description: A summary of a course of radiotherapy delivered to a patient. It records the treatment intent, termination reason, modalities, techniques, number of sessions, and doses delivered to one or more body volumes. Whether the course has been fully delivered or stopped is indicated in the status element.
package_name: hl7.fhir.us.mcode
derivation: constraint
name: RadiotherapyCourseSummary
type: Procedure
elements:
  category:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: '108290001', system: 'http://snomed.info/sct'}
    index: 6
  reasonCode:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vs'}
    mustSupport: true
    index: 12
  performed:
    choices: [performedPeriod]
    index: 10
  extension:
    mustSupport: true
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        treatmentIntent:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent', index: 1}
          min: 0
          max: 1
        terminationReason:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason', index: 2}
          min: 0
          max: 1
        modalityAndTechnique:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique', index: 3}
          min: 0
        actualNumberOfSessions:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions', index: 4}
          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: 5}
          min: 0
  code:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: USCRS-33529, system: 'http://hl7.org/fhir/us/mcode/CodeSystem/snomed-requested-cs'}
    index: 7
  bodySite:
    short: All body structure(s) treated
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-treatment-location-vs'}
    mustSupport: true
    index: 14
  performedPeriod: {type: Period, choiceOf: performed, index: 11}
  subject:
    type: Reference
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-patient']
    index: 8
  reasonReference:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-primary-cancer-condition', 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-secondary-cancer-condition']
    index: 13
package_version: 2.0.0
extensions:
  treatmentIntent: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent', min: 0, max: 1, type: Extension, mustSupport: true, index: 1}
  terminationReason: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason', min: 0, max: 1, type: Extension, mustSupport: true, index: 2}
  modalityAndTechnique: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-modality-and-technique', min: 0, type: Extension, mustSupport: true, index: 3}
  actualNumberOfSessions: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-sessions', min: 0, max: 1, type: Extension, mustSupport: true, index: 4}
  doseDeliveredToVolume: {url: 'http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-dose-delivered-to-volume', min: 0, type: Extension, mustSupport: true, index: 5}
class: profile
kind: resource
url: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-radiotherapy-course-summary
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure
version: 2.0.0
required: [category]