Data Element
Structure Type
Description

Defines if the radiation therapy structure a target structure (e.g. PTV, CTV, GTV) or an organ at risk.

Standard Values (List): Target; Organ at Risk
Submitted By: Elizabeth Covington / University of Michigan
Data Element Information
Data Element Description Defines if the radiation therapy structure a target structure (e.g. PTV, CTV, GTV) or an organ at risk.

Standard Values (List): Target; Organ at Risk
Use Case Description(s)
Use Case Description In radiation therapy cancer care, identifying dose objective information is desired in conjunction with analysis of outcomes. The AAPM /ASTRO Operational Ontology for Radiation Oncology ( https://aapmbdsc.azurewebsites.net) identifies a prioritized set of data elements associated with radiation dose objectives. The data elements of this class are generalizable across all disease sites e.g. prostate, breast, lung, gynecological, etc. High priority values are listed with this submission.
Estimate the breadth of applicability of the use case(s) for this data element All facilities that perform radiation therapy.
Healthcare Aims
  • Improving patient experience of care (quality and/or satisfaction)
  • Improving the health of populations
Maturity of Use and Technical Specifications for Data Element
Applicable Standard(s) N/A
Additional Specifications N/A
Current Use Not currently captured or accessed with an organization
Extent of exchange N/A
Potential Challenges
Restrictions on Standardization (e.g. proprietary code) None
Restrictions on Use (e.g. licensing, user fees) None
Privacy and Security Concerns None
Estimate of Overall Burden These data elements are expected to reduce burden. Typically, radiation therapy plan information is shared between facilities upon transfer of care. This data transfer is not standardized and can result in rework and multiple submission to ensure all relevant information is included. Including these standardized elements should improve and simplify data sharing.
ASTP Evaluation Details
Each submitted Data Element has been evaluated based on the following criteria. The overall Level classification is a composite of the maturity based on these individual criteria. This information can be used to identify areas that require additional work to raise the overall classification level and consideration for inclusion in future versions of USCDI
Criterion #1
Maturity - Current Standards		 Level 0 - Data element is not represented by a terminology standard or SDO-balloted technical specification or implementation guide.
Criterion #2
Maturity - Current Use 		Level 0 - Data element is captured, stored, or accessed in limited settings such as a pilot or proof of concept demonstration.
Criterion #3
Maturity - Current Exchange		 Level 0 - Data element is electronically exchanged in limited environments, such as connectathons or pilots.
Criterion #4
Use Case(s) - Breadth of Applicability		 Level 0 - Use cases apply to a limited number of care settings or specialties, or data element represents a specialization of other, more general data elements.

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Fig 3 The "Comment on another data element" link enables users to create multiple comments addressing different elements within a single submission.

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Fig 4 The "File Upload" section permits users to attach supporting documentation that supplements their written comments.

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Fig 5 A red triangle with exclamation mark indicator appears next to the “Return to saved Comment” button when draft comments are saved in the system.

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Fig 6 The review screen allows users to verify comment content and make any necessary modifications before final submission.

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