IDEA4RC FHIR Implementation Guide
1.0.0 - release 150

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Logical Model: DiseaseExtentI4RC - TTL Profile

Active as of 2026-09-17

TTL representation of the DiseaseExtent logical model.

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/StructureDefinition/DiseaseExtent> a fhir:StructureDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "DiseaseExtent"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition DiseaseExtent</b></p><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent\" title=\"Disease Extent#xA;Maturity Level: 0 Draft\">DiseaseExtent</a><a name=\"DiseaseExtent\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://build.fhir.org/types.html#Base\">Base</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Disease Extent</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.episodeEvent\" title=\"EpisodeEvent element containing the data regarding the patient's cancer \">episodeEvent</a><a name=\"DiseaseExtent.episodeEvent\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-EpisodeEvent.html\">EpisodeEvent</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Episode Event Reference (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.localised\" title=\"Describes if there disease is local #xA;Localised and Number of tumor modules are variables that work together\">localised</a><a name=\"DiseaseExtent.localised\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Localised (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.numberOfTumorNodules\" title=\"Indicates the number of tumor nodules in the case the disease is localised #xA;Localised and Number of tumor modules are variables that work together\">numberOfTumorNodules</a><a name=\"DiseaseExtent.numberOfTumorNodules\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Number of tumor nodules (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.locoRegional\" title=\"Indicates if the disease is in a loco-regional extent \">locoRegional</a><a name=\"DiseaseExtent.locoRegional\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Loco-regional (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.isTransitMetastasisWithClinicalConfirmation\" title=\"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. \">isTransitMetastasisWithClinicalConfirmation</a><a name=\"DiseaseExtent.isTransitMetastasisWithClinicalConfirmation\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Is Transit metastasis with clinical confirmation (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.isMultifocalTumor\" title=\"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. \">isMultifocalTumor</a><a name=\"DiseaseExtent.isMultifocalTumor\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Is Multifocal tumor (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.regionalNodalMetastases\" title=\"Describes if regional nodal mestastases happened \">regionalNodalMetastases</a><a name=\"DiseaseExtent.regionalNodalMetastases\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Regional nodal metastases (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites\" title=\"Describes if site of metastasic disease  is soft tissue\">sites</a><a name=\"DiseaseExtent.sites\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">sites (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.softTissue\" title=\"Describes if site of metastasic disease  is soft tissue \">softTissue</a><a name=\"DiseaseExtent.sites.softTissue\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Soft tissue (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.distantLymphNode\" title=\"Describes if site of metastasic disease  is dystan lymph node \">distantLymphNode</a><a name=\"DiseaseExtent.sites.distantLymphNode\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">distant lymph node (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.lung\" title=\"Describes if site of metastasic disease  is lung \">lung</a><a name=\"DiseaseExtent.sites.lung\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">lung (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.metastasisatbone\" title=\"Describes if site of metastasic disease  is bone \">metastasisatbone</a><a name=\"DiseaseExtent.sites.metastasisatbone\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">metastasisAtBone (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.liver\" title=\"Describes if site of metastasic disease  is liver \">liver</a><a name=\"DiseaseExtent.sites.liver\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">liver (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.pleura\" title=\"Describes if site of metastasic disease  is pleura \">pleura</a><a name=\"DiseaseExtent.sites.pleura\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">pleura (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.peritoneum\" title=\"Describes if site of metastasic disease  is peritoneum \">peritoneum</a><a name=\"DiseaseExtent.sites.peritoneum\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">peritoneum (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.brain\" title=\"Describes if site of metastasic disease  is brain \">brain</a><a name=\"DiseaseExtent.sites.brain\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">brain (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.otherViscera\" title=\"Describes if site of metastasic disease  is other viscera #xA;Use the generic metastasis code or a metastasis subsumed in it, 36769180\">otherViscera</a><a name=\"DiseaseExtent.sites.otherViscera\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">other viscera (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  ] ;
  fhir:StructureDefinition.url [ fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent"] ;
  fhir:StructureDefinition.version [ fhir:value "1.0.0"] ;
  fhir:StructureDefinition.name [ fhir:value "DiseaseExtentI4RC"] ;
  fhir:StructureDefinition.title [ fhir:value "Disease Extent"] ;
  fhir:StructureDefinition.status [ fhir:value "active"] ;
  fhir:StructureDefinition.date [ fhir:value "2026-09-17T14:38:18+02:00"^^xsd:dateTime] ;
  fhir:StructureDefinition.publisher [ fhir:value "IDEA4RC Project"] ;
  fhir:StructureDefinition.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "IDEA4RC Project" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.idea4rc.eu/" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "IDEA4RC Project" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.idea4rc.eu/" ]
     ]
  ] ;
  fhir:StructureDefinition.description [ fhir:value "Disease Extent\nMaturity Level: 0 Draft"] ;
  fhir:StructureDefinition.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "150" ] ;
       fhir:Coding.display [ fhir:value "Europe" ]
     ]
  ] ;
  fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ;
  fhir:StructureDefinition.kind [ fhir:value "logical"] ;
  fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ;
  fhir:StructureDefinition.type [ fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent"] ;
  fhir:StructureDefinition.baseDefinition [
     fhir:value "http://hl7.org/fhir/StructureDefinition/Base" ;
     fhir:link <http://hl7.org/fhir/StructureDefinition/Base>
  ] ;
  fhir:StructureDefinition.derivation [ fhir:value "specialization"] ;
  fhir:StructureDefinition.snapshot [
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ;
       fhir:Extension.valueString [ fhir:value "4.0.1" ]
     ] ;
     fhir:StructureDefinition.snapshot.element [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "DiseaseExtent" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent" ] ;
       fhir:ElementDefinition.short [ fhir:value "Disease Extent" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Disease Extent\nMaturity Level: 0 Draft" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Base" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.episodeEvent" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.episodeEvent" ] ;
       fhir:ElementDefinition.short [ fhir:value "Episode Event Reference (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "EpisodeEvent element containing the data regarding the patient's cancer" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.episodeEvent" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.localised" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.localised" ] ;
       fhir:ElementDefinition.short [ fhir:value "Localised (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if there disease is local \nLocalised and Number of tumor modules are variables that work together" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Confined disease - 32942" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.localised" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.numberOfTumorNodules" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.numberOfTumorNodules" ] ;
       fhir:ElementDefinition.short [ fhir:value "Number of tumor nodules (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Indicates the number of tumor nodules in the case the disease is localised \nLocalised and Number of tumor modules are variables that work together" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Number of tumor nodules - 4228659" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.numberOfTumorNodules" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 4 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.locoRegional" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.locoRegional" ] ;
       fhir:ElementDefinition.short [ fhir:value "Loco-regional (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Indicates if the disease is in a loco-regional extent" ] ;
       fhir:ElementDefinition.comment [ fhir:value "\nInvasive Disease - 32943" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.locoRegional" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 5 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.isTransitMetastasisWithClinicalConfirmation" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.isTransitMetastasisWithClinicalConfirmation" ] ;
       fhir:ElementDefinition.short [ fhir:value "Is Transit metastasis with clinical confirmation (M)" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Transit Metastasis with Clinical Confirmation - 36769249" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.isTransitMetastasisWithClinicalConfirmation" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 6 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.isMultifocalTumor" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.isMultifocalTumor" ] ;
       fhir:ElementDefinition.short [ fhir:value "Is Multifocal tumor (M)" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Multifocal Tumor - 36769933" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.isMultifocalTumor" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 7 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.regionalNodalMetastases" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.regionalNodalMetastases" ] ;
       fhir:ElementDefinition.short [ fhir:value "Regional nodal metastases (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if regional nodal mestastases happened" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Regional spread to lymph node - 36769269" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.regionalNodalMetastases" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 8 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites" ] ;
       fhir:ElementDefinition.short [ fhir:value "sites (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is soft tissue" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.sites" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ]
     ], [
       fhir:index 9 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 10 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir: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." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 11 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.modifierExtension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:ElementDefinition.definition [ fhir: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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:ElementDefinition.comment [ fhir: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." ] ;
       fhir:ElementDefinition.requirements [ fhir: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)." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ], [
         fhir:value "modifiers" ;
         fhir:index 2
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 12 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.softTissue" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.softTissue" ] ;
       fhir:ElementDefinition.short [ fhir:value "Soft tissue (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is soft tissue" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to soft tissues - 35225724" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.sites.softTissue" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 13 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.distantLymphNode" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.distantLymphNode" ] ;
       fhir:ElementDefinition.short [ fhir:value "distant lymph node (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is dystan lymph node" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Distant spread to lymph node - 36769243" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.sites.distantLymphNode" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 14 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.lung" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.lung" ] ;
       fhir:ElementDefinition.short [ fhir:value "lung (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is lung" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to lung - 36770283" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.sites.lung" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 15 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.metastasisatbone" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.metastasisatbone" ] ;
       fhir:ElementDefinition.short [ fhir:value "metastasisAtBone (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is bone" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to bone - 36769301" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.sites.metastasisatbone" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 16 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.liver" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.liver" ] ;
       fhir:ElementDefinition.short [ fhir:value "liver (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is liver" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to liver - 36770544" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.sites.liver" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 17 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.pleura" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.pleura" ] ;
       fhir:ElementDefinition.short [ fhir:value "pleura (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is pleura" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to pleura - 35226258" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.sites.pleura" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 18 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.peritoneum" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.peritoneum" ] ;
       fhir:ElementDefinition.short [ fhir:value "peritoneum (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is peritoneum" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to peritoneum - 35226253" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.sites.peritoneum" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 19 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.brain" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.brain" ] ;
       fhir:ElementDefinition.short [ fhir:value "brain (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is brain" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to brain - 36768862" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.sites.brain" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 20 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.otherViscera" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|1.0.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.otherViscera" ] ;
       fhir:ElementDefinition.short [ fhir:value "other viscera (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is other viscera \nUse the generic metastasis code or a metastasis subsumed in it, 36769180" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis - 36769180" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "DiseaseExtent.sites.otherViscera" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ]
  ] ;
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "DiseaseExtent" ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent" ] ;
       fhir:ElementDefinition.short [ fhir:value "Disease Extent" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Disease Extent\nMaturity Level: 0 Draft" ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.episodeEvent" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.episodeEvent" ] ;
       fhir:ElementDefinition.short [ fhir:value "Episode Event Reference (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "EpisodeEvent element containing the data regarding the patient's cancer " ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.localised" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.localised" ] ;
       fhir:ElementDefinition.short [ fhir:value "Localised (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if there disease is local \nLocalised and Number of tumor modules are variables that work together" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Confined disease - 32942" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.numberOfTumorNodules" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.numberOfTumorNodules" ] ;
       fhir:ElementDefinition.short [ fhir:value "Number of tumor nodules (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Indicates the number of tumor nodules in the case the disease is localised \nLocalised and Number of tumor modules are variables that work together" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Number of tumor nodules - 4228659" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 4 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.locoRegional" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.locoRegional" ] ;
       fhir:ElementDefinition.short [ fhir:value "Loco-regional (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Indicates if the disease is in a loco-regional extent " ] ;
       fhir:ElementDefinition.comment [ fhir:value "\nInvasive Disease - 32943\n\n" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 5 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.isTransitMetastasisWithClinicalConfirmation" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.isTransitMetastasisWithClinicalConfirmation" ] ;
       fhir:ElementDefinition.short [ fhir:value "Is Transit metastasis with clinical confirmation (M)" ] ;
       fhir:ElementDefinition.definition [ fhir: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. " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Transit Metastasis with Clinical Confirmation - 36769249\n" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 6 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.isMultifocalTumor" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.isMultifocalTumor" ] ;
       fhir:ElementDefinition.short [ fhir:value "Is Multifocal tumor (M)" ] ;
       fhir:ElementDefinition.definition [ fhir: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. " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Multifocal Tumor - 36769933\n" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 7 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.regionalNodalMetastases" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.regionalNodalMetastases" ] ;
       fhir:ElementDefinition.short [ fhir:value "Regional nodal metastases (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if regional nodal mestastases happened " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Regional spread to lymph node - 36769269" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 8 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites" ] ;
       fhir:ElementDefinition.short [ fhir:value "sites (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is soft tissue" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 9 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.softTissue" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.softTissue" ] ;
       fhir:ElementDefinition.short [ fhir:value "Soft tissue (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is soft tissue " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to soft tissues - 35225724" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 10 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.distantLymphNode" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.distantLymphNode" ] ;
       fhir:ElementDefinition.short [ fhir:value "distant lymph node (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is dystan lymph node " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Distant spread to lymph node - 36769243" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 11 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.lung" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.lung" ] ;
       fhir:ElementDefinition.short [ fhir:value "lung (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is lung " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to lung - 36770283" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 12 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.metastasisatbone" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.metastasisatbone" ] ;
       fhir:ElementDefinition.short [ fhir:value "metastasisAtBone (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is bone " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to bone - 36769301" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 13 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.liver" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.liver" ] ;
       fhir:ElementDefinition.short [ fhir:value "liver (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is liver " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to liver - 36770544" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 14 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.pleura" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.pleura" ] ;
       fhir:ElementDefinition.short [ fhir:value "pleura (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is pleura " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to pleura - 35226258" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 15 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.peritoneum" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.peritoneum" ] ;
       fhir:ElementDefinition.short [ fhir:value "peritoneum (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is peritoneum " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to peritoneum - 35226253" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 16 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.brain" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.brain" ] ;
       fhir:ElementDefinition.short [ fhir:value "brain (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is brain " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis to brain - 36768862" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 17 ;
       fhir:Element.id [ fhir:value "DiseaseExtent.sites.otherViscera" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "DiseaseExtent.sites.otherViscera" ] ;
       fhir:ElementDefinition.short [ fhir:value "other viscera (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is other viscera \nUse the generic metastasis code or a metastasis subsumed in it, 36769180" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Metastasis - 36769180" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/StructureDefinition/DiseaseExtent.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/StructureDefinition/DiseaseExtent.ttl> .