl7.fhir.us.codex-radiation-therapy
derivation: constraint
name: RadiotherapyPlannedCourse
type: ServiceRequest
elements:
  category:
    mustSupport: true
    index: 27
    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: 28
          min: 1
          max: 1
  asNeeded:
    choices: []
    index: 35
  specimen: {index: 42}
  reasonCode:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs'}
    mustSupport: true
    index: 40
  extension:
    mustSupport: true
    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
        treatmentIntent:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent', index: 5}
          min: 0
          max: 1
        radiotherapyDosePlannedToVolume:
          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:
              fractionDose: {url: null, max: 0, short: Not used in this profile. See Planned Phase for detailed fractionation., index: 7}
              pointDose: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', min: 0, max: 1, type: Extension, mustSupport: true, index: 8}
              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: 9}
            elements:
              extension:
                short: Not used in this profile. See Planned Phase for detailed fractionation.
                index: 7
                slicing:
                  slices:
                    fractionDose:
                      match: {}
                      schema: {short: Not used in this profile. See Planned Phase for detailed fractionation., index: 7}
                      max: 0
                    pointDose:
                      match: {}
                      schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', index: 8}
                      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: 9}
                      min: 0
                      max: 1
        courseInvolvesReirradiation:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-involves-reirradiation', index: 10}
          min: 0
          max: 1
        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: 11}
          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: 12}
          min: 0
  locationReference:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-location']
    index: 39
  requester:
    type: Reference
    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: 36
  status: {mustSupport: true, index: 25}
  code:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '1217123003', system: 'http://snomed.info/sct', display: Radiotherapy course of treatment (regime/therapy)}
    index: 30
  identifier:
    mustSupport: true
    array: true
    min: 2
    index: 13
    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: 14
            elements:
              use:
                pattern: {type: Code, value: usual}
                index: 15
              system: {mustSupport: true, index: 16}
              value: {mustSupport: true, index: 17}
            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: 18
            elements:
              use:
                pattern: {type: Code, value: official}
                index: 19
              system: {mustSupport: true, index: 20}
              value: {mustSupport: true, index: 21}
            required: [value, system, use]
  doNotPerform: {index: 29}
  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: 43
    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: 44}
      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: 45}
    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: 44
        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: 44}
              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: 45}
              min: 0
              max: 1
  intent:
    mustSupport: true
    pattern: {type: Code, value: filler-order}
    index: 26
  replaces:
    type: Reference
    refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-course']
    index: 24
  basedOn:
    index: 22
    slicing:
      rules: open
      description: Slicing based on the profile
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        course-prescription:
          match: {}
          schema:
            short: Radiotherapy Course Prescription that this Radiotherapy Planned Course fulfills.
            refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-course-prescription']
            type: Reference
            mustSupport: true
            index: 23
          min: 0
          max: 1
  quantity:
    choices: []
    index: 32
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 33
  performer:
    mustSupport: true
    index: 37
    slicing:
      rules: open
      description: Slicing based on the profile
      discriminator:
      - {path: $this.resolve(), type: profile}
      min: null
      slices:
        treatmentOrSeedDevice:
          match: {}
          schema:
            short: Radiotherapy Treatment Device or Seed Device used as part of therapy.
            refers: ['http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-seed-device', 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-treatment-device']
            type: Reference
            mustSupport: true
            array: true
            index: 38
          min: 0
  reasonReference:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Condition']
    index: 41
package_version: 1.0.0
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}
  treatmentIntent: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent', min: 0, max: 1, type: Extension, mustSupport: true, index: 5}
  radiotherapyDosePlannedToVolume:
    url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-dose-planned-to-volume
    type: Extension
    mustSupport: true
    index: 6
    extensions:
      fractionDose: {url: null, max: 0, short: Not used in this profile. See Planned Phase for detailed fractionation., index: 7}
      pointDose: {url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', min: 0, max: 1, type: Extension, mustSupport: true, index: 8}
      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: 9}
    elements:
      extension:
        short: Not used in this profile. See Planned Phase for detailed fractionation.
        index: 7
        slicing:
          slices:
            fractionDose:
              match: {}
              schema: {short: Not used in this profile. See Planned Phase for detailed fractionation., index: 7}
              max: 0
            pointDose:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-point-dose', index: 8}
              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: 9}
              min: 0
              max: 1
  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: 10}
  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: 11}
  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: 12}
class: profile
kind: resource
url: http://hl7.org/fhir/us/codex-radiation-therapy/StructureDefinition/codexrt-radiotherapy-planned-course
base: http://hl7.org/fhir/StructureDefinition/ServiceRequest
version: 1.0.0
required: [category, code]