AI and Data Standards

Radiation oncology is being reshaped by artificial intelligence and health data standards. ASTRO is at the center of that work, convening the field, setting the agenda, and translating complexity into tools clinicians can actually use.

AI Roundtable

AI tools are already in your clinic. What's lagging behind is the governance framework to use them safely and accountably. On May 27, 2026, ASTRO brought together leaders from industry and across the field for the inaugural AI Roundtable. The group discussed the evolving role of artificial intelligence in radiation oncology and patient care. Attendees included representatives from Fuse Oncology, MedLever, Novartis, Siemens Healthineers and Merck as well as clinicians, researchers, and federal partners from the FDA and NCI.

Over 70 FDA-cleared AI devices are now directly relevant to radiation oncology. ASTRO's position is clear: AI should augment physician judgment, not replace it, and specialty societies must have a role in setting standards and expectations for safe and standardized use of these tools.

AI Podcast Series

ASTRO has introduced a series on the RadOnc Report podcast with dedicated content on artificial intelligence for clinicians with practical perspective from radiation oncology's own experts.

RadOnc Report — AI in Radiation Oncology Series

Members of ASTRO's AI Resource Panel break down the Society's AI consensus guidance, what responsible adoption looks like in daily practice, and how AI is transforming clinical workflows right now. Download from ASTRO's website or wherever you get podcasts.

CodeX and mCODE

AI is only as good as the data behind it.
Interoperable, structured data is the foundation that makes AI in radiation oncology possible. ASTRO has been building that foundation for years.

mCODE

ASTRO joined the mCODE Executive Council in 2019 alongside ASCO, the FDA and others. Since then, ASTRO has led mCODE's largest single expansion, growing radiation oncology data elements from three (procedure, intent, body site) to a comprehensive set covering modalities, techniques, dose, volume-based treatment site, and more. mCODE is now being adopted by health systems, EHR vendors and CMS.

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CodeX

As a founding member of the CodeX HL7 FHIR Accelerator, ASTRO has helped create more than 300 new radiation oncology-specific data elements now embedded in the mCODE standard and approved as SNOMED codes. 

View the FHIR Implementation Guide.
Contact ASTRO staff to get involved.