This page is part of the OSIRIS FHIR Implementation Guide (v1.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: Radiotherapy Plan

Radiotherapy plans planned or delivered to a patient

Usage:

• Examples for this Resource Profile: Procedure/fhir-osiris-example-RadiotherapyPlan-1

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		2..*	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:basedOn	S	0..3	(Complex)	Connection with the imaging module URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour extension				Content/Rules for all slices
extension:imagingStudyRef	S	0..1	Extension	Imaging Study Reference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"imagingStudyRef"
extension:seriesUID	S	0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"seriesUID"
extension:rtStructUID	S	0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"rtStructUID"
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn"
extension:doseToVolume	S	0..*	(Complex)	Dose To Volume URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour extension		4..*	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:volume	S	1..*	Extension	Volume targeted ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"volume"
value[x]	S	1..1	Reference(Radiotherapy Volume Profile)	Value of extension ele-1: All FHIR elements must have a @value or children
extension:fractionDose	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"fractionDose"
value[x]	S	1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
extension:numberOfFractions	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"numberOfFractions"
value[x]	S	1..1	unsignedInt	Value of extension ele-1: All FHIR elements must have a @value or children
extension:totalDose	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"totalDose"
value[x]	S	1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
extension:rtDoseUID	S	0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"rtDoseUID"
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume"
extension:modalityAndTechnique	S	0..*	(Complex)	Modality And Technique URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour extension		2..*	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:radiotherapyModality	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"radiotherapyModality"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs (required) ele-1: All FHIR elements must have a @value or children
extension:radiotherapyTechnique	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"radiotherapyTechnique"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs (required) ele-1: All FHIR elements must have a @value or children
extension:radiotherapyTreatmentMachinePlanned	S	0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"radiotherapyTreatmentMachinePlanned"
value[x]	S	0..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique"
extension:energyOrIsotope	S	0..*	(Complex)	Energy Or Isotope URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour extension		1..*	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:quantityEnergyOrIsotope	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"quantityEnergyOrIsotope"
value[x]	S	1..1	Quantity	Value of extension ele-1: All FHIR elements must have a @value or children
extension:nameEnergyOrIsotope	S	0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"nameEnergyOrIsotope"
value[x]	S	0..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope"
extension:numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfFractions ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:reasonReplanification	S	0..1	CodeableConcept	Reason Replanification URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/reasonReplanification Binding: Radiotherapy Reason Replanification (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:algorithmName	S	1..1	string	Name of the algorithm URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/algorithmName 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
Slices pour identifier	Σ	1..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by pattern:type ele-1: All FHIR elements must have a @value or children
identifier:rtPlanUID	SΣ	1..1	Identifier	UID RT Plan ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
partOf	Σ	1..1	Reference(Radiotherapy Phase)	Should Reference a Radiotherapy Treatment Phase 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	SΣ	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	SΣ	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	SΣ	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: 1255724003
subject	SΣ	1..1	Reference(Oncology Patient)	Who the procedure was performed on ele-1: All FHIR elements must have a @value or children
performed[x]	Σ	1..1	Period	When the procedure was performed ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	Start date ele-1: All FHIR elements must have a @value or children
end	SΣC	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.extension:modalityAndTechnique.extension:radiotherapyModality.value[x]	required	http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.value[x]	required	http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
Procedure.identifier:rtPlanUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Procedure.identifier:rtPlanUID.type	extensible	Pattern: MR http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
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 1255724003 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		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn	S	0..3	(Complex)	Connection with the imaging module URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn
Slices pour extension				Content/Rules for all slices
extension:seriesUID		0..1	Extension	Extension
extension:rtStructUID		0..1	Extension	Extension
extension:doseToVolume	S	0..*	(Complex)	Dose To Volume URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume
Slices pour extension				Content/Rules for all slices
extension:fractionDose		1..1	Extension	Extension
extension:numberOfFractions		1..1	Extension	Extension
extension:totalDose		1..1	Extension	Extension
extension:rtDoseUID		0..1	Extension	Extension
extension:modalityAndTechnique	S	0..*	(Complex)	Modality And Technique URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique
Slices pour extension				Content/Rules for all slices
extension:radiotherapyModality		1..1	Extension	Extension
extension:radiotherapyTechnique		1..1	Extension	Extension
extension:radiotherapyTreatmentMachinePlanned		0..1	Extension	Extension
extension:energyOrIsotope	S	0..*	(Complex)	Energy Or Isotope URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope
Slices pour extension				Content/Rules for all slices
extension:quantityEnergyOrIsotope		1..1	Extension	Extension
extension:nameEnergyOrIsotope		0..1	Extension	Extension
extension:numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfFractions
extension:reasonReplanification	S	0..1	CodeableConcept	Reason Replanification URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/reasonReplanification Binding: Radiotherapy Reason Replanification (required)
extension:algorithmName	S	1..1	string	Name of the algorithm URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/algorithmName
Slices pour identifier		1..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by pattern:type
identifier:rtPlanUID	S	1..1	Identifier	UID RT Plan
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
partOf		1..1	Reference(Radiotherapy Phase)	Should Reference a Radiotherapy Treatment Phase
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: 1255724003
coding
display		0..1	string	Representation defined by the system Required Pattern: Radiotherapy treatment plan (regime/therapy)
subject	S	1..1	Reference(Oncology Patient)	Who the procedure was performed on
performed[x]		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		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn	S	0..3	(Complex)	Connection with the imaging module URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:imagingStudyRef	S	0..1	Extension	Imaging Study Reference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"imagingStudyRef"
value[x]		0..1	Reference(Imaging Study)	Value of extension
extension:seriesUID	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"seriesUID"
value[x]		0..1	string	Value of extension
extension:rtStructUID	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"rtStructUID"
value[x]		0..1	Reference(ROI segmentation)	Value of extension
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn"
extension:doseToVolume	S	0..*	(Complex)	Dose To Volume URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		4..*	Extension	Extension Slice: Unordered, Open by value:url
extension:volume	S	1..*	Extension	Volume targeted
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"volume"
value[x]	S	1..1	Reference(Radiotherapy Volume Profile)	Value of extension
extension:fractionDose	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"fractionDose"
value[x]	S	1..1	string	Value of extension
extension:numberOfFractions	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"numberOfFractions"
value[x]	S	1..1	unsignedInt	Value of extension
extension:totalDose	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"totalDose"
value[x]	S	1..1	string	Value of extension
extension:rtDoseUID	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"rtDoseUID"
value[x]		0..1	string	Value of extension
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume"
extension:modalityAndTechnique	S	0..*	(Complex)	Modality And Technique URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:radiotherapyModality	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"radiotherapyModality"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs (required)
extension:radiotherapyTechnique	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"radiotherapyTechnique"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs (required)
extension:radiotherapyTreatmentMachinePlanned	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"radiotherapyTreatmentMachinePlanned"
value[x]	S	0..1	string	Value of extension
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique"
extension:energyOrIsotope	S	0..*	(Complex)	Energy Or Isotope URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:quantityEnergyOrIsotope	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"quantityEnergyOrIsotope"
value[x]	S	1..1	Quantity	Value of extension
extension:nameEnergyOrIsotope	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"nameEnergyOrIsotope"
value[x]	S	0..1	string	Value of extension
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope"
extension:numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfFractions
extension:reasonReplanification	S	0..1	CodeableConcept	Reason Replanification URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/reasonReplanification Binding: Radiotherapy Reason Replanification (required)
extension:algorithmName	S	1..1	string	Name of the algorithm URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/algorithmName
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices pour identifier	Σ	1..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by pattern:type
identifier:rtPlanUID	SΣ	1..1	Identifier	UID RT Plan
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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		0..1	uri	Identity of the terminology system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
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
system	Σ	0..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	1..1	Reference(Radiotherapy Phase)	Should Reference a Radiotherapy Treatment Phase
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		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	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: 1255724003
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 treatment plan (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	SΣ	1..1	Reference(Oncology Patient)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
performed[x]	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	SΣC	1..1	dateTime	Start date
end	SΣC	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.extension:modalityAndTechnique.extension:radiotherapyModality.value[x]	required	http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.value[x]	required	http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
Procedure.identifier:rtPlanUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Procedure.identifier:rtPlanUID.type	extensible	Pattern: MR http://hl7.org/fhir/ValueSet/identifier-type 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://ig-osiris.cancer.fr/ig/osiris/ValueSet/vs-radiotherapy-category from this IG
Procedure.code	example	Pattern: SNOMED-CT Code 1255724003 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: 11 elements(1 nested mandatory element)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

• Radiotherapy Phase (https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/radiotherapy-phase)
• 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/basedOn
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfFractions
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/reasonReplanification
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/algorithmName

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.identifier

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		2..*	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:basedOn	S	0..3	(Complex)	Connection with the imaging module URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour extension				Content/Rules for all slices
extension:imagingStudyRef	S	0..1	Extension	Imaging Study Reference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"imagingStudyRef"
extension:seriesUID	S	0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"seriesUID"
extension:rtStructUID	S	0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"rtStructUID"
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn"
extension:doseToVolume	S	0..*	(Complex)	Dose To Volume URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour extension		4..*	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:volume	S	1..*	Extension	Volume targeted ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"volume"
value[x]	S	1..1	Reference(Radiotherapy Volume Profile)	Value of extension ele-1: All FHIR elements must have a @value or children
extension:fractionDose	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"fractionDose"
value[x]	S	1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
extension:numberOfFractions	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"numberOfFractions"
value[x]	S	1..1	unsignedInt	Value of extension ele-1: All FHIR elements must have a @value or children
extension:totalDose	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"totalDose"
value[x]	S	1..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
extension:rtDoseUID	S	0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"rtDoseUID"
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume"
extension:modalityAndTechnique	S	0..*	(Complex)	Modality And Technique URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour extension		2..*	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:radiotherapyModality	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"radiotherapyModality"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs (required) ele-1: All FHIR elements must have a @value or children
extension:radiotherapyTechnique	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"radiotherapyTechnique"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs (required) ele-1: All FHIR elements must have a @value or children
extension:radiotherapyTreatmentMachinePlanned	S	0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"radiotherapyTreatmentMachinePlanned"
value[x]	S	0..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique"
extension:energyOrIsotope	S	0..*	(Complex)	Energy Or Isotope URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices pour extension		1..*	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:quantityEnergyOrIsotope	S	1..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"quantityEnergyOrIsotope"
value[x]	S	1..1	Quantity	Value of extension ele-1: All FHIR elements must have a @value or children
extension:nameEnergyOrIsotope	S	0..1	Extension	Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"nameEnergyOrIsotope"
value[x]	S	0..1	string	Value of extension ele-1: All FHIR elements must have a @value or children
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope"
extension:numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfFractions ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:reasonReplanification	S	0..1	CodeableConcept	Reason Replanification URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/reasonReplanification Binding: Radiotherapy Reason Replanification (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:algorithmName	S	1..1	string	Name of the algorithm URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/algorithmName 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
Slices pour identifier	Σ	1..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by pattern:type ele-1: All FHIR elements must have a @value or children
identifier:rtPlanUID	SΣ	1..1	Identifier	UID RT Plan ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
partOf	Σ	1..1	Reference(Radiotherapy Phase)	Should Reference a Radiotherapy Treatment Phase 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	SΣ	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	SΣ	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	SΣ	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: 1255724003
subject	SΣ	1..1	Reference(Oncology Patient)	Who the procedure was performed on ele-1: All FHIR elements must have a @value or children
performed[x]	Σ	1..1	Period	When the procedure was performed ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	Start date ele-1: All FHIR elements must have a @value or children
end	SΣC	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.extension:modalityAndTechnique.extension:radiotherapyModality.value[x]	required	http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.value[x]	required	http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
Procedure.identifier:rtPlanUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Procedure.identifier:rtPlanUID.type	extensible	Pattern: MR http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
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 1255724003 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		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn	S	0..3	(Complex)	Connection with the imaging module URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn
Slices pour extension				Content/Rules for all slices
extension:seriesUID		0..1	Extension	Extension
extension:rtStructUID		0..1	Extension	Extension
extension:doseToVolume	S	0..*	(Complex)	Dose To Volume URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume
Slices pour extension				Content/Rules for all slices
extension:fractionDose		1..1	Extension	Extension
extension:numberOfFractions		1..1	Extension	Extension
extension:totalDose		1..1	Extension	Extension
extension:rtDoseUID		0..1	Extension	Extension
extension:modalityAndTechnique	S	0..*	(Complex)	Modality And Technique URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique
Slices pour extension				Content/Rules for all slices
extension:radiotherapyModality		1..1	Extension	Extension
extension:radiotherapyTechnique		1..1	Extension	Extension
extension:radiotherapyTreatmentMachinePlanned		0..1	Extension	Extension
extension:energyOrIsotope	S	0..*	(Complex)	Energy Or Isotope URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope
Slices pour extension				Content/Rules for all slices
extension:quantityEnergyOrIsotope		1..1	Extension	Extension
extension:nameEnergyOrIsotope		0..1	Extension	Extension
extension:numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfFractions
extension:reasonReplanification	S	0..1	CodeableConcept	Reason Replanification URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/reasonReplanification Binding: Radiotherapy Reason Replanification (required)
extension:algorithmName	S	1..1	string	Name of the algorithm URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/algorithmName
Slices pour identifier		1..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by pattern:type
identifier:rtPlanUID	S	1..1	Identifier	UID RT Plan
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
partOf		1..1	Reference(Radiotherapy Phase)	Should Reference a Radiotherapy Treatment Phase
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: 1255724003
coding
display		0..1	string	Representation defined by the system Required Pattern: Radiotherapy treatment plan (regime/therapy)
subject	S	1..1	Reference(Oncology Patient)	Who the procedure was performed on
performed[x]		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		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:basedOn	S	0..3	(Complex)	Connection with the imaging module URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:imagingStudyRef	S	0..1	Extension	Imaging Study Reference
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"imagingStudyRef"
value[x]		0..1	Reference(Imaging Study)	Value of extension
extension:seriesUID	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"seriesUID"
value[x]		0..1	string	Value of extension
extension:rtStructUID	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"rtStructUID"
value[x]		0..1	Reference(ROI segmentation)	Value of extension
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/basedOn"
extension:doseToVolume	S	0..*	(Complex)	Dose To Volume URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		4..*	Extension	Extension Slice: Unordered, Open by value:url
extension:volume	S	1..*	Extension	Volume targeted
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"volume"
value[x]	S	1..1	Reference(Radiotherapy Volume Profile)	Value of extension
extension:fractionDose	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"fractionDose"
value[x]	S	1..1	string	Value of extension
extension:numberOfFractions	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"numberOfFractions"
value[x]	S	1..1	unsignedInt	Value of extension
extension:totalDose	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"totalDose"
value[x]	S	1..1	string	Value of extension
extension:rtDoseUID	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"rtDoseUID"
value[x]		0..1	string	Value of extension
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume"
extension:modalityAndTechnique	S	0..*	(Complex)	Modality And Technique URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		2..*	Extension	Extension Slice: Unordered, Open by value:url
extension:radiotherapyModality	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"radiotherapyModality"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs (required)
extension:radiotherapyTechnique	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"radiotherapyTechnique"
value[x]	S	1..1	CodeableConcept	Value of extension Binding: http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs (required)
extension:radiotherapyTreatmentMachinePlanned	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"radiotherapyTreatmentMachinePlanned"
value[x]	S	0..1	string	Value of extension
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique"
extension:energyOrIsotope	S	0..*	(Complex)	Energy Or Isotope URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope
id		0..1	string	Unique id for inter-element referencing
Slices pour extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:quantityEnergyOrIsotope	S	1..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"quantityEnergyOrIsotope"
value[x]	S	1..1	Quantity	Value of extension
extension:nameEnergyOrIsotope	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"nameEnergyOrIsotope"
value[x]	S	0..1	string	Value of extension
url		1..1	uri	"https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope"
extension:numberOfFractions	S	1..1	unsignedInt	Number of Fractions URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfFractions
extension:reasonReplanification	S	0..1	CodeableConcept	Reason Replanification URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/reasonReplanification Binding: Radiotherapy Reason Replanification (required)
extension:algorithmName	S	1..1	string	Name of the algorithm URL: https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/algorithmName
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices pour identifier	Σ	1..*	Identifier	External Identifiers for this procedure Slice: Unordered, Open by pattern:type
identifier:rtPlanUID	SΣ	1..1	Identifier	UID RT Plan
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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		0..1	uri	Identity of the terminology system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: MR
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
system	Σ	0..1	uri	The namespace for the identifier value Exemple General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Exemple General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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(CarePlan | ServiceRequest)	A request for this procedure
partOf	Σ	1..1	Reference(Radiotherapy Phase)	Should Reference a Radiotherapy Treatment Phase
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		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	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: 1255724003
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 treatment plan (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	SΣ	1..1	Reference(Oncology Patient)	Who the procedure was performed on
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
performed[x]	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	SΣC	1..1	dateTime	Start date
end	SΣC	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.extension:modalityAndTechnique.extension:radiotherapyModality.value[x]	required	http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs http://hl7.org/fhir/us/mcode/ValueSet/mcode-radiotherapy-modality-vs
Procedure.extension:modalityAndTechnique.extension:radiotherapyTechnique.value[x]	required	http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs http://hl7.org/fhir/us/mcode/ValueSet/mcode-teleradiotherapy-photon-beam-technique-vs
Procedure.identifier:rtPlanUID.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Procedure.identifier:rtPlanUID.type	extensible	Pattern: MR http://hl7.org/fhir/ValueSet/identifier-type 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://ig-osiris.cancer.fr/ig/osiris/ValueSet/vs-radiotherapy-category from this IG
Procedure.code	example	Pattern: SNOMED-CT Code 1255724003 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: 11 elements(1 nested mandatory element)
Must-Support: 14 elements

Structures

This structure refers to these other structures:

• Radiotherapy Phase (https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/radiotherapy-phase)
• 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/basedOn
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/doseToVolume
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/modalityAndTechnique
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/energyOrIsotope
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/numberOfFractions
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/reasonReplanification
• https://ig-osiris.cancer.fr/ig/osiris/StructureDefinition/algorithmName

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Procedure.identifier