FHIR Osiris Implementation Guide
1.1.0 - trial-implementation

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## Resource Profile: Radiotherapy course Summary

Official URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/radiotherapy-course-summary | Version: 1.1.0
Draft as of 2025-04-03 | Computable Name: RadiotherapyCourseSummary

A summary of a course of radiotherapy planned or delivered to a patient

Usage:

- Refer to this Resource Profile: Radiotherapy Phase
- Examples for this Resource Profile: Procedure/fhir-osiris-example-RadiotherapyCourse-1 and Procedure/fhir-osiris-example-RadiotherapyCourse-2

### Formal Views of Profile Content

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

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

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
Procedure |  | 0..* | Procedure | An action that is being or was performed on a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:treatmentIntent | S | 0..1 | CodeableConcept | Objective URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentIntent Binding: Radiotherapy Intent (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:treatmentTerminationReason | S | 0..1 | CodeableConcept | Termination Reason URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentTerminationReason Binding: Radiotherapy Termination Reason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:numberOfSessions | S | 0..1 | unsignedInt | Number of Sessions. Obligatory if category is Planned URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfSessions ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn | Σ | 0..* | Reference(Treatment) | A request for this procedure ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
category | S Σ | 1..1 | CodeableConcept | Type (planned or delivered) Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. ele-1: All FHIR elements must have a @value or children
coding | Σ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Binding: Radiotherapy Category (required) ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . ele-1: All FHIR elements must have a @value or children 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: 1217123003
subject | S Σ | 1..1 | Reference(Oncology Patient) | Who the procedure was performed on ele-1: All FHIR elements must have a @value or children
performed[x] | S Σ | 1..1 | Period | When the procedure was performed ele-1: All FHIR elements must have a @value or children
start | S Σ C | 1..1 | dateTime | Start date ele-1: All FHIR elements must have a @value or children
end | S Σ C | 1..1 | dateTime | End date ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformité | 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://ig-osiris.cancer.fr/ig/osiris/ValueSet/vs-radiotherapy-category` from this IG
Procedure.code | example | Pattern: SNOMED-CT Code 1217123003 `http://hl7.org/fhir/ValueSet/procedure-code` from the FHIR Standard

This structure is derived from Procedure

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
Procedure |  | 0..* | Procedure | An action that is being or was performed on a patient
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:treatmentIntent | S | 0..1 | CodeableConcept | Objective URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentIntent Binding: Radiotherapy Intent (required)
extension:treatmentTerminationReason | S | 0..1 | CodeableConcept | Termination Reason URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentTerminationReason Binding: Radiotherapy Termination Reason (required)
extension:numberOfSessions | S | 0..1 | unsignedInt | Number of Sessions. Obligatory if category is Planned URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfSessions
basedOn |  | 0..* | Reference(Treatment) | A request for this procedure
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: 1217123003
coding |  |  |  |
display |  | 0..1 | string | Representation defined by the system Required Pattern: Radiotherapy course of treatment (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 | Conformité | ValueSet | URI
Procedure.category.coding.code | required | VSRadiotherapyCategory `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/vs-radiotherapy-category` from this IG

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
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.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:treatmentIntent | S | 0..1 | CodeableConcept | Objective URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentIntent Binding: Radiotherapy Intent (required)
extension:treatmentTerminationReason | S | 0..1 | CodeableConcept | Termination Reason URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentTerminationReason Binding: Radiotherapy Termination Reason (required)
extension:numberOfSessions | S | 0..1 | unsignedInt | Number of Sessions. Obligatory if category is Planned URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfSessions
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
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 | Σ | 0..* | Reference(Treatment) | A request for this procedure
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event
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 | S Σ | 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 |  | 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 |  | 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 | S Σ | 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 | S Σ | 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: 1217123003
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 |  | 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 |  | 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 course of treatment (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 | S Σ | 1..1 | Reference(Oncology Patient) | Who the procedure was performed on
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
performed[x] | S Σ | 1..1 | Period | When the procedure was performed
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | Start date
end | S Σ C | 1..1 | dateTime | End date
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure
performer | Σ | 0..* | BackboneElement | The people who performed the procedure
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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 | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed
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 |  | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure
complication |  | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail |  | 0..* | Reference(Condition) | A condition that is a result of the procedure
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 |  | 0..* | Extension | Additional content defined by implementations
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 |  | 1..1 | Reference(Device) | Device that was changed
usedReference |  | 0..* | Reference(Device | Medication | Substance) | Items used during procedure
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 | Conformité | ValueSet / Code | URI
Procedure.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Bindings Additionnels | But
AllLanguages | Binding Max
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://ig-osiris.cancer.fr/ig/osiris/ValueSet/vs-radiotherapy-category` from this IG
Procedure.code | example | Pattern: SNOMED-CT Code 1217123003 `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

Résumé

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

- Treatment (https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatment)
- Oncology Patient (https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/onco-patient)

Extensions

This structure refers to these extensions:

- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentIntent
- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentTerminationReason
- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfSessions

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
Procedure |  | 0..* | Procedure | An action that is being or was performed on a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:treatmentIntent | S | 0..1 | CodeableConcept | Objective URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentIntent Binding: Radiotherapy Intent (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:treatmentTerminationReason | S | 0..1 | CodeableConcept | Termination Reason URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentTerminationReason Binding: Radiotherapy Termination Reason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:numberOfSessions | S | 0..1 | unsignedInt | Number of Sessions. Obligatory if category is Planned URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfSessions ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
basedOn | Σ | 0..* | Reference(Treatment) | A request for this procedure ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
category | S Σ | 1..1 | CodeableConcept | Type (planned or delivered) Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes. ele-1: All FHIR elements must have a @value or children
coding | Σ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | code | Symbol in syntax defined by the system Binding: Radiotherapy Category (required) ele-1: All FHIR elements must have a @value or children
code | S Σ | 1..1 | CodeableConcept | Identification of the procedure Binding: ProcedureCodes(SNOMEDCT) (example): A code to identify a specific procedure . ele-1: All FHIR elements must have a @value or children 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: 1217123003
subject | S Σ | 1..1 | Reference(Oncology Patient) | Who the procedure was performed on ele-1: All FHIR elements must have a @value or children
performed[x] | S Σ | 1..1 | Period | When the procedure was performed ele-1: All FHIR elements must have a @value or children
start | S Σ C | 1..1 | dateTime | Start date ele-1: All FHIR elements must have a @value or children
end | S Σ C | 1..1 | dateTime | End date ele-1: All FHIR elements must have a @value or children
Documentation for this format

#### Terminology Bindings

Path | Conformité | 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://ig-osiris.cancer.fr/ig/osiris/ValueSet/vs-radiotherapy-category` from this IG
Procedure.code | example | Pattern: SNOMED-CT Code 1217123003 `http://hl7.org/fhir/ValueSet/procedure-code` from the FHIR Standard

Differential View

This structure is derived from Procedure

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
Procedure |  | 0..* | Procedure | An action that is being or was performed on a patient
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:treatmentIntent | S | 0..1 | CodeableConcept | Objective URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentIntent Binding: Radiotherapy Intent (required)
extension:treatmentTerminationReason | S | 0..1 | CodeableConcept | Termination Reason URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentTerminationReason Binding: Radiotherapy Termination Reason (required)
extension:numberOfSessions | S | 0..1 | unsignedInt | Number of Sessions. Obligatory if category is Planned URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfSessions
basedOn |  | 0..* | Reference(Treatment) | A request for this procedure
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: 1217123003
coding |  |  |  |
display |  | 0..1 | string | Representation defined by the system Required Pattern: Radiotherapy course of treatment (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 | Conformité | ValueSet | URI
Procedure.category.coding.code | required | VSRadiotherapyCategory `https://ig-osiris.cancer.fr/ig/osiris/ValueSet/vs-radiotherapy-category` from this IG

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes
--- | --- | --- | --- | ---
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.
Bindings Additionnels | But
AllLanguages | Binding Max
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices pour extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:treatmentIntent | S | 0..1 | CodeableConcept | Objective URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentIntent Binding: Radiotherapy Intent (required)
extension:treatmentTerminationReason | S | 0..1 | CodeableConcept | Termination Reason URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentTerminationReason Binding: Radiotherapy Termination Reason (required)
extension:numberOfSessions | S | 0..1 | unsignedInt | Number of Sessions. Obligatory if category is Planned URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfSessions
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
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 | Σ | 0..* | Reference(Treatment) | A request for this procedure
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event
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 | S Σ | 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 |  | 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 |  | 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 | S Σ | 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 | S Σ | 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: 1217123003
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 |  | 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 |  | 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 course of treatment (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 | S Σ | 1..1 | Reference(Oncology Patient) | Who the procedure was performed on
encounter | Σ | 0..1 | Reference(Encounter) | Encounter created as part of
performed[x] | S Σ | 1..1 | Period | When the procedure was performed
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | S Σ C | 1..1 | dateTime | Start date
end | S Σ C | 1..1 | dateTime | End date
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure
performer | Σ | 0..* | BackboneElement | The people who performed the procedure
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
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 | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed
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 |  | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure
complication |  | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail |  | 0..* | Reference(Condition) | A condition that is a result of the procedure
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 |  | 0..* | Extension | Additional content defined by implementations
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 |  | 1..1 | Reference(Device) | Device that was changed
usedReference |  | 0..* | Reference(Device | Medication | Substance) | Items used during procedure
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 | Conformité | ValueSet / Code | URI
Procedure.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Bindings Additionnels | But
AllLanguages | Binding Max
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://ig-osiris.cancer.fr/ig/osiris/ValueSet/vs-radiotherapy-category` from this IG
Procedure.code | example | Pattern: SNOMED-CT Code 1217123003 `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

Résumé

Mandatory: 5 elements(1 nested mandatory element)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

- Treatment (https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatment)
- Oncology Patient (https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/onco-patient)

Extensions

This structure refers to these extensions:

- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentIntent
- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/treatmentTerminationReason
- https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfSessions

Other representations of profile: CSV, Excel, Schematron