http://www.cancernetwork.com/cancer-management-11/chapter02/article/10165/1399960
Deutschland:
Deutsche Krebsgesellschaft: https://www.krebsgesellschaft.de/onko-internetportal/basis-informationen-krebs/therapieformen/strahlentherapie-bei-krebs.html
http://www.tumorzentren.de
Organisation: Medizinische Hochschule Hannover
Email: strauch.natalia@mh-hannover.de
Date originally authored: 2019-08-06
Organisation: Medizinische Hochschule Hannover
Email: strauch.natalia@mh-hannover.de
Date originally authored: 2019-08-06
- Licence: This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/.
- Custodian Organisation: HiGHmed
- References: NCCN Radiation Therapy Compendium™: NCCN.org/rtcompendium http://www.cancernetwork.com/cancer-management-11/chapter02/article/10165/1399960 Deutschland: Deutsche Krebsgesellschaft: https://www.krebsgesellschaft.de/onko-internetportal/basis-informationen-krebs/therapieformen/strahlentherapie-bei-krebs.html http://www.tumorzentren.de
- Current Contact: strauch.natalia@mh-hannover.de
- Original Namespace: org.highmed
- Original Publisher: HiGHmed
- Custodian Namespace: org.highmed
- MD5-CAM-1.0.1: 3D9063718B9C0D6E6736368671CC621D
- Build Uid: 64bbe615-9594-4566-b10e-578798202aa9
- Revision: 1.1.0
The terminology encoding of the target region is preferred. Use this data element to record the pre-identified anatomical location. If it's required to document the targeted region during the time of application, or more complicated modelling is required, such as relative location, then use the CLUSTER.anatomical_location or CLUSTER.relative_location within the SLOT 'Target region details' in this archetype.
Use this slot to insert CLUSTER.anatomical_location or CLUSTER.anatomical_location_relative archetypes if it's required to document the target region during the time of application, or when more complicated modelling, such as relative positions, is needed. If the anatomical location is included in the 'target region' field via pre-existing codes, the use of this slot might be redundant.
Include:
openEHR-EHR-CLUSTER.anatomical_
- Teletherapy [Percutaneous radiotherapy (percutaneous - through the skin).]
- Brachytherapy [Radiotherapy within, or in the close surroundings of the region to be irradiated in the body.]
- Metabolic therapy [Therapy with the use of radionuclides. Radionuclide therapy is classified as a nuclear medicine therapy.]
- Other therapy [Other therapies e.g. Stereotactic radiosurgery or combined therapy.]
The techniques of irradiation are diverse. If possible, encoding with a terminology is preferred.
More than one radiation type can be selected.
Choice of:
Coded Text- Photons (ɣ) [Irradiation using photons (ultra-hard X-rays).]
- Electrons (e-) [Irradiation using electrons.]
- Neutrons (n) [Irradiation using neutrons.]
- Protons (p+) [Irradiation using protons.]
- Helium ions [Irradiation using helium ions.]
- Carbon ions [Irradiation using heavy carbon ions.]
- Alpha rays (α) [Radioactive irradiation using alpha rays.]
- Beta rays (β) [Radioactive irradiation using beta rays.]
- Gamma rays (γ) [Radioactive irradiation using gamma rays.]
Text
Example: When specifying radiation dose 3.0 Gy, the value is '3.0'.
Property: Qualified real
Units: 0.0..999.999
The individual dose in radiation therapy is usually recorded in grays (Gy) and less frequently in gigabequerels (GBq). For a radiation dose of '3.0 Gy', the unit for the dose is 'Gy'. For a radiation dose of '2.6 GBq', the unit for the dose is 'GBq'.
- Gy [Absorbed dose in SI-unit Gray.]
- GyE [The unit of the biological effective dose in Gray equivalent (no SI unit).]
- GBq [Radioactivity in SI unit gigabecquerel.]
- MBq [Radioactivity in SI unit megabecquerel.]
- kBq [Radioactivity in SI unit kilobecquerel.]
The total dose is composed of several individual doses (fractions). For example: 30.0 Gy can be administered in 10 fractions of 3.0 Gy each.
Example: When indicating radiation dose of 30.0 Gy, the value is '30.0'.
Property: Qualified real
Units: 0.0..999.999
The individual dose in radiation therapy is usually recorded in grays (Gy) and less frequently in gigabequerels (GBq). For a radiation dose of '30.0 Gy', the unit for the dose is 'Gy'. For a radiation dose of '26.0 GBq', the unit for the dose is 'GBq'.
- Gy [Absorbed dose in SI-unit Gray.]
- GyE [The unit of the biological effective dose in Gray equivalent (no SI unit).]
- GBq [Radioactivity in SI unit gigabecquerel.]
- MBq [Radioactivity in SI unit megabecquerel.]
- kBq [Radioactivity in SI unit kilobecquerel.]
For better tolerability, the radiation is usually divided into many small individual doses, these are called fractions.
The individual irradiation (fraction) usually takes place on a separate day or several individual irradiations can take place on one day (hyper-fractionated irradiation).
A radiation plan is an image data-set with 100 -120 three-dimensional images.
Include:
openEHR-EHR-CLUSTER.media_
Toxicity can be expressed in the single word, phrase or in a short description. For example: Nausea, isolated skin redness. 'No side effects' may also be appropriate if no toxic effect was observed during and after irradiation. 'Toxicity' should be encoded with a terminology if possible. Common terminologies include the CTCAE, MedDRA codes, in addition to SNOMED-CT and ICD10.
For example, specific detailed information on an application technique, such as boost irradiation for teletherapy or brachytherapy; or radiation type and/or quality and other specific information of a target region irradiation.
Include:
All not explicitly excluded archetypes