IDEA4RC FHIR Implementation Guide - Downloaded Version 1.0.0 See the Directory of published versions
Mapping from Radiotherapy to Procedure: Radiotherapy
| Source Code | Card. | Relationship | Target Code | Card. | Comment |
| Radiotherapy.diagnosisReference | 1..* | is related to | Procedure.reasonReference | 1..* | |
| Radiotherapy.episodeEventReference | 1..* | is related to | Procedure.reasonReference | 1..* | |
| Radiotherapy.radiotherapyHospital | 1..* | is related to | Procedure.performer | 0..* | In case the actual Organization performing the procedure is captured. It could be a perfomer of type Organization; or a perfomer.organization if of type PractitionerRole |
| Radiotherapy.radiotherapyHospital | 1..* | is related to | Procedure.extension:sameHospital | 0..1 | Temporary included in the guide for covering the request of tracking if this information has been captured and maintained by the same or other organizations. It is envisioned that this kind of requirements could be covered by recording where specific act are taking place. |
| Radiotherapy.intent | 1..* | is related to | Procedure.extension:procedureIntent | 0..1 | from mcode https://build.fhir.org/ig/HL7/fhir-mCODE-ig/StructureDefinition-mcode-radiotherapy-course-summary.html |
| Radiotherapy.setting | 0..* | is equivalent to | Procedure.extension:procedureCategoryR5 | 0..* | |
| Radiotherapy.beamQuality | 1..* | is equivalent to | Procedure.extension:modalityAndTechnique.extension:modality.value[x] | 1..1 | Use valueCodeableConcept. For now we can use the mcode extension |
| Radiotherapy.other | 0..* | is equivalent to | Procedure.extension:modalityAndTechnique.extension:modality.value[x] | 1..1 | Use element valueCodeableConcept.text |
| Radiotherapy.treatmentTechnique | 1..* | is equivalent to | Procedure.extension:modalityAndTechnique.extension:technique.value[x] | 1..1 | Use valueCodeableConcept. For now we can use the mcode extension |
| Radiotherapy.totalDoseGy | 1..* | is equivalent to | Procedure.extension:doseToVolume | 0..1 | Use extension:totalDoseDelivered |
| Radiotherapy.totalHighDose | 0..* | is equivalent to | Procedure.extension:totalHighDoseDelivered | 0..1 | |
| Radiotherapy.numberOfFractions | 1..* | is equivalent to | Procedure.extension:doseToVolume | 0..1 | Use extension:fractionsDelivered |
| Radiotherapy.adaptiveRt | 0..* | is equivalent to | Procedure.extension:adaptive | 0..1 | Use value. |
| Radiotherapy.igrt | 0..* | is related to | Procedure.extension:modalityAndTechnique.extension:technique.value[x] | 1..1 | If is present the extension with code 2000100046 'Image guided radiotherapy (IGRT)' it is 'true', else it is 'false' |
| Radiotherapy.reirradiation | 0..* | is related to | Procedure | 0..* | If is present another procedure in the same site for the same condition it is 'true', else it is 'false' |
| Radiotherapy.fieldOfReirradiation | 0..* | is equivalent to | Procedure.reasonCode | 0..* | Present only in the second procedure with the same site for the same condition |
| Radiotherapy.startDate | 1..* | is equivalent to | Procedure.performed[x] | 1..1 | Use type Period and element start. |
| Radiotherapy.endDate | 1..* | is equivalent to | Procedure.performed[x] | 1..1 | Use type Period and element end. |
| Radiotherapy.treatmentSitePrimaryOnly | 0..* | is related to | Procedure.bodySite | 0..* | If bodySite = 1 and is the same of the Condition: Primary Cancer it is 'true', else it is 'false' |
| Radiotherapy.treatmentSiteNeckOnly | 0..* | is related to | Procedure.bodySite | 0..* | If bodySite = 1 and is 36770046 'Neck' it is 'true', else it is 'false' |
| Radiotherapy.treatmentSitePrimaryAndIpsilateralNeck | 1..* | is related to | Procedure.bodySite | 0..* | If bodySite > 1 and one is the same of the Condition: Primary Cancer and another is 36770046 'Neck' with Procedure.bosySite.extension:lateralityQualifier 4112106 'Ipsilateral' it is 'true', else it is 'false' |
| Radiotherapy.treatmentSitePrimaryAndBilateralNeck | 1..* | is related to | Procedure.bodySite | 0..* | If bodySite > 1 and one is the same of the Condition: Primary Cancer and another is 36770046 'Neck' with Procedure.bosySite.extension:lateralityQualifier 4197258 'Right and left' it is 'true', else it is 'false' |
| Radiotherapy.treatmentSiteDistantMetastasis | 1..* | is related to | Procedure.bodySite | 0..* | If is 36769180 'Metastasis' it is 'true', else it is 'false' |
| Radiotherapy.otherTreatmentSite | 0..* | is equivalent to | Procedure.bodySite | 0..* | |
| Radiotherapy.metastaticTreatmentSiteLung | 0..* | is related to | Procedure.bodySite | 0..* | If is 36770283 'Metastasis to lung' it is 'true', else it is 'false' |
| Radiotherapy.metastaticTreatmentSiteMediastinum | 0..* | is related to | Procedure.bodySite | 0..* | If is 35225542 'Metastasis to mediastinum' it is 'true', else it is 'false' |
| Radiotherapy.metastaticTreatmentSiteBone | 0..* | is related to | Procedure.bodySite | 0..* | If is 36769301 'Metastasis to bone' it is 'true', else it is 'false' |
| Radiotherapy.metastaticTreatmentSiteSoftTissue | 0..* | is related to | Procedure.bodySite | 0..* | If is 35225724 'Metastasis to soft tissues' it is 'true', else it is 'false' |
| Radiotherapy.metastaticTreatmentSiteLiver | 0..* | is related to | Procedure.bodySite | 0..* | If is 36770544 'Metastasis to liver' it is 'true', else it is 'false' |
| Radiotherapy.rtTreatmentCompletedAsPlanned | 1..* | is equivalent to | Procedure.extension:terminationReason | 0..* | For now we can use the mcode extension |
| Radiotherapy.regionalDeepHyperthemia | 1..* | is related to | Procedure.partOf | 0..* | |
| Radiotherapy.treatmentResponse | 0..* | is equivalent to | Procedure.outcome | 0..1 |