Generated Narrative: StructureDefinition PathologicalStage

NameFlagsCard.TypeDescription & Constraintsdoco
.. PathologicalStage 0..*BasePathological Stage
... diagnosisReference O1..*DiagnosisDiagnosis Reference (M)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
... stagingProceduresDoneBy O1..*stringStaging procedures done by (M)
ObligationsActor
SHALL:handleHead and Neck
... pt O1..*CodeableConceptpT (M)
ObligationsActor
SHALL:handleHead and Neck
... pn O1..*CodeableConceptpN (M)
ObligationsActor
SHALL:handleHead and Neck
... pm O1..*CodeableConceptpM (M)
ObligationsActor
SHALL:handleHead and Neck
... extraNodalExtension O1..*CodeableConceptExtra-nodal extension (rEne) (M)
ObligationsActor
SHALL:handleHead and Neck
... sentinelNode O1..*booleanSentinel node (M)
ObligationsActor
SHALL:handleHead and Neck
... pathologicalStaging O1..*CodeableConceptPathological staging (M)
ObligationsActor
SHALL:handleHead and Neck
... localised O1..*booleanLocalised (M)
ObligationsActor
SHALL:handleSarcoma
... numberOfTumorNodules O0..*integerNumber of tumor nodules (R)
ObligationsActor
SHALL:handleSarcoma
... locoRegional O1..*booleanLoco-regional (M)
ObligationsActor
SHALL:handleSarcoma
... isTransitMetastasisWithClinicalConfirmation O1..*booleanIs Transit metastasis with clinical confirmation (M)
ObligationsActor
SHALL:handleSarcoma
... isMultifocalTumor O1..*booleanIs Multifocal tumor (M)
ObligationsActor
SHALL:handleSarcoma
... regionalNodalMetastases O1..*booleanRegional nodal metastases (M)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
... sites O0..*BackboneElementsites (R)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
.... softTissue O0..*booleanSoft tissue (R)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
.... distantLymphNode O0..*booleandistant lymph node (R)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
.... lung O0..*booleanlung (R)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
.... metastasisatbone O0..*booleanmetastasisAtBone (R)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
.... liver O0..*booleanliver (R)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
.... pleura O0..*booleanpleura (R)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
.... peritoneum O0..*booleanperitoneum (R)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
.... brain O0..*booleanbrain (R)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
.... otherViscera O0..*booleanother viscera (R)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma
.... unknown O0..*booleanunknown (R)
ObligationsActor
SHALL:handleHead and Neck
SHALL:handleSarcoma

doco Documentation for this format
 <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="Pathological 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/PathologicalStage"/> <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="PathologicalStage"> <path value="PathologicalStage"/> <short value="Pathological Stage"/> <definition value="Pathological 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="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.diagnosisReference"/> <min value="1"/> <max value="*"/> </base> <type> <code value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.stagingProceduresDoneBy"/> <min value="1"/> <max value="*"/> </base> <type> <code value="string"/> </type> </element> <element id="PathologicalStage.pt"> <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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.pt"/> <short value="pT (M)"/> <definition value="Specifies the pathological T"/> <comment value="AJCC/UICC 6th pathological TX Category - 1634270 AJCC/UICC 7th pathological TX Category - 1635402 AJCC/UICC 8th pathological TX Category - 1634986 AJCC/UICC 6th Tis Category - 1635660 AJCC/UICC 7th Tis Category - 1633798 AJCC/UICC 8th Tis Category - 1634720 AJCC/UICC 6th pathological T0 Category - 1633279 AJCC/UICC 7th pathological T0 Category - 1634675 AJCC/UICC 8th pathological T0 Category - 1634635 AJCC/UICC 6th pathological T1 Category - 1633445 AJCC/UICC 7th pathological T1 Category - 1635422 AJCC/UICC 8th pathological T1 Category - 1635070 AJCC/UICC 6th pathological T2 Category - 1634792 AJCC/UICC 7th pathological T2 Category - 1634491 AJCC/UICC 8th pathological T2 Category - 1633307 AJCC/UICC 6th pathological T3 Category - 1635670 AJCC/UICC 7th pathological T3 Category - 1634658 AJCC/UICC 8th pathological T3 Category - 1634386 AJCC/UICC 6th pathological T4 Category - 1635311 AJCC/UICC 7th pathological T4 Category - 1635341 AJCC/UICC 8th pathological T4 Category - 1635396 AJCC/UICC 6th pathological T4a Category - 1634101 AJCC/UICC 7th pathological T4a Category - 1633723 AJCC/UICC 8th pathological T4a Category - 1634894 AJCC/UICC 6th pathological T4b Category - 1633900 AJCC/UICC 7th pathological T4b Category - 1633699 AJCC/UICC 8th pathological T4b Category - 1633658"/> <min value="1"/> <max value="*"/> <base> <path value="PathologicalStage.pt"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="PathologicalStage.pn"> <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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.pn"/> <short value="pN (M)"/> <definition value="Specifies the pathological N"/> <comment value="AJCC/UICC 6th pathological NX Category - 1635823 AJCC/UICC 7th pathological NX Category - 1634505 AJCC/UICC 8th pathological NX Category - 1634117 AJCC/UICC 6th pathological N0 Category - 1634212 AJCC/UICC 7th pathological N0 Category - 1633726 AJCC/UICC 8th pathological N0 Category - 1635560 AJCC/UICC 6th pathological N1 Category - 1634562 AJCC/UICC 7th pathological N1 Category - 1634245 AJCC/UICC 8th pathological N1 Category - 1633659 AJCC/UICC 6th pathological N2 Category - 1634541 AJCC/UICC 7th pathological N2 Category - 1633569 AJCC/UICC 8th pathological N2 Category - 1633336 AJCC/UICC 6th pathological N2a Category - 1633273 AJCC/UICC 7th pathological N2a Category - 1635717 AJCC/UICC 8th pathological N2a Category - 1635871 AJCC/UICC 6th pathological N2b Category - 1634773 AJCC/UICC 7th pathological N2b Category - 1633607 AJCC/UICC 8th pathological N2b Category - 1634645 AJCC/UICC 6th pathological N2c Category - 1635113 AJCC/UICC 7th pathological N2c Category - 1634601 AJCC/UICC 8th pathological N2c Category - 1634383 AJCC/UICC 6th pathological N3 Category - 1634504 AJCC/UICC 7th pathological N3 Category - 1633668 AJCC/UICC 8th pathological N3 Category - 1635307 AJCC/UICC 6th pathological N3a Category - 1634271 AJCC/UICC 7th pathological N3a Category - 1634397 AJCC/UICC 8th pathological N3a Category - 1635545 AJCC/UICC 6th pathological N3b Category - 1633500 AJCC/UICC 7th pathological N3b Category - 1634847 AJCC/UICC 8th pathological N3b Category - 1634770"/> <min value="1"/> <max value="*"/> <base> <path value="PathologicalStage.pn"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="PathologicalStage.pm"> <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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.pm"/> <short value="pM (M)"/> <definition value="Specifies the pathological M"/> <comment value="AJCC/UICC 6th pathological M0 Category - 1635345 AJCC/UICC 7th pathological M0 Category - 1635536 AJCC/UICC 8th pathological M0 Category - 1634606 AJCC/UICC 6th pathological M1 Category - 1633469 AJCC/UICC 7th pathological M1 Category - 1635336 AJCC/UICC 8th pathological M1 Category - 1634891"/> <min value="1"/> <max value="*"/> <base> <path value="PathologicalStage.pm"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.extraNodalExtension"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="PathologicalStage.sentinelNode"> <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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.sentinelNode"/> <short value="Sentinel node (M)"/> <definition value="Describes whether a sentinel node procedure was performed or not. Sentinel lymph node biopsy is considered a diagnostic procedure, therefore, per se, the neck is not considered to have been treated if it does not lead to a neck dissection."/> <comment value="Sentinel lymph node biopsy - 4263386"/> <min value="1"/> <max value="*"/> <base> <path value="PathologicalStage.sentinelNode"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.pathologicalStaging"> <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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.pathologicalStaging"/> <short value="Pathological staging (M)"/> <definition value="Specifies the clinical TNM"/> <comment value="AJCC/UICC 6th pathological Stage 0 - 1634741 AJCC/UICC 7th pathological Stage 0 - 1635511 AJCC/UICC 8th pathological Stage 0 - 1634787 AJCC/UICC 6th pathological Stage 1 - 1635797 AJCC/UICC 7th pathological Stage 1 - 1635800 AJCC/UICC 8th pathological Stage 1 - 1634799 AJCC/UICC 6th pathological Stage 2 - 1633751 AJCC/UICC 7th pathological Stage 2 - 1634619 AJCC/UICC 8th pathological Stage 2 - 1635386 AJCC/UICC 6th pathological Stage 3 - 1633499 AJCC/UICC 7th pathological Stage 3 - 1634947 AJCC/UICC 8th pathological Stage 3 - 1634705 AJCC/UICC 6th pathological Stage 4 - 1634208 AJCC/UICC 7th pathological Stage 4 - 1635230 AJCC/UICC 8th pathological Stage 4 - 1633697 AJCC/UICC 6th pathological Stage 4A - 1634731 AJCC/UICC 7th pathological Stage 4A - 1635745 AJCC/UICC 8th pathological Stage 4A - 1634005 AJCC/UICC 6th pathological Stage 4B - 1635370 AJCC/UICC 7th pathological Stage 4B - 1634472 AJCC/UICC 8th pathological Stage 4B - 1634487 AJCC/UICC 6th pathological Stage 4C - 1635893 AJCC/UICC 7th pathological Stage 4C - 1634492 AJCC/UICC 8th pathological Stage 4C - 1634551"/> <min value="1"/> <max value="*"/> <base> <path value="PathologicalStage.pathologicalStaging"/> <min value="1"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.localised"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.numberOfTumorNodules"/> <min value="0"/> <max value="*"/> </base> <type> <code value="integer"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.locoRegional"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.isTransitMetastasisWithClinicalConfirmation"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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-sarcoma-i4rc"/> </extension> <extension url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source"> <valueCanonical value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.isMultifocalTumor"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.regionalNodalMetastases"/> <min value="1"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.sites"/> <short value="sites (R)"/> <definition value="Describes if site of metastasic disease is soft tissue"/> <min value="0"/> <max value="*"/> <base> <path value="PathologicalStage.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="PathologicalStage.sites.id"> <path value="PathologicalStage.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="PathologicalStage.sites.extension"> <path value="PathologicalStage.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="PathologicalStage.sites.modifierExtension"> <path value="PathologicalStage.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="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.sites.softTissue"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.sites.distantLymphNode"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.sites.lung"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.sites.metastasisatbone"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.sites.liver"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.sites.pleura"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.sites.peritoneum"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.sites.brain"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.sites.otherViscera"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.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/PathologicalStage|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/PathologicalStage|1.0.0"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.sites.unknown"/> <min value="0"/> <max value="*"/> </base> <type> <code value="boolean"/> </type> </element> </snapshot> <differential> <element id="PathologicalStage"> <path value="PathologicalStage"/> <short value="Pathological Stage"/> <definition value="Pathological Stage Maturity Level: 0 Draft"/> </element> <element id="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.pt"> <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="PathologicalStage.pt"/> <short value="pT (M)"/> <definition value="Specifies the pathological T "/> <comment value="AJCC/UICC 6th pathological TX Category - 1634270 AJCC/UICC 7th pathological TX Category - 1635402 AJCC/UICC 8th pathological TX Category - 1634986 AJCC/UICC 6th Tis Category - 1635660 AJCC/UICC 7th Tis Category - 1633798 AJCC/UICC 8th Tis Category - 1634720 AJCC/UICC 6th pathological T0 Category - 1633279 AJCC/UICC 7th pathological T0 Category - 1634675 AJCC/UICC 8th pathological T0 Category - 1634635 AJCC/UICC 6th pathological T1 Category - 1633445 AJCC/UICC 7th pathological T1 Category - 1635422 AJCC/UICC 8th pathological T1 Category - 1635070 AJCC/UICC 6th pathological T2 Category - 1634792 AJCC/UICC 7th pathological T2 Category - 1634491 AJCC/UICC 8th pathological T2 Category - 1633307 AJCC/UICC 6th pathological T3 Category - 1635670 AJCC/UICC 7th pathological T3 Category - 1634658 AJCC/UICC 8th pathological T3 Category - 1634386 AJCC/UICC 6th pathological T4 Category - 1635311 AJCC/UICC 7th pathological T4 Category - 1635341 AJCC/UICC 8th pathological T4 Category - 1635396 AJCC/UICC 6th pathological T4a Category - 1634101 AJCC/UICC 7th pathological T4a Category - 1633723 AJCC/UICC 8th pathological T4a Category - 1634894 AJCC/UICC 6th pathological T4b Category - 1633900 AJCC/UICC 7th pathological T4b Category - 1633699 AJCC/UICC 8th pathological T4b Category - 1633658"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="PathologicalStage.pn"> <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="PathologicalStage.pn"/> <short value="pN (M)"/> <definition value="Specifies the pathological N "/> <comment value="AJCC/UICC 6th pathological NX Category - 1635823 AJCC/UICC 7th pathological NX Category - 1634505 AJCC/UICC 8th pathological NX Category - 1634117 AJCC/UICC 6th pathological N0 Category - 1634212 AJCC/UICC 7th pathological N0 Category - 1633726 AJCC/UICC 8th pathological N0 Category - 1635560 AJCC/UICC 6th pathological N1 Category - 1634562 AJCC/UICC 7th pathological N1 Category - 1634245 AJCC/UICC 8th pathological N1 Category - 1633659 AJCC/UICC 6th pathological N2 Category - 1634541 AJCC/UICC 7th pathological N2 Category - 1633569 AJCC/UICC 8th pathological N2 Category - 1633336 AJCC/UICC 6th pathological N2a Category - 1633273 AJCC/UICC 7th pathological N2a Category - 1635717 AJCC/UICC 8th pathological N2a Category - 1635871 AJCC/UICC 6th pathological N2b Category - 1634773 AJCC/UICC 7th pathological N2b Category - 1633607 AJCC/UICC 8th pathological N2b Category - 1634645 AJCC/UICC 6th pathological N2c Category - 1635113 AJCC/UICC 7th pathological N2c Category - 1634601 AJCC/UICC 8th pathological N2c Category - 1634383 AJCC/UICC 6th pathological N3 Category - 1634504 AJCC/UICC 7th pathological N3 Category - 1633668 AJCC/UICC 8th pathological N3 Category - 1635307 AJCC/UICC 6th pathological N3a Category - 1634271 AJCC/UICC 7th pathological N3a Category - 1634397 AJCC/UICC 8th pathological N3a Category - 1635545 AJCC/UICC 6th pathological N3b Category - 1633500 AJCC/UICC 7th pathological N3b Category - 1634847 AJCC/UICC 8th pathological N3b Category - 1634770"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="PathologicalStage.pm"> <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="PathologicalStage.pm"/> <short value="pM (M)"/> <definition value="Specifies the pathological M "/> <comment value="AJCC/UICC 6th pathological M0 Category - 1635345 AJCC/UICC 7th pathological M0 Category - 1635536 AJCC/UICC 8th pathological M0 Category - 1634606 AJCC/UICC 6th pathological M1 Category - 1633469 AJCC/UICC 7th pathological M1 Category - 1635336 AJCC/UICC 8th pathological M1 Category - 1634891"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="PathologicalStage.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="PathologicalStage.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="PathologicalStage.sentinelNode"> <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="PathologicalStage.sentinelNode"/> <short value="Sentinel node (M)"/> <definition value="Describes whether a sentinel node procedure was performed or not. Sentinel lymph node biopsy is considered a diagnostic procedure, therefore, per se, the neck is not considered to have been treated if it does not lead to a neck dissection. "/> <comment value="Sentinel lymph node biopsy - 4263386"/> <min value="1"/> <max value="*"/> <type> <code value="boolean"/> </type> </element> <element id="PathologicalStage.pathologicalStaging"> <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="PathologicalStage.pathologicalStaging"/> <short value="Pathological staging (M)"/> <definition value="Specifies the clinical TNM "/> <comment value="AJCC/UICC 6th pathological Stage 0 - 1634741 AJCC/UICC 7th pathological Stage 0 - 1635511 AJCC/UICC 8th pathological Stage 0 - 1634787 AJCC/UICC 6th pathological Stage 1 - 1635797 AJCC/UICC 7th pathological Stage 1 - 1635800 AJCC/UICC 8th pathological Stage 1 - 1634799 AJCC/UICC 6th pathological Stage 2 - 1633751 AJCC/UICC 7th pathological Stage 2 - 1634619 AJCC/UICC 8th pathological Stage 2 - 1635386 AJCC/UICC 6th pathological Stage 3 - 1633499 AJCC/UICC 7th pathological Stage 3 - 1634947 AJCC/UICC 8th pathological Stage 3 - 1634705 AJCC/UICC 6th pathological Stage 4 - 1634208 AJCC/UICC 7th pathological Stage 4 - 1635230 AJCC/UICC 8th pathological Stage 4 - 1633697 AJCC/UICC 6th pathological Stage 4A - 1634731 AJCC/UICC 7th pathological Stage 4A - 1635745 AJCC/UICC 8th pathological Stage 4A - 1634005 AJCC/UICC 6th pathological Stage 4B - 1635370 AJCC/UICC 7th pathological Stage 4B - 1634472 AJCC/UICC 8th pathological Stage 4B - 1634487 AJCC/UICC 6th pathological Stage 4C - 1635893 AJCC/UICC 7th pathological Stage 4C - 1634492 AJCC/UICC 8th pathological Stage 4C - 1634551"/> <min value="1"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> </element> <element id="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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-sarcoma-i4rc"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.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-sarcoma-i4rc"/> </extension> </extension> <path value="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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="PathologicalStage.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>