FHIR Osiris Implementation Guide - Local Development build (v2.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Radiotherapy Phase

Summary of the radiotherapy phases planned or delivered to a patient

Usage:

• Refer to this Resource Profile: Radiotherapy Plan
• Examples for this Resource Profile: Procedure/fhir-osiris-example-RadiotherapyPhase-1, Procedure/fhir-osiris-example-RadiotherapyPhase-2, Procedure/fhir-osiris-example-RadiotherapyPhase-3, Procedure/fhir-osiris-example-RadiotherapyPhase-4... Show 2 more, Procedure/fhir-osiris-example-RadiotherapyPhase-5 and Procedure/fhir-osiris-example-RadiotherapyPhase-6

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
extension		1..*	Extension	Extension
numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
partOf		1..1	Reference(Radiotherapy course Summary)	Should Reference a Radiotherapy Treatment Course
category	S	1..1	CodeableConcept	Type (planned or delivered)
coding
code	S	1..1	code	Symbol in syntax defined by the system Binding: Radiotherapy Category (required)
code	S	1..1	CodeableConcept	Identification of the procedure Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1222565005
coding
display		0..1	string	Representation defined by the system Required Pattern: Radiotherapy treatment phase (regime/therapy)
subject	S	1..1	Reference(Oncology Patient)	Who the procedure was performed on
performed[x]	S	1..1	Period	When the procedure was performed
start	S	1..1	dateTime	Start date
end	S	1..1	dateTime	End date
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.category.coding.code	required	VSRadiotherapyCategory https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category from this IG

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
partOf	ΣC	1..1	Reference(Radiotherapy course Summary)	Should Reference a Radiotherapy Treatment Course ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
category	SΣ	1..1	CodeableConcept	Type (planned or delivered) Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
coding	Σ	0..*	Coding	Code defined by a terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system Binding: Radiotherapy Category (required)
code	SΣ	1..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1222565005
subject	SΣC	1..1	Reference(Oncology Patient)	Who the procedure was performed on ref-1: SHALL have a contained resource if a local reference is provided
performed[x]	SΣ	1..1	Period	When the procedure was performed
start	SΣC	1..1	dateTime	Start date
end	SΣC	1..1	dateTime	End date
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.category.coding.code	required	VSRadiotherapyCategory https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category from this IG
Procedure.code	example	Pattern: SNOMED CT code 1222565005 http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	ΣC	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure ref-1: SHALL have a contained resource if a local reference is provided
partOf	ΣC	1..1	Reference(Radiotherapy course Summary)	Should Reference a Radiotherapy Treatment Course ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	SΣ	1..1	CodeableConcept	Type (planned or delivered) Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Binding: Radiotherapy Category (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1222565005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: Radiotherapy treatment phase (regime/therapy)
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Oncology Patient)	Who the procedure was performed on ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣC	0..1	Reference(Encounter)	Encounter created as part of ref-1: SHALL have a contained resource if a local reference is provided
performed[x]	SΣ	1..1	Period	When the procedure was performed
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Start date
end	SΣC	1..1	dateTime	End date
recorder	ΣC	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure ref-1: SHALL have a contained resource if a local reference is provided
asserter	ΣC	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure ref-1: SHALL have a contained resource if a local reference is provided
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	ΣC	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner ref-1: SHALL have a contained resource if a local reference is provided
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for ref-1: SHALL have a contained resource if a local reference is provided
location	ΣC	0..1	Reference(Location)	Where the procedure happened ref-1: SHALL have a contained resource if a local reference is provided
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	ΣC	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed ref-1: SHALL have a contained resource if a local reference is provided
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report	C	0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure ref-1: SHALL have a contained resource if a local reference is provided
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail	C	0..*	Reference(Condition)	A condition that is a result of the procedure ref-1: SHALL have a contained resource if a local reference is provided
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated	C	1..1	Reference(Device)	Device that was changed ref-1: SHALL have a contained resource if a local reference is provided
usedReference	C	0..*	Reference(Device | Medication | Substance)	Items used during procedure ref-1: SHALL have a contained resource if a local reference is provided
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.category.coding.code	required	VSRadiotherapyCategory https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category from this IG
Procedure.code	example	Pattern: SNOMED CT code 1222565005 http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

This structure is derived from Procedure

Summary

Mandatory: 8 elements (1 nested mandatory element)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

• Radiotherapy course Summary (https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/radiotherapy-course-summary)
• Oncology Patient (https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/onco-patient)

Extensions

This structure refers to these extensions:

• https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions

Differential View

This structure is derived from Procedure

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
extension		1..*	Extension	Extension
numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
partOf		1..1	Reference(Radiotherapy course Summary)	Should Reference a Radiotherapy Treatment Course
category	S	1..1	CodeableConcept	Type (planned or delivered)
coding
code	S	1..1	code	Symbol in syntax defined by the system Binding: Radiotherapy Category (required)
code	S	1..1	CodeableConcept	Identification of the procedure Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1222565005
coding
display		0..1	string	Representation defined by the system Required Pattern: Radiotherapy treatment phase (regime/therapy)
subject	S	1..1	Reference(Oncology Patient)	Who the procedure was performed on
performed[x]	S	1..1	Period	When the procedure was performed
start	S	1..1	dateTime	Start date
end	S	1..1	dateTime	End date
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Procedure.category.coding.code	required	VSRadiotherapyCategory https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
partOf	ΣC	1..1	Reference(Radiotherapy course Summary)	Should Reference a Radiotherapy Treatment Course ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
category	SΣ	1..1	CodeableConcept	Type (planned or delivered) Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
coding	Σ	0..*	Coding	Code defined by a terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system Binding: Radiotherapy Category (required)
code	SΣ	1..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1222565005
subject	SΣC	1..1	Reference(Oncology Patient)	Who the procedure was performed on ref-1: SHALL have a contained resource if a local reference is provided
performed[x]	SΣ	1..1	Period	When the procedure was performed
start	SΣC	1..1	dateTime	Start date
end	SΣC	1..1	dateTime	End date
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.category.coding.code	required	VSRadiotherapyCategory https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category from this IG
Procedure.code	example	Pattern: SNOMED CT code 1222565005 http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Procedure		0..*	Procedure	An action that is being or was performed on a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	Σ	0..*	Identifier	External Identifiers for this procedure
instantiatesCanonical	Σ	0..*	canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	ΣC	0..*	Reference(CarePlan | ServiceRequest)	A request for this procedure ref-1: SHALL have a contained resource if a local reference is provided
partOf	ΣC	1..1	Reference(Radiotherapy course Summary)	Should Reference a Radiotherapy Treatment Course ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): A code specifying the state of the procedure.
statusReason	Σ	0..1	CodeableConcept	Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category	SΣ	1..1	CodeableConcept	Type (planned or delivered) Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Binding: Radiotherapy Category (required)
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1222565005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system Required Pattern: Radiotherapy treatment phase (regime/therapy)
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣC	1..1	Reference(Oncology Patient)	Who the procedure was performed on ref-1: SHALL have a contained resource if a local reference is provided
encounter	ΣC	0..1	Reference(Encounter)	Encounter created as part of ref-1: SHALL have a contained resource if a local reference is provided
performed[x]	SΣ	1..1	Period	When the procedure was performed
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Start date
end	SΣC	1..1	dateTime	End date
recorder	ΣC	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Who recorded the procedure ref-1: SHALL have a contained resource if a local reference is provided
asserter	ΣC	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Person who asserts this procedure ref-1: SHALL have a contained resource if a local reference is provided
performer	Σ	0..*	BackboneElement	The people who performed the procedure
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	Σ	0..1	CodeableConcept	Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor	ΣC	1..1	Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)	The reference to the practitioner ref-1: SHALL have a contained resource if a local reference is provided
onBehalfOf	C	0..1	Reference(Organization)	Organization the device or practitioner was acting for ref-1: SHALL have a contained resource if a local reference is provided
location	ΣC	0..1	Reference(Location)	Where the procedure happened ref-1: SHALL have a contained resource if a local reference is provided
reasonCode	Σ	0..*	CodeableConcept	Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference	ΣC	0..*	Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)	The justification that the procedure was performed ref-1: SHALL have a contained resource if a local reference is provided
bodySite	Σ	0..*	CodeableConcept	Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome	Σ	0..1	CodeableConcept	The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report	C	0..*	Reference(DiagnosticReport | DocumentReference | Composition)	Any report resulting from the procedure ref-1: SHALL have a contained resource if a local reference is provided
complication		0..*	CodeableConcept	Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail	C	0..*	Reference(Condition)	A condition that is a result of the procedure ref-1: SHALL have a contained resource if a local reference is provided
followUp		0..*	CodeableConcept	Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note		0..*	Annotation	Additional information about the procedure
focalDevice		0..*	BackboneElement	Manipulated, implanted, or removed device
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		0..1	CodeableConcept	Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated	C	1..1	Reference(Device)	Device that was changed ref-1: SHALL have a contained resource if a local reference is provided
usedReference	C	0..*	Reference(Device | Medication | Substance)	Items used during procedure ref-1: SHALL have a contained resource if a local reference is provided
usedCode		0..*	CodeableConcept	Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Procedure.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Procedure.status	required	EventStatus http://hl7.org/fhir/ValueSet/event-status|4.0.1 from the FHIR Standard
Procedure.statusReason	example	ProcedureNotPerformedReason(SNOMED-CT) http://hl7.org/fhir/ValueSet/procedure-not-performed-reason from the FHIR Standard
Procedure.category	example	ProcedureCategoryCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-category from the FHIR Standard
Procedure.category.coding.code	required	VSRadiotherapyCategory https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/ValueSet/vs-radiotherapy-category from this IG
Procedure.code	example	Pattern: SNOMED CT code 1222565005 http://hl7.org/fhir/ValueSet/procedure-code from the FHIR Standard
Procedure.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
Procedure.reasonCode	example	ProcedureReasonCodes http://hl7.org/fhir/ValueSet/procedure-reason from the FHIR Standard
Procedure.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Procedure.outcome	example	ProcedureOutcomeCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-outcome from the FHIR Standard
Procedure.complication	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
Procedure.followUp	example	ProcedureFollowUpCodes(SNOMEDCT) http://hl7.org/fhir/ValueSet/procedure-followup from the FHIR Standard
Procedure.focalDevice.action	preferred	ProcedureDeviceActionCodes http://hl7.org/fhir/ValueSet/device-action from the FHIR Standard
Procedure.usedCode	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

This structure is derived from Procedure

Summary

Mandatory: 8 elements (1 nested mandatory element)
Must-Support: 8 elements

Structures

This structure refers to these other structures:

• Radiotherapy course Summary (https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/radiotherapy-course-summary)
• Oncology Patient (https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/onco-patient)

Extensions

This structure refers to these extensions:

• https://build.fhir.org/ig/arkhn/arkhn-ig-osiris/StructureDefinition/numberOfFractions

Other representations of profile: CSV, Excel, Schematron