<status value="active"/> <date value="2026-09-17T14:38:18+02:00"/> <publisher value="IDEA4RC Project"/> <contact> <name value="IDEA4RC Project"/> <telecom> <system value="url"/> <value value="https://www.idea4rc.eu/"/> </telecom> </contact> <contact> <name value="IDEA4RC Project"/> <telecom> <system value="url"/> <value value="https://www.idea4rc.eu/"/> </telecom> </contact> <description value="Clinical Stage Maturity Level: 0 Draft"/> <jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="150"/> <display value="Europe"/> </coding> </jurisdiction> <fhirVersion value="4.0.1"/> <kind value="logical"/> <abstract value="false"/> <type value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/> <derivation value="specialization"/> <snapshot> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version"> <valueString value="4.0.1"/> </extension> <element id="ClinicalStage"> <path value="ClinicalStage"/> <short value="Clinical Stage"/> <definition value="Clinical Stage Maturity Level: 0 Draft"/> <min value="0"/> <max value="*"/> <base> <path value="Base"/> <min value="0"/> <max value="*"/> </base> <isModifier value="false"/> </element> <element id="ClinicalStage.diagnosisReference"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.diagnosisReference"/> <short value="Diagnosis Reference (M)"/> <definition value="Diagnosis element containing the data regarding the patient's cancer"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.diagnosisReference"/> <min value="1"/> <max value="*"/> </base> <type> <code value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"/> </type> </element> <element id="ClinicalStage.stagingProceduresDoneBy"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.stagingProceduresDoneBy"/> <short value="Staging procedures done by (M)"/> <definition value="Describes the ID of the institution where staging procedure for primary tumour was performed"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.stagingProceduresDoneBy"/> <min value="1"/> <max value="*"/> </base> <type> <code value="string"/> </type> </element> <element id="ClinicalStage.imagingForPrimarySite"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForPrimarySite"/> <short value="Imaging for primary site (M)"/> <definition value="Defines whether any imaging study for primary site was performed or not"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForPrimarySite"/> <min value="1"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="ClinicalStage.imagingForPrimarySite.id"> <path value="ClinicalStage.imagingForPrimarySite.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ClinicalStage.imagingForPrimarySite.extension"> <path value="ClinicalStage.imagingForPrimarySite.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ClinicalStage.imagingForPrimarySite.modifierExtension"> <path value="ClinicalStage.imagingForPrimarySite.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ClinicalStage.imagingForPrimarySite.ct"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForPrimarySite.ct"/> <short value="CT for primary site (R)"/> <definition value="Defines whether any CT scan for primary site was performed or not"/> <comment value="Computed tomography - 4300757"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForPrimarySite.ct"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForPrimarySite.mri"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForPrimarySite.mri"/> <short value="MRI for primary site (R)"/> <definition value="Defines whether any MRI for primary site was performed or not"/> <comment value="Magnetic resonance imaging - 4013636"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForPrimarySite.mri"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForPrimarySite.us"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForPrimarySite.us"/> <short value="US for primary site (R)"/> <definition value="Defines whether any US for primary site was performed or not"/> <comment value="Ultrasonography - 4037672"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForPrimarySite.us"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForPrimarySite.other"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForPrimarySite.other"/> <short value="Other imaging for primary site (R)"/> <definition value="Provides any other value for imaging options for primary site"/> <comment value="Code from Procedure domain Fluorodeoxyglucose positron emission tomography - 2000100025 Positron emission tomography using other tracers - 2000100026"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForPrimarySite.other"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.imagingForNeck"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForNeck"/> <short value="Imaging for neck (M)"/> <definition value="Whether any imaging study for the neck was performed or not"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForNeck"/> <min value="1"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="ClinicalStage.imagingForNeck.id"> <path value="ClinicalStage.imagingForNeck.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ClinicalStage.imagingForNeck.extension"> <path value="ClinicalStage.imagingForNeck.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ClinicalStage.imagingForNeck.modifierExtension"> <path value="ClinicalStage.imagingForNeck.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ClinicalStage.imagingForNeck.ct"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForNeck.ct"/> <short value="CT for neck (R)"/> <definition value="Defines whether any CT scan for neck was performed or not"/> <comment value="Computed tomography of neck - 3307719"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForNeck.ct"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForNeck.mri"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForNeck.mri"/> <short value="MRI for neck (R)"/> <definition value="Defines whether any MRI for neck was performed or not"/> <comment value="Magnetic resonance imaging of neck - 4218948"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForNeck.mri"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForNeck.us"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForNeck.us"/> <short value="US for neck (R)"/> <definition value="Defines whether any US for neck was performed or not"/> <comment value="Ultrasonography of Neck - 2793113"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForNeck.us"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForNeck.other"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForNeck.other"/> <short value="Other imaging for neck (R)"/> <definition value="Provides any other value for imaging options for neck"/> <comment value="Code from Procedure domain Fluorodeoxyglucose positron emission tomography -2000100025 Positron emission tomography using other tracers - 2000100026"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForNeck.other"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.imagingForMetastasis"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForMetastasis"/> <short value="Imaging for metastasis (M)"/> <definition value="Wherther any imaging study for metastasis was performed or not"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForMetastasis"/> <min value="1"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="ClinicalStage.imagingForMetastasis.id"> <path value="ClinicalStage.imagingForMetastasis.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ClinicalStage.imagingForMetastasis.extension"> <path value="ClinicalStage.imagingForMetastasis.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ClinicalStage.imagingForMetastasis.modifierExtension"> <path value="ClinicalStage.imagingForMetastasis.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ClinicalStage.imagingForMetastasis.ct"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForMetastasis.ct"/> <short value="CT for metastasis (R)"/> <definition value="Defines whether any CT scan for metastasis was performed or not"/> <comment value="CT of chest - 4058335 CT of abdomen - 4061009 CT of pelvis - 4058336 CT of brain - 4145739"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForMetastasis.ct"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForMetastasis.mri"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForMetastasis.mri"/> <short value="MRI for metastasis (R)"/> <definition value="Defines whether any MRI for metastasis was performed or not"/> <comment value="MRI of abdomen - 4083230 MRI of pelvis - 4097527 MRI of brain - 37311324"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForMetastasis.mri"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForMetastasis.us"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForMetastasis.us"/> <short value="US for metastasis (R)"/> <definition value="Defines whether any US for metastasis was performed or not"/> <comment value="Ultrasonography of abdomen - 4261497"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForMetastasis.us"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForMetastasis.other"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.imagingForMetastasis.other"/> <short value="Other imaging for metastasis (R)"/> <definition value="Provides any other value for imaging options for metastasis"/> <comment value="Code from Procedure domain Standard chest X-ray - 4056836 Radioisotope scan of bone - 4217238 Positron emission tomography - 4305790 Fluorodeoxyglucose positron emission tomography - 2000100025 Positron emission tomography using other tracers - 2000100026"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.imagingForMetastasis.other"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.ct"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.ct"/> <short value="cT (M)"/> <definition value="Specifies the clinical T"/> <comment value="AJCC/UICC 6th clinical TX Category - 1635299 AJCC/UICC 7th clinical TX Category - 1634269 AJCC/UICC 8th clinical TX Category - 1633589 AJCC/UICC 6th clinical Tis Category - 1635857 AJCC/UICC 7th clinical Tis Category - 1635227 AJCC/UICC 8th clinical Tis Category - 1633737 AJCC/UICC 6th clinical T0 Category - 1635656 AJCC/UICC 7th clinical T0 Category - 1633815 AJCC/UICC 8th clinical T0 Category - 1635794 AJCC/UICC 6th clinical T1 Category - 1634381 AJCC/UICC 7th clinical T1 Category - 1635664 AJCC/UICC 8th clinical T1 Category - 1633883 AJCC/UICC 6th clinical T2 Category - 1633747 AJCC/UICC 7th clinical T2 Category - 1634029 AJCC/UICC 8th clinical T2 Category - 1634651 AJCC/UICC 6th clinical T3 Category - 1633877 AJCC/UICC 7th clinical T3 Category - 1633324 AJCC/UICC 8th clinical T3 Category - 1635556 AJCC/UICC 6th clinical T4 Category - 1635522 AJCC/UICC 7th clinical T4 Category - 1635530 AJCC/UICC 8th clinical T4 Category - 1634973 AJCC/UICC 6th clinical T4a Category - 1634247 AJCC/UICC 7th clinical T4a Category - 1634522 AJCC/UICC 8th clinical T4a Category - 1634963 AJCC/UICC 6th clinical T4b Category - 1634624 AJCC/UICC 7th clinical T4b Category - 1634120 AJCC/UICC 8th clinical T4b Category - 1634854"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.ct"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.cn"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.cn"/> <short value="cN (M)"/> <definition value="Specifies the clinical N"/> <comment value="AJCC/UICC 6th clinical NX Category - 1635104 AJCC/UICC 7th clinical NX Category - 1633679 AJCC/UICC 8th clinical NX Category - 1634797 AJCC/UICC 6th clinical N0 Category - 1633315 AJCC/UICC 7th clinical N0 Category - 1633942 AJCC/UICC 8th clinical N0 Category - 1634070 AJCC/UICC 6th clinical N1 Category - 1635697 AJCC/UICC 7th clinical N1 Category - 1634139 AJCC/UICC 8th clinical N1 Category - 1633651 AJCC/UICC 6th clinical N2 Category - 1635470 AJCC/UICC 7th clinical N2 Category - 1635634 AJCC/UICC 8th clinical N2 Category - 1633763 AJCC/UICC 6th clinical N2a Category - 1634143 AJCC/UICC 7th clinical N2a Category - 1635739 AJCC/UICC 8th clinical N2a Category - 1633788 AJCC/UICC 6th clinical N2b Category - 1633433 AJCC/UICC 7th clinical N2b Category - 1635677 AJCC/UICC 8th clinical N2b Category - 1633323 AJCC/UICC 6th clinical N2c Category - 1634678 AJCC/UICC 7th clinical N2c Category - 1634727 AJCC/UICC 8th clinical N2c Category - 1633271 AJCC/UICC 6th clinical N3 Category - 1635605 AJCC/UICC 7th clinical N3 Category - 1634037 AJCC/UICC 8th clinical N3 Category - 1633854 AJCC/UICC 6th clinical N3a Category - 1633434 AJCC/UICC 7th clinical N3a Category - 1635004 AJCC/UICC 8th clinical N3a Category - 1635496 AJCC/UICC 6th clinical N3b Category - 1635283 AJCC/UICC 7th clinical N3b Category - 1635084 AJCC/UICC 8th clinical N3b Category - 1635828"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.cn"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.cm"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.cm"/> <short value="cM (M)"/> <definition value="Specifies the clinical M"/> <comment value="AJCC/UICC 6th clinical M0 Category - 1634194 AJCC/UICC 7th clinical M0 Category - 1633468 AJCC/UICC 8th clinical M0 Category - 1634757 AJCC/UICC 6th clinical M1 Category - 1634829 AJCC/UICC 7th clinical M1 Category - 1633276 AJCC/UICC 8th clinical M1 Category - 1633974"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.cm"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.extraNodalExtension"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.extraNodalExtension"/> <short value="Extra-nodal extension (rEne) (M)"/> <definition value="Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed check CODEs"/> <comment value="ENE- - 36769946 ENE+ - 36770618"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.extraNodalExtension"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.clinicalStaging"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.clinicalStaging"/> <short value="Clinical Staging (M)"/> <definition value="Specifies the clinical TNM"/> <comment value="AJCC/UICC 6th clinical Stage 0 - 1635842 AJCC/UICC 7th clinical Stage 0 - 1633828 AJCC/UICC 8th clinical Stage 0 - 1635824 AJCC/UICC 6th clinical Stage 1 - 1633905 AJCC/UICC 7th clinical Stage 1 - 1634457 AJCC/UICC 8th clinical Stage 1 - 1635758 AJCC/UICC 6th clinical Stage 2 - 1634718 AJCC/UICC 7th clinical Stage 2 - 1635182 AJCC/UICC 8th clinical Stage 2 - 1635217 AJCC/UICC 6th clinical Stage 3 - 1635848 AJCC/UICC 7th clinical Stage 3 - 1635125 AJCC/UICC 8th clinical Stage 3 - 1634596 AJCC/UICC 6th clinical Stage 4 - 1634307 AJCC/UICC 7th clinical Stage 4 - 1634766 AJCC/UICC 8th clinical Stage 4 - 1635029 AJCC/UICC 6th clinical Stage 4A - 1635535 AJCC/UICC 7th clinical Stage 4A - 1634451 AJCC/UICC 8th clinical Stage 4A - 1634810 AJCC/UICC 6th clinical Stage 4B - 1633922 AJCC/UICC 7th clinical Stage 4B - 1635757 AJCC/UICC 8th clinical Stage 4B - 1635708 AJCC/UICC 6th clinical Stage 4C - 1633270 AJCC/UICC 7th clinical Stage 4C - 1634614 AJCC/UICC 8th clinical Stage 4C - 1635006"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.clinicalStaging"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.localised"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.localised"/> <short value="Localised (M)"/> <definition value="Describes if there disease is local Localised and Number of tumor modules are variables that work together"/> <comment value="Confined disease - 32942"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.localised"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.numberOfTumorNodules"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.numberOfTumorNodules"/> <short value="Number of tumor nodules (R)"/> <definition value="Indicates the number of tumor nodules in the case the disease is localised Localised and Number of tumor modules are variables that work together"/> <comment value="Number of tumor nodules - 4228659"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.numberOfTumorNodules"/> <min value="0"/> <max value="*"/> </base> <type> <code value="integer"/> </type> </element> <element id="ClinicalStage.locoRegional"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.locoRegional"/> <short value="Loco-regional (M)"/> <definition value="Indicates if the disease is in a loco-regional extent"/> <comment value=" Invasive Disease - 32943"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.locoRegional"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.isTransitMetastasisWithClinicalConfirmation"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.isTransitMetastasisWithClinicalConfirmation"/> <short value="Is Transit metastasis with clinical confirmation (M)"/> <definition value="Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes."/> <comment value="Transit Metastasis with Clinical Confirmation - 36769249"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.isTransitMetastasisWithClinicalConfirmation"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.isMultifocalTumor"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.isMultifocalTumor"/> <short value="Is Multifocal tumor (M)"/> <definition value="Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer."/> <comment value="Multifocal Tumor - 36769933"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.isMultifocalTumor"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.regionalNodalMetastases"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.regionalNodalMetastases"/> <short value="Regional nodal metastases (M)"/> <definition value="Describes if regional nodal mestastases happened"/> <comment value="Regional spread to lymph node - 36769269"/> <min value="1"/> <max value="*"/> <base> <path value="ClinicalStage.regionalNodalMetastases"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.sites"/> <short value="sites (R)"/> <definition value="Describes if site of metastasic disease is soft tissue"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.sites"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> </element> <element id="ClinicalStage.sites.id"> <path value="ClinicalStage.sites.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/> <min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ClinicalStage.sites.extension"> <path value="ClinicalStage.sites.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <description value="Extensions are always sliced by (at least) url"/> <rules value="open"/> </slicing> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="ClinicalStage.sites.modifierExtension"> <path value="ClinicalStage.sites.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/> <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/> <alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <xpath value="@value|f:*|h:div"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="ClinicalStage.sites.softTissue"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.sites.softTissue"/> <short value="Soft tissue (R)"/> <definition value="Describes if site of metastasic disease is soft tissue"/> <comment value="Metastasis to soft tissues - 35225724"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.sites.softTissue"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.distantLymphNode"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.sites.distantLymphNode"/> <short value="distant lymph node (R)"/> <definition value="Describes if site of metastasic disease is dystan lymph node"/> <comment value="Distant spread to lymph node - 36769243"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.sites.distantLymphNode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.lung"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.sites.lung"/> <short value="lung (R)"/> <definition value="Describes if site of metastasic disease is lung"/> <comment value="Metastasis to lung - 36770283"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.sites.lung"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.metastasisatbone"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.sites.metastasisatbone"/> <short value="metastasisAtBone (R)"/> <definition value="Describes if site of metastasic disease is bone"/> <comment value="Metastasis to bone - 36769301"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.sites.metastasisatbone"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.liver"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.sites.liver"/> <short value="liver (R)"/> <definition value="Describes if site of metastasic disease is liver"/> <comment value="Metastasis to liver - 36770544"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.sites.liver"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.pleura"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.sites.pleura"/> <short value="pleura (R)"/> <definition value="Describes if site of metastasic disease is pleura"/> <comment value="Metastasis to pleura - 35226258"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.sites.pleura"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.peritoneum"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.sites.peritoneum"/> <short value="peritoneum (R)"/> <definition value="Describes if site of metastasic disease is peritoneum"/> <comment value="Metastasis to peritoneum - 35226253"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.sites.peritoneum"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.brain"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.sites.brain"/> <short value="brain (R)"/> <definition value="Describes if site of metastasic disease is brain"/> <comment value="Metastasis to brain - 36768862"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.sites.brain"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.otherViscera"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.sites.otherViscera"/> <short value="other viscera (R)"/> <definition value="Describes if site of metastasic disease is other viscera Use the generic metastasis code or a metastasis subsumed in it, 36769180"/> <comment value="Metastasis - 36769180"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.sites.otherViscera"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.unknown"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|1.0.0"/> </extension> </extension> <path value="ClinicalStage.sites.unknown"/> <short value="unknown (R)"/> <definition value="Describes if site of metastasic disease is unknown"/> <comment value="Unknown - 4129922"/> <min value="0"/> <max value="*"/> <base> <path value="ClinicalStage.sites.unknown"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> </snapshot> <differential> <element id="ClinicalStage"> <path value="ClinicalStage"/> <short value="Clinical Stage"/> <definition value="Clinical Stage Maturity Level: 0 Draft"/> </element> <element id="ClinicalStage.diagnosisReference"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.diagnosisReference"/> <short value="Diagnosis Reference (M)"/> <definition value="Diagnosis element containing the data regarding the patient's cancer "/> <min value="1"/> <max value="*"/> <type> <code value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"/> </type> </element> <element id="ClinicalStage.stagingProceduresDoneBy"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="ClinicalStage.stagingProceduresDoneBy"/> <short value="Staging procedures done by (M)"/> <definition value="Describes the ID of the institution where staging procedure for primary tumour was performed "/> <min value="1"/> <max value="*"/> <type> <code value="string"/> </type> </element> <element id="ClinicalStage.imagingForPrimarySite"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForPrimarySite"/> <short value="Imaging for primary site (M)"/> <definition value="Defines whether any imaging study for primary site was performed or not "/> <min value="1"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> </element> <element id="ClinicalStage.imagingForPrimarySite.ct"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForPrimarySite.ct"/> <short value="CT for primary site (R)"/> <definition value="Defines whether any CT scan for primary site was performed or not "/> <comment value="Computed tomography - 4300757"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForPrimarySite.mri"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForPrimarySite.mri"/> <short value="MRI for primary site (R)"/> <definition value="Defines whether any MRI for primary site was performed or not "/> <comment value="Magnetic resonance imaging - 4013636"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForPrimarySite.us"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForPrimarySite.us"/> <short value="US for primary site (R)"/> <definition value="Defines whether any US for primary site was performed or not "/> <comment value="Ultrasonography - 4037672"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForPrimarySite.other"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForPrimarySite.other"/> <short value="Other imaging for primary site (R)"/> <definition value="Provides any other value for imaging options for primary site "/> <comment value="Code from Procedure domain Fluorodeoxyglucose positron emission tomography - 2000100025 Positron emission tomography using other tracers - 2000100026"/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.imagingForNeck"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForNeck"/> <short value="Imaging for neck (M)"/> <definition value="Whether any imaging study for the neck was performed or not "/> <min value="1"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> </element> <element id="ClinicalStage.imagingForNeck.ct"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForNeck.ct"/> <short value="CT for neck (R)"/> <definition value="Defines whether any CT scan for neck was performed or not "/> <comment value="Computed tomography of neck - 3307719"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForNeck.mri"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForNeck.mri"/> <short value="MRI for neck (R)"/> <definition value="Defines whether any MRI for neck was performed or not "/> <comment value="Magnetic resonance imaging of neck - 4218948"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForNeck.us"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForNeck.us"/> <short value="US for neck (R)"/> <definition value="Defines whether any US for neck was performed or not "/> <comment value="Ultrasonography of Neck - 2793113"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForNeck.other"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForNeck.other"/> <short value="Other imaging for neck (R)"/> <definition value="Provides any other value for imaging options for neck "/> <comment value="Code from Procedure domain Fluorodeoxyglucose positron emission tomography -2000100025 Positron emission tomography using other tracers - 2000100026"/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.imagingForMetastasis"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForMetastasis"/> <short value="Imaging for metastasis (M)"/> <definition value="Wherther any imaging study for metastasis was performed or not "/> <min value="1"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> </element> <element id="ClinicalStage.imagingForMetastasis.ct"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForMetastasis.ct"/> <short value="CT for metastasis (R)"/> <definition value="Defines whether any CT scan for metastasis was performed or not "/> <comment value="CT of chest - 4058335 CT of abdomen - 4061009 CT of pelvis - 4058336 CT of brain - 4145739"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForMetastasis.mri"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForMetastasis.mri"/> <short value="MRI for metastasis (R)"/> <definition value="Defines whether any MRI for metastasis was performed or not "/> <comment value="MRI of abdomen - 4083230 MRI of pelvis - 4097527 MRI of brain - 37311324"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForMetastasis.us"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForMetastasis.us"/> <short value="US for metastasis (R)"/> <definition value="Defines whether any US for metastasis was performed or not "/> <comment value="Ultrasonography of abdomen - 4261497"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.imagingForMetastasis.other"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.imagingForMetastasis.other"/> <short value="Other imaging for metastasis (R)"/> <definition value="Provides any other value for imaging options for metastasis "/> <comment value="Code from Procedure domain Standard chest X-ray - 4056836 Radioisotope scan of bone - 4217238 Positron emission tomography - 4305790 Fluorodeoxyglucose positron emission tomography - 2000100025 Positron emission tomography using other tracers - 2000100026"/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.ct"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="ClinicalStage.ct"/> <short value="cT (M)"/> <definition value="Specifies the clinical T "/> <comment value="AJCC/UICC 6th clinical TX Category - 1635299 AJCC/UICC 7th clinical TX Category - 1634269 AJCC/UICC 8th clinical TX Category - 1633589 AJCC/UICC 6th clinical Tis Category - 1635857 AJCC/UICC 7th clinical Tis Category - 1635227 AJCC/UICC 8th clinical Tis Category - 1633737 AJCC/UICC 6th clinical T0 Category - 1635656 AJCC/UICC 7th clinical T0 Category - 1633815 AJCC/UICC 8th clinical T0 Category - 1635794 AJCC/UICC 6th clinical T1 Category - 1634381 AJCC/UICC 7th clinical T1 Category - 1635664 AJCC/UICC 8th clinical T1 Category - 1633883 AJCC/UICC 6th clinical T2 Category - 1633747 AJCC/UICC 7th clinical T2 Category - 1634029 AJCC/UICC 8th clinical T2 Category - 1634651 AJCC/UICC 6th clinical T3 Category - 1633877 AJCC/UICC 7th clinical T3 Category - 1633324 AJCC/UICC 8th clinical T3 Category - 1635556 AJCC/UICC 6th clinical T4 Category - 1635522 AJCC/UICC 7th clinical T4 Category - 1635530 AJCC/UICC 8th clinical T4 Category - 1634973 AJCC/UICC 6th clinical T4a Category - 1634247 AJCC/UICC 7th clinical T4a Category - 1634522 AJCC/UICC 8th clinical T4a Category - 1634963 AJCC/UICC 6th clinical T4b Category - 1634624 AJCC/UICC 7th clinical T4b Category - 1634120 AJCC/UICC 8th clinical T4b Category - 1634854"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.cn"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="ClinicalStage.cn"/> <short value="cN (M)"/> <definition value="Specifies the clinical N "/> <comment value="AJCC/UICC 6th clinical NX Category - 1635104 AJCC/UICC 7th clinical NX Category - 1633679 AJCC/UICC 8th clinical NX Category - 1634797 AJCC/UICC 6th clinical N0 Category - 1633315 AJCC/UICC 7th clinical N0 Category - 1633942 AJCC/UICC 8th clinical N0 Category - 1634070 AJCC/UICC 6th clinical N1 Category - 1635697 AJCC/UICC 7th clinical N1 Category - 1634139 AJCC/UICC 8th clinical N1 Category - 1633651 AJCC/UICC 6th clinical N2 Category - 1635470 AJCC/UICC 7th clinical N2 Category - 1635634 AJCC/UICC 8th clinical N2 Category - 1633763 AJCC/UICC 6th clinical N2a Category - 1634143 AJCC/UICC 7th clinical N2a Category - 1635739 AJCC/UICC 8th clinical N2a Category - 1633788 AJCC/UICC 6th clinical N2b Category - 1633433 AJCC/UICC 7th clinical N2b Category - 1635677 AJCC/UICC 8th clinical N2b Category - 1633323 AJCC/UICC 6th clinical N2c Category - 1634678 AJCC/UICC 7th clinical N2c Category - 1634727 AJCC/UICC 8th clinical N2c Category - 1633271 AJCC/UICC 6th clinical N3 Category - 1635605 AJCC/UICC 7th clinical N3 Category - 1634037 AJCC/UICC 8th clinical N3 Category - 1633854 AJCC/UICC 6th clinical N3a Category - 1633434 AJCC/UICC 7th clinical N3a Category - 1635004 AJCC/UICC 8th clinical N3a Category - 1635496 AJCC/UICC 6th clinical N3b Category - 1635283 AJCC/UICC 7th clinical N3b Category - 1635084 AJCC/UICC 8th clinical N3b Category - 1635828"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.cm"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="ClinicalStage.cm"/> <short value="cM (M)"/> <definition value="Specifies the clinical M "/> <comment value="AJCC/UICC 6th clinical M0 Category - 1634194 AJCC/UICC 7th clinical M0 Category - 1633468 AJCC/UICC 8th clinical M0 Category - 1634757 AJCC/UICC 6th clinical M1 Category - 1634829 AJCC/UICC 7th clinical M1 Category - 1633276 AJCC/UICC 8th clinical M1 Category - 1633974"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.extraNodalExtension"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="ClinicalStage.extraNodalExtension"/> <short value="Extra-nodal extension (rEne) (M)"/> <definition value="Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed check CODEs"/> <comment value="ENE- - 36769946 ENE+ - 36770618"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.clinicalStaging"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <path value="ClinicalStage.clinicalStaging"/> <short value="Clinical Staging (M)"/> <definition value="Specifies the clinical TNM "/> <comment value="AJCC/UICC 6th clinical Stage 0 - 1635842 AJCC/UICC 7th clinical Stage 0 - 1633828 AJCC/UICC 8th clinical Stage 0 - 1635824 AJCC/UICC 6th clinical Stage 1 - 1633905 AJCC/UICC 7th clinical Stage 1 - 1634457 AJCC/UICC 8th clinical Stage 1 - 1635758 AJCC/UICC 6th clinical Stage 2 - 1634718 AJCC/UICC 7th clinical Stage 2 - 1635182 AJCC/UICC 8th clinical Stage 2 - 1635217 AJCC/UICC 6th clinical Stage 3 - 1635848 AJCC/UICC 7th clinical Stage 3 - 1635125 AJCC/UICC 8th clinical Stage 3 - 1634596 AJCC/UICC 6th clinical Stage 4 - 1634307 AJCC/UICC 7th clinical Stage 4 - 1634766 AJCC/UICC 8th clinical Stage 4 - 1635029 AJCC/UICC 6th clinical Stage 4A - 1635535 AJCC/UICC 7th clinical Stage 4A - 1634451 AJCC/UICC 8th clinical Stage 4A - 1634810 AJCC/UICC 6th clinical Stage 4B - 1633922 AJCC/UICC 7th clinical Stage 4B - 1635757 AJCC/UICC 8th clinical Stage 4B - 1635708 AJCC/UICC 6th clinical Stage 4C - 1633270 AJCC/UICC 7th clinical Stage 4C - 1634614 AJCC/UICC 8th clinical Stage 4C - 1635006"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="ClinicalStage.localised"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.localised"/> <short value="Localised (M)"/> <definition value="Describes if there disease is local Localised and Number of tumor modules are variables that work together"/> <comment value="Confined disease - 32942"/> <min value="1"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.numberOfTumorNodules"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.numberOfTumorNodules"/> <short value="Number of tumor nodules (R)"/> <definition value="Indicates the number of tumor nodules in the case the disease is localised Localised and Number of tumor modules are variables that work together"/> <comment value="Number of tumor nodules - 4228659"/> <min value="0"/> <max value="*"/> <type> <code value="integer"/> </type> </element> <element id="ClinicalStage.locoRegional"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.locoRegional"/> <short value="Loco-regional (M)"/> <definition value="Indicates if the disease is in a loco-regional extent "/> <comment value=" Invasive Disease - 32943 "/> <min value="1"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.isTransitMetastasisWithClinicalConfirmation"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.isTransitMetastasisWithClinicalConfirmation"/> <short value="Is Transit metastasis with clinical confirmation (M)"/> <definition value="Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes. "/> <comment value="Transit Metastasis with Clinical Confirmation - 36769249 "/> <min value="1"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.isMultifocalTumor"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.isMultifocalTumor"/> <short value="Is Multifocal tumor (M)"/> <definition value="Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer. "/> <comment value="Multifocal Tumor - 36769933 "/> <min value="1"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.regionalNodalMetastases"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.regionalNodalMetastases"/> <short value="Regional nodal metastases (M)"/> <definition value="Describes if regional nodal mestastases happened "/> <comment value="Regional spread to lymph node - 36769269"/> <min value="1"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.sites"/> <short value="sites (R)"/> <definition value="Describes if site of metastasic disease is soft tissue"/> <min value="0"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> </element> <element id="ClinicalStage.sites.softTissue"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.sites.softTissue"/> <short value="Soft tissue (R)"/> <definition value="Describes if site of metastasic disease is soft tissue "/> <comment value="Metastasis to soft tissues - 35225724"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.distantLymphNode"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.sites.distantLymphNode"/> <short value="distant lymph node (R)"/> <definition value="Describes if site of metastasic disease is dystan lymph node "/> <comment value="Distant spread to lymph node - 36769243"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.lung"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.sites.lung"/> <short value="lung (R)"/> <definition value="Describes if site of metastasic disease is lung "/> <comment value="Metastasis to lung - 36770283"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.metastasisatbone"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.sites.metastasisatbone"/> <short value="metastasisAtBone (R)"/> <definition value="Describes if site of metastasic disease is bone "/> <comment value="Metastasis to bone - 36769301"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.liver"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.sites.liver"/> <short value="liver (R)"/> <definition value="Describes if site of metastasic disease is liver "/> <comment value="Metastasis to liver - 36770544"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.pleura"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.sites.pleura"/> <short value="pleura (R)"/> <definition value="Describes if site of metastasic disease is pleura "/> <comment value="Metastasis to pleura - 35226258"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.peritoneum"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.sites.peritoneum"/> <short value="peritoneum (R)"/> <definition value="Describes if site of metastasic disease is peritoneum "/> <comment value="Metastasis to peritoneum - 35226253"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.brain"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.sites.brain"/> <short value="brain (R)"/> <definition value="Describes if site of metastasic disease is brain "/> <comment value="Metastasis to brain - 36768862"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.otherViscera"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.sites.otherViscera"/> <short value="other viscera (R)"/> <definition value="Describes if site of metastasic disease is other viscera Use the generic metastasis code or a metastasis subsumed in it, 36769180"/> <comment value="Metastasis - 36769180"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="ClinicalStage.sites.unknown"> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/obligation"> <extension url="code"> <valueCode value="SHALL:handle"/> </extension> <extension url="actor"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/> </extension> </extension> <path value="ClinicalStage.sites.unknown"/> <short value="unknown (R)"/> <definition value="Describes if site of metastasic disease is unknown "/> <comment value="Unknown - 4129922"/> <min value="0"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> </differential> </StructureDefinition>