Clinical Stage - TTL Representation - IDEA4RC FHIR Implementation Guide v0.1.0

IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions
Logical Model: ClinicalStageI4RC - TTL Profile

Draft as of 2026-08-07
TTL representation of the ClinicalStage 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/ClinicalStage> a fhir:StructureDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ClinicalStage"] ;
  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 ClinicalStage</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-ClinicalStage-definitions.html#ClinicalStage\" title=\"Clinical Stage#xA;Maturity Level: 0 Draft\">ClinicalStage</a><a name=\"ClinicalStage\"> </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\">Clinical Stage</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-ClinicalStage-definitions.html#ClinicalStage.diagnosisReference\" title=\"Diagnosis element containing the data regarding the patient's cancer \">diagnosisReference</a><a name=\"ClinicalStage.diagnosisReference\"> </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-Diagnosis.html\">Diagnosis</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\">Diagnosis 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-ClinicalStage-definitions.html#ClinicalStage.stagingProceduresDoneBy\" title=\"Describes the ID of the institution where staging procedure for primary tumour was performed \">stagingProceduresDoneBy</a><a name=\"ClinicalStage.stagingProceduresDoneBy\"> </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#string\">string</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\">Staging procedures done by (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></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_bck11.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_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalStage-definitions.html#ClinicalStage.imagingForPrimarySite\" title=\"Defines whether any imaging study for primary site was performed or not \">imagingForPrimarySite</a><a name=\"ClinicalStage.imagingForPrimarySite\"> </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#BackboneElement\">BackboneElement</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\">Imaging for primary site (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_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-ClinicalStage-definitions.html#ClinicalStage.imagingForPrimarySite.ct\" title=\"Defines whether any CT scan for primary site was performed or not \">ct</a><a name=\"ClinicalStage.imagingForPrimarySite.ct\"> </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\">CT for primary site (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_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-ClinicalStage-definitions.html#ClinicalStage.imagingForPrimarySite.mri\" title=\"Defines whether any MRI for primary site was performed or not \">mri</a><a name=\"ClinicalStage.imagingForPrimarySite.mri\"> </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\">MRI for primary site (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_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-ClinicalStage-definitions.html#ClinicalStage.imagingForPrimarySite.us\" title=\"Defines whether any US for primary site was performed or not \">us</a><a name=\"ClinicalStage.imagingForPrimarySite.us\"> </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\">US for primary site (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_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalStage-definitions.html#ClinicalStage.imagingForPrimarySite.other\" title=\"Provides any other value for imaging options for primary site \">other</a><a name=\"ClinicalStage.imagingForPrimarySite.other\"> </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#CodeableConcept\">CodeableConcept</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 imaging for primary site (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_bck11.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_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalStage-definitions.html#ClinicalStage.imagingForNeck\" title=\"Whether any imaging study for the neck was performed or not \">imagingForNeck</a><a name=\"ClinicalStage.imagingForNeck\"> </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#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\">Imaging for neck (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_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-ClinicalStage-definitions.html#ClinicalStage.imagingForNeck.ct\" title=\"Defines whether any CT scan for neck was performed or not \">ct</a><a name=\"ClinicalStage.imagingForNeck.ct\"> </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\">CT for neck (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_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-ClinicalStage-definitions.html#ClinicalStage.imagingForNeck.mri\" title=\"Defines whether any MRI for neck was performed or not \">mri</a><a name=\"ClinicalStage.imagingForNeck.mri\"> </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\">MRI for neck (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_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-ClinicalStage-definitions.html#ClinicalStage.imagingForNeck.us\" title=\"Defines whether any US for neck was performed or not \">us</a><a name=\"ClinicalStage.imagingForNeck.us\"> </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\">US for neck (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_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-ClinicalStage-definitions.html#ClinicalStage.imagingForNeck.other\" title=\"Provides any other value for imaging options for neck \">other</a><a name=\"ClinicalStage.imagingForNeck.other\"> </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#CodeableConcept\">CodeableConcept</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\">Other imaging for neck (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_bck11.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_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalStage-definitions.html#ClinicalStage.imagingForMetastasis\" title=\"Wherther any imaging study for metastasis was performed or not \">imagingForMetastasis</a><a name=\"ClinicalStage.imagingForMetastasis\"> </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#BackboneElement\">BackboneElement</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\">Imaging for metastasis (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_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-ClinicalStage-definitions.html#ClinicalStage.imagingForMetastasis.ct\" title=\"Defines whether any CT scan for metastasis was performed or not \">ct</a><a name=\"ClinicalStage.imagingForMetastasis.ct\"> </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\">CT for metastasis (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_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-ClinicalStage-definitions.html#ClinicalStage.imagingForMetastasis.mri\" title=\"Defines whether any MRI for metastasis was performed or not \">mri</a><a name=\"ClinicalStage.imagingForMetastasis.mri\"> </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\">MRI for metastasis (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_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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-ClinicalStage-definitions.html#ClinicalStage.imagingForMetastasis.us\" title=\"Defines whether any US for metastasis was performed or not \">us</a><a name=\"ClinicalStage.imagingForMetastasis.us\"> </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\">US for metastasis (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_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.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: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalStage-definitions.html#ClinicalStage.imagingForMetastasis.other\" title=\"Provides any other value for imaging options for metastasis \">other</a><a name=\"ClinicalStage.imagingForMetastasis.other\"> </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#CodeableConcept\">CodeableConcept</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 imaging for metastasis (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_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalStage-definitions.html#ClinicalStage.ct\" title=\"Specifies the clinical T \">ct</a><a name=\"ClinicalStage.ct\"> </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#CodeableConcept\">CodeableConcept</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\">cT (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></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_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalStage-definitions.html#ClinicalStage.cn\" title=\"Specifies the clinical N \">cn</a><a name=\"ClinicalStage.cn\"> </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#CodeableConcept\">CodeableConcept</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\">cN (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></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_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalStage-definitions.html#ClinicalStage.cm\" title=\"Specifies the clinical M \">cm</a><a name=\"ClinicalStage.cm\"> </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#CodeableConcept\">CodeableConcept</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\">cM (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></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_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalStage-definitions.html#ClinicalStage.extraNodalExtension\" title=\"Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed #xA;check CODEs\">extraNodalExtension</a><a name=\"ClinicalStage.extraNodalExtension\"> </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#CodeableConcept\">CodeableConcept</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\">Extra-nodal extension (rEne) (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></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_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalStage-definitions.html#ClinicalStage.clinicalStaging\" title=\"Specifies the clinical TNM \">clinicalStaging</a><a name=\"ClinicalStage.clinicalStaging\"> </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#CodeableConcept\">CodeableConcept</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\">Clinical Staging (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></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-ClinicalStage-definitions.html#ClinicalStage.localised\" title=\"Describes if there disease is local #xA;Localised and Number of tumor modules are variables that work together\">localised</a><a name=\"ClinicalStage.localised\"> </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\">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-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-ClinicalStage-definitions.html#ClinicalStage.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=\"ClinicalStage.numberOfTumorNodules\"> </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#integer\">integer</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\">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-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-ClinicalStage-definitions.html#ClinicalStage.locoRegional\" title=\"Indicates if the disease is in a loco-regional extent \">locoRegional</a><a name=\"ClinicalStage.locoRegional\"> </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\">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-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-ClinicalStage-definitions.html#ClinicalStage.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=\"ClinicalStage.isTransitMetastasisWithClinicalConfirmation\"> </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 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: #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-ClinicalStage-definitions.html#ClinicalStage.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=\"ClinicalStage.isMultifocalTumor\"> </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 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: 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-ClinicalStage-definitions.html#ClinicalStage.regionalNodalMetastases\" title=\"Describes if regional nodal mestastases happened \">regionalNodalMetastases</a><a name=\"ClinicalStage.regionalNodalMetastases\"> </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\">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: #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_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: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-ClinicalStage-definitions.html#ClinicalStage.sites\" title=\"Describes if site of metastasic disease  is soft tissue\">sites</a><a name=\"ClinicalStage.sites\"> </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#BackboneElement\">BackboneElement</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\">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: 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-ClinicalStage-definitions.html#ClinicalStage.sites.softTissue\" title=\"Describes if site of metastasic disease  is soft tissue \">softTissue</a><a name=\"ClinicalStage.sites.softTissue\"> </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\">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: #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-ClinicalStage-definitions.html#ClinicalStage.sites.distantLymphNode\" title=\"Describes if site of metastasic disease  is dystan lymph node \">distantLymphNode</a><a name=\"ClinicalStage.sites.distantLymphNode\"> </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\">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: 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-ClinicalStage-definitions.html#ClinicalStage.sites.lung\" title=\"Describes if site of metastasic disease is lung \">lung</a><a name=\"ClinicalStage.sites.lung\"> </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\">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: #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-ClinicalStage-definitions.html#ClinicalStage.sites.metastasisatbone\" title=\"Describes if site of metastasic disease  is bone \">metastasisatbone</a><a name=\"ClinicalStage.sites.metastasisatbone\"> </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\">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: 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-ClinicalStage-definitions.html#ClinicalStage.sites.liver\" title=\"Describes if site of metastasic disease  is liver \">liver</a><a name=\"ClinicalStage.sites.liver\"> </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\">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: #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-ClinicalStage-definitions.html#ClinicalStage.sites.pleura\" title=\"Describes if site of metastasic disease  is pleura \">pleura</a><a name=\"ClinicalStage.sites.pleura\"> </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\">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: 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-ClinicalStage-definitions.html#ClinicalStage.sites.peritoneum\" title=\"Describes if site of metastasic disease  is peritoneum \">peritoneum</a><a name=\"ClinicalStage.sites.peritoneum\"> </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\">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: #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-ClinicalStage-definitions.html#ClinicalStage.sites.brain\" title=\"Describes if site of metastasic disease  is brain \">brain</a><a name=\"ClinicalStage.sites.brain\"> </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\">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: 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-ClinicalStage-definitions.html#ClinicalStage.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=\"ClinicalStage.sites.otherViscera\"> </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\">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 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-ClinicalStage-definitions.html#ClinicalStage.sites.unknown\" title=\"Describes if site of metastasic disease  is unknown \">unknown</a><a name=\"ClinicalStage.sites.unknown\"> </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\">unknown (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/ClinicalStage"] ;
  fhir:StructureDefinition.version [ fhir:value "0.1.0"] ;
  fhir:StructureDefinition.name [ fhir:value "ClinicalStageI4RC"] ;
  fhir:StructureDefinition.title [ fhir:value "Clinical Stage"] ;
  fhir:StructureDefinition.status [ fhir:value "draft"] ;
  fhir:StructureDefinition.date [ fhir:value "2026-08-07T10:05:28+00:00"^^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 "Clinical Stage\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/ClinicalStage"] ;
  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 "ClinicalStage" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage" ] ;
       fhir:ElementDefinition.short [ fhir:value "Clinical Stage" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Clinical Stage\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 "ClinicalStage.diagnosisReference" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.diagnosisReference" ] ;
       fhir:ElementDefinition.short [ fhir:value "Diagnosis Reference (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Diagnosis 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 "ClinicalStage.diagnosisReference" ] ;
         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/Diagnosis" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "ClinicalStage.stagingProceduresDoneBy" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.stagingProceduresDoneBy" ] ;
       fhir:ElementDefinition.short [ fhir:value "Staging procedures done by (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes the ID of the institution where staging procedure for primary tumour was performed" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.stagingProceduresDoneBy" ] ;
         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 "string" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForPrimarySite" ] ;
       fhir:ElementDefinition.short [ fhir:value "Imaging for primary site (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any imaging study for primary site was performed or not" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForPrimarySite" ] ;
         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 "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 4 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForPrimarySite.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 5 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForPrimarySite.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 6 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForPrimarySite.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 7 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite.ct" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForPrimarySite.ct" ] ;
       fhir:ElementDefinition.short [ fhir:value "CT for primary site (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any CT scan for primary site was performed or not" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Computed tomography - 4300757" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForPrimarySite.ct" ] ;
         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 8 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite.mri" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForPrimarySite.mri" ] ;
       fhir:ElementDefinition.short [ fhir:value "MRI for primary site (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any MRI for primary site was performed or not" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Magnetic resonance imaging - 4013636" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForPrimarySite.mri" ] ;
         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 9 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite.us" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForPrimarySite.us" ] ;
       fhir:ElementDefinition.short [ fhir:value "US for primary site (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any US for primary site was performed or not" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Ultrasonography - 4037672" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForPrimarySite.us" ] ;
         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 10 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite.other" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForPrimarySite.other" ] ;
       fhir:ElementDefinition.short [ fhir:value "Other imaging for primary site (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Provides any other value for imaging options for primary site" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Code from Procedure domain\n\n Fluorodeoxyglucose positron emission tomography - 2000100025\nPositron emission tomography using other tracers - 2000100026" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForPrimarySite.other" ] ;
         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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 11 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForNeck" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForNeck" ] ;
       fhir:ElementDefinition.short [ fhir:value "Imaging for neck (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Whether any imaging study for the neck was performed or not" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForNeck" ] ;
         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 "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 12 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForNeck.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForNeck.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 13 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForNeck.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForNeck.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 14 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForNeck.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForNeck.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 15 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForNeck.ct" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForNeck.ct" ] ;
       fhir:ElementDefinition.short [ fhir:value "CT for neck (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any CT scan for neck was performed or not" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Computed tomography of neck - 3307719" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForNeck.ct" ] ;
         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 "ClinicalStage.imagingForNeck.mri" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForNeck.mri" ] ;
       fhir:ElementDefinition.short [ fhir:value "MRI for neck (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any MRI for neck was performed or not" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Magnetic resonance imaging of neck - 4218948" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForNeck.mri" ] ;
         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 "ClinicalStage.imagingForNeck.us" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForNeck.us" ] ;
       fhir:ElementDefinition.short [ fhir:value "US for neck (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any US for neck was performed or not" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Ultrasonography of Neck - 2793113" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForNeck.us" ] ;
         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 "ClinicalStage.imagingForNeck.other" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForNeck.other" ] ;
       fhir:ElementDefinition.short [ fhir:value "Other imaging for neck (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Provides any other value for imaging options for neck" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Code from Procedure domain\n\n Fluorodeoxyglucose positron emission tomography -2000100025\nPositron emission tomography using other tracers - 2000100026" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForNeck.other" ] ;
         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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 19 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForMetastasis" ] ;
       fhir:ElementDefinition.short [ fhir:value "Imaging for metastasis (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Wherther any imaging study for metastasis was performed or not" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForMetastasis" ] ;
         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 "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 20 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForMetastasis.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 21 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForMetastasis.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 22 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForMetastasis.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 23 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis.ct" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForMetastasis.ct" ] ;
       fhir:ElementDefinition.short [ fhir:value "CT for metastasis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any CT scan for metastasis was performed or not" ] ;
       fhir:ElementDefinition.comment [ fhir:value "CT of chest - 4058335\nCT of abdomen - 4061009\nCT of pelvis - 4058336\nCT of brain - 4145739" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForMetastasis.ct" ] ;
         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 24 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis.mri" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForMetastasis.mri" ] ;
       fhir:ElementDefinition.short [ fhir:value "MRI for metastasis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any MRI for metastasis was performed or not" ] ;
       fhir:ElementDefinition.comment [ fhir:value "MRI of abdomen - 4083230\nMRI of pelvis - 4097527\nMRI of brain - 37311324" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForMetastasis.mri" ] ;
         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 25 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis.us" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForMetastasis.us" ] ;
       fhir:ElementDefinition.short [ fhir:value "US for metastasis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any US for metastasis was performed or not" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Ultrasonography of abdomen - 4261497" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForMetastasis.us" ] ;
         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 26 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis.other" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForMetastasis.other" ] ;
       fhir:ElementDefinition.short [ fhir:value "Other imaging for metastasis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Provides any other value for imaging options for metastasis" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Code from Procedure domain\n\nStandard chest X-ray - 4056836\nRadioisotope scan of bone - 4217238\nPositron emission tomography - 4305790\n Fluorodeoxyglucose positron emission tomography - 2000100025\nPositron emission tomography using other tracers - 2000100026" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.imagingForMetastasis.other" ] ;
         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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 27 ;
       fhir:Element.id [ fhir:value "ClinicalStage.ct" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.ct" ] ;
       fhir:ElementDefinition.short [ fhir:value "cT (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Specifies the clinical T" ] ;
       fhir:ElementDefinition.comment [ fhir:value "AJCC/UICC 6th clinical TX Category - 1635299\nAJCC/UICC 7th clinical TX Category - 1634269\nAJCC/UICC 8th clinical TX Category - 1633589\n\nAJCC/UICC 6th clinical Tis Category - 1635857\nAJCC/UICC 7th clinical Tis Category - 1635227\nAJCC/UICC 8th clinical Tis Category - 1633737\n\nAJCC/UICC 6th clinical T0 Category - 1635656\nAJCC/UICC 7th clinical T0 Category - 1633815\nAJCC/UICC 8th clinical T0 Category - 1635794\n\nAJCC/UICC 6th clinical T1 Category - 1634381\nAJCC/UICC 7th clinical T1 Category - 1635664\nAJCC/UICC 8th clinical T1 Category - 1633883\n\nAJCC/UICC 6th clinical T2 Category - 1633747\nAJCC/UICC 7th clinical T2 Category - 1634029\nAJCC/UICC 8th clinical T2 Category - 1634651\n\nAJCC/UICC 6th clinical T3 Category - 1633877\nAJCC/UICC 7th clinical T3 Category - 1633324\nAJCC/UICC 8th clinical T3 Category - 1635556\n\nAJCC/UICC 6th clinical T4 Category - 1635522\nAJCC/UICC 7th clinical T4 Category - 1635530\nAJCC/UICC 8th clinical T4 Category - 1634973\n\nAJCC/UICC 6th clinical T4a Category - 1634247\nAJCC/UICC 7th clinical T4a Category - 1634522\nAJCC/UICC 8th clinical T4a Category - 1634963\n\nAJCC/UICC 6th clinical T4b Category - 1634624\nAJCC/UICC 7th clinical T4b Category - 1634120\nAJCC/UICC 8th clinical T4b Category - 1634854" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.ct" ] ;
         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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 28 ;
       fhir:Element.id [ fhir:value "ClinicalStage.cn" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.cn" ] ;
       fhir:ElementDefinition.short [ fhir:value "cN (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Specifies the clinical N" ] ;
       fhir:ElementDefinition.comment [ fhir:value "AJCC/UICC 6th clinical NX Category - 1635104\nAJCC/UICC 7th clinical NX Category - 1633679\nAJCC/UICC 8th clinical NX Category - 1634797\n\nAJCC/UICC 6th clinical N0 Category - 1633315\nAJCC/UICC 7th clinical N0 Category - 1633942\nAJCC/UICC 8th clinical N0 Category - 1634070\n\nAJCC/UICC 6th clinical N1 Category - 1635697\nAJCC/UICC 7th clinical N1 Category - 1634139\nAJCC/UICC 8th clinical N1 Category - 1633651\n\nAJCC/UICC 6th clinical N2 Category - 1635470\nAJCC/UICC 7th clinical N2 Category - 1635634\nAJCC/UICC 8th clinical N2 Category - 1633763\n\nAJCC/UICC 6th clinical N2a Category - 1634143\nAJCC/UICC 7th clinical N2a Category - 1635739\nAJCC/UICC 8th clinical N2a Category - 1633788\n\nAJCC/UICC 6th clinical N2b Category - 1633433\nAJCC/UICC 7th clinical N2b Category - 1635677\nAJCC/UICC 8th clinical N2b Category - 1633323\n\nAJCC/UICC 6th clinical N2c Category - 1634678\nAJCC/UICC 7th clinical N2c Category - 1634727\nAJCC/UICC 8th clinical N2c Category - 1633271\n\nAJCC/UICC 6th clinical N3 Category - 1635605\nAJCC/UICC 7th clinical N3 Category - 1634037\nAJCC/UICC 8th clinical N3 Category - 1633854\n\nAJCC/UICC 6th clinical N3a Category - 1633434\nAJCC/UICC 7th clinical N3a Category - 1635004\nAJCC/UICC 8th clinical N3a Category - 1635496\n\nAJCC/UICC 6th clinical N3b Category - 1635283\nAJCC/UICC 7th clinical N3b Category - 1635084\nAJCC/UICC 8th clinical N3b Category - 1635828" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.cn" ] ;
         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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 29 ;
       fhir:Element.id [ fhir:value "ClinicalStage.cm" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.cm" ] ;
       fhir:ElementDefinition.short [ fhir:value "cM (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Specifies the clinical M" ] ;
       fhir:ElementDefinition.comment [ fhir:value "AJCC/UICC 6th clinical M0 Category - 1634194\nAJCC/UICC 7th clinical M0 Category - 1633468\nAJCC/UICC 8th clinical M0 Category - 1634757\n\nAJCC/UICC 6th clinical M1 Category - 1634829\nAJCC/UICC 7th clinical M1 Category - 1633276\nAJCC/UICC 8th clinical M1 Category - 1633974" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.cm" ] ;
         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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 30 ;
       fhir:Element.id [ fhir:value "ClinicalStage.extraNodalExtension" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.extraNodalExtension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Extra-nodal extension (rEne) (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed \ncheck CODEs" ] ;
       fhir:ElementDefinition.comment [ fhir:value "ENE- - 36769946\nENE+ - 36770618" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.extraNodalExtension" ] ;
         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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 31 ;
       fhir:Element.id [ fhir:value "ClinicalStage.clinicalStaging" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.clinicalStaging" ] ;
       fhir:ElementDefinition.short [ fhir:value "Clinical Staging (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Specifies the clinical TNM" ] ;
       fhir:ElementDefinition.comment [ fhir:value "AJCC/UICC 6th clinical Stage 0 - 1635842\nAJCC/UICC 7th clinical Stage 0 - 1633828\nAJCC/UICC 8th clinical Stage 0 - 1635824\n\nAJCC/UICC 6th clinical Stage 1 - 1633905\nAJCC/UICC 7th clinical Stage 1 - 1634457\nAJCC/UICC 8th clinical Stage 1 - 1635758\n\nAJCC/UICC 6th clinical Stage 2 - 1634718\nAJCC/UICC 7th clinical Stage 2 - 1635182\nAJCC/UICC 8th clinical Stage 2 - 1635217\n\nAJCC/UICC 6th clinical Stage 3 - 1635848\nAJCC/UICC 7th clinical Stage 3 - 1635125\nAJCC/UICC 8th clinical Stage 3 - 1634596\n\nAJCC/UICC 6th clinical Stage 4 - 1634307\nAJCC/UICC 7th clinical Stage 4 - 1634766\nAJCC/UICC 8th clinical Stage 4 - 1635029\n\nAJCC/UICC 6th clinical Stage 4A - 1635535\nAJCC/UICC 7th clinical Stage 4A - 1634451\nAJCC/UICC 8th clinical Stage 4A - 1634810\n\nAJCC/UICC 6th clinical Stage 4B - 1633922\nAJCC/UICC 7th clinical Stage 4B - 1635757\nAJCC/UICC 8th clinical Stage 4B - 1635708\n\nAJCC/UICC 6th clinical Stage 4C - 1633270\nAJCC/UICC 7th clinical Stage 4C - 1634614\nAJCC/UICC 8th clinical Stage 4C - 1635006" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.clinicalStaging" ] ;
         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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 32 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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-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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 33 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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-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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 34 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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-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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 35 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 36 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 37 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 38 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 39 ;
       fhir:Element.id [ fhir:value "ClinicalStage.sites.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 40 ;
       fhir:Element.id [ fhir:value "ClinicalStage.sites.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 41 ;
       fhir:Element.id [ fhir:value "ClinicalStage.sites.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 42 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 43 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 44 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 45 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 46 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 47 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 48 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 49 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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 50 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.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 "ClinicalStage.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:index 51 ;
       fhir:Element.id [ fhir:value "ClinicalStage.sites.unknown" ] ;
       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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         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/ClinicalStage|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/ClinicalStage|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.sites.unknown" ] ;
       fhir:ElementDefinition.short [ fhir:value "unknown (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is unknown" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Unknown - 4129922" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "ClinicalStage.sites.unknown" ] ;
         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 "ClinicalStage" ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage" ] ;
       fhir:ElementDefinition.short [ fhir:value "Clinical Stage" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Clinical Stage\nMaturity Level: 0 Draft" ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "ClinicalStage.diagnosisReference" ] ;
       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 "ClinicalStage.diagnosisReference" ] ;
       fhir:ElementDefinition.short [ fhir:value "Diagnosis Reference (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Diagnosis 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/Diagnosis" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "ClinicalStage.stagingProceduresDoneBy" ] ;
       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:ElementDefinition.path [ fhir:value "ClinicalStage.stagingProceduresDoneBy" ] ;
       fhir:ElementDefinition.short [ fhir:value "Staging procedures done by (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes the ID of the institution where staging procedure for primary tumour was performed " ] ;
       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 "string" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite" ] ;
       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 "ClinicalStage.imagingForPrimarySite" ] ;
       fhir:ElementDefinition.short [ fhir:value "Imaging for primary site (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any imaging study for primary site was performed or not " ] ;
       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 "BackboneElement" ]
       ]
     ], [
       fhir:index 4 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite.ct" ] ;
       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 "ClinicalStage.imagingForPrimarySite.ct" ] ;
       fhir:ElementDefinition.short [ fhir:value "CT for primary site (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any CT scan for primary site was performed or not " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Computed tomography - 4300757" ] ;
       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 5 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite.mri" ] ;
       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 "ClinicalStage.imagingForPrimarySite.mri" ] ;
       fhir:ElementDefinition.short [ fhir:value "MRI for primary site (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any MRI for primary site was performed or not " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Magnetic resonance imaging - 4013636" ] ;
       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 6 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite.us" ] ;
       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 "ClinicalStage.imagingForPrimarySite.us" ] ;
       fhir:ElementDefinition.short [ fhir:value "US for primary site (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any US for primary site was performed or not " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Ultrasonography - 4037672" ] ;
       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 7 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForPrimarySite.other" ] ;
       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 "ClinicalStage.imagingForPrimarySite.other" ] ;
       fhir:ElementDefinition.short [ fhir:value "Other imaging for primary site (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Provides any other value for imaging options for primary site " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Code from Procedure domain\n\n Fluorodeoxyglucose positron emission tomography - 2000100025\nPositron emission tomography using other tracers - 2000100026" ] ;
       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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 8 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForNeck" ] ;
       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 "ClinicalStage.imagingForNeck" ] ;
       fhir:ElementDefinition.short [ fhir:value "Imaging for neck (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Whether any imaging study for the neck was performed or not " ] ;
       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 "BackboneElement" ]
       ]
     ], [
       fhir:index 9 ;
       fhir:Element.id [ fhir:value "ClinicalStage.imagingForNeck.ct" ] ;
       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 "ClinicalStage.imagingForNeck.ct" ] ;
       fhir:ElementDefinition.short [ fhir:value "CT for neck (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any CT scan for neck was performed or not " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Computed tomography of neck - 3307719" ] ;
       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 "ClinicalStage.imagingForNeck.mri" ] ;
       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 [
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             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
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       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForNeck.mri" ] ;
       fhir:ElementDefinition.short [ fhir:value "MRI for neck (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any MRI for neck was performed or not " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Magnetic resonance imaging of neck - 4218948" ] ;
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           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
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           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>
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           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
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             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
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       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForNeck.us" ] ;
       fhir:ElementDefinition.short [ fhir:value "US for neck (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any US for neck was performed or not " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Ultrasonography of Neck - 2793113" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
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       fhir:Element.id [ fhir:value "ClinicalStage.imagingForNeck.other" ] ;
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         fhir:Element.extension [
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           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
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             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
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           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
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           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
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             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
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       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForNeck.other" ] ;
       fhir:ElementDefinition.short [ fhir:value "Other imaging for neck (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Provides any other value for imaging options for neck " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Code from Procedure domain\n\n Fluorodeoxyglucose positron emission tomography -2000100025\nPositron emission tomography using other tracers - 2000100026" ] ;
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       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis" ] ;
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           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
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           fhir:Extension.url [ fhir:value "actor" ] ;
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             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
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       ], [
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         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 "ClinicalStage.imagingForMetastasis" ] ;
       fhir:ElementDefinition.short [ fhir:value "Imaging for metastasis (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Wherther any imaging study for metastasis was performed or not " ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
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         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
       ]
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         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>
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         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
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           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
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           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>
           ]
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       ] ;
       fhir:ElementDefinition.path [ fhir:value "ClinicalStage.imagingForMetastasis.ct" ] ;
       fhir:ElementDefinition.short [ fhir:value "CT for metastasis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any CT scan for metastasis was performed or not " ] ;
       fhir:ElementDefinition.comment [ fhir:value "CT of chest - 4058335\nCT of abdomen - 4061009\nCT of pelvis - 4058336\nCT of brain - 4145739" ] ;
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       ]
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       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis.mri" ] ;
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         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 "ClinicalStage.imagingForMetastasis.mri" ] ;
       fhir:ElementDefinition.short [ fhir:value "MRI for metastasis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any MRI for metastasis was performed or not " ] ;
       fhir:ElementDefinition.comment [ fhir:value "MRI of abdomen - 4083230\nMRI of pelvis - 4097527\nMRI of brain - 37311324" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
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         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
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       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis.us" ] ;
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         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 "ClinicalStage.imagingForMetastasis.us" ] ;
       fhir:ElementDefinition.short [ fhir:value "US for metastasis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Defines whether any US for metastasis was performed or not " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Ultrasonography of abdomen - 4261497" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
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         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
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       fhir:Element.id [ fhir:value "ClinicalStage.imagingForMetastasis.other" ] ;
       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 "ClinicalStage.imagingForMetastasis.other" ] ;
       fhir:ElementDefinition.short [ fhir:value "Other imaging for metastasis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Provides any other value for imaging options for metastasis " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Code from Procedure domain\n\nStandard chest X-ray - 4056836\nRadioisotope scan of bone - 4217238\nPositron emission tomography - 4305790\n Fluorodeoxyglucose positron emission tomography - 2000100025\nPositron emission tomography using other tracers - 2000100026" ] ;
       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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 18 ;
       fhir:Element.id [ fhir:value "ClinicalStage.ct" ] ;
       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:ElementDefinition.path [ fhir:value "ClinicalStage.ct" ] ;
       fhir:ElementDefinition.short [ fhir:value "cT (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Specifies the clinical T " ] ;
       fhir:ElementDefinition.comment [ fhir:value "AJCC/UICC 6th clinical TX Category - 1635299\nAJCC/UICC 7th clinical TX Category - 1634269\nAJCC/UICC 8th clinical TX Category - 1633589\n\nAJCC/UICC 6th clinical Tis Category - 1635857\nAJCC/UICC 7th clinical Tis Category - 1635227\nAJCC/UICC 8th clinical Tis Category - 1633737\n\nAJCC/UICC 6th clinical T0 Category - 1635656\nAJCC/UICC 7th clinical T0 Category - 1633815\nAJCC/UICC 8th clinical T0 Category - 1635794\n\nAJCC/UICC 6th clinical T1 Category - 1634381\nAJCC/UICC 7th clinical T1 Category - 1635664\nAJCC/UICC 8th clinical T1 Category - 1633883\n\nAJCC/UICC 6th clinical T2 Category - 1633747\nAJCC/UICC 7th clinical T2 Category - 1634029\nAJCC/UICC 8th clinical T2 Category - 1634651\n\nAJCC/UICC 6th clinical T3 Category - 1633877\nAJCC/UICC 7th clinical T3 Category - 1633324\nAJCC/UICC 8th clinical T3 Category - 1635556\n\nAJCC/UICC 6th clinical T4 Category - 1635522\nAJCC/UICC 7th clinical T4 Category - 1635530\nAJCC/UICC 8th clinical T4 Category - 1634973\n\nAJCC/UICC 6th clinical T4a Category - 1634247\nAJCC/UICC 7th clinical T4a Category - 1634522\nAJCC/UICC 8th clinical T4a Category - 1634963\n\nAJCC/UICC 6th clinical T4b Category - 1634624\nAJCC/UICC 7th clinical T4b Category - 1634120\nAJCC/UICC 8th clinical T4b Category - 1634854" ] ;
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       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 19 ;
       fhir:Element.id [ fhir:value "ClinicalStage.cn" ] ;
       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:ElementDefinition.path [ fhir:value "ClinicalStage.cn" ] ;
       fhir:ElementDefinition.short [ fhir:value "cN (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Specifies the clinical N " ] ;
       fhir:ElementDefinition.comment [ fhir:value "AJCC/UICC 6th clinical NX Category - 1635104\nAJCC/UICC 7th clinical NX Category - 1633679\nAJCC/UICC 8th clinical NX Category - 1634797\n\nAJCC/UICC 6th clinical N0 Category - 1633315\nAJCC/UICC 7th clinical N0 Category - 1633942\nAJCC/UICC 8th clinical N0 Category - 1634070\n\nAJCC/UICC 6th clinical N1 Category - 1635697\nAJCC/UICC 7th clinical N1 Category - 1634139\nAJCC/UICC 8th clinical N1 Category - 1633651\n\nAJCC/UICC 6th clinical N2 Category - 1635470\nAJCC/UICC 7th clinical N2 Category - 1635634\nAJCC/UICC 8th clinical N2 Category - 1633763\n\nAJCC/UICC 6th clinical N2a Category - 1634143\nAJCC/UICC 7th clinical N2a Category - 1635739\nAJCC/UICC 8th clinical N2a Category - 1633788\n\nAJCC/UICC 6th clinical N2b Category - 1633433\nAJCC/UICC 7th clinical N2b Category - 1635677\nAJCC/UICC 8th clinical N2b Category - 1633323\n\nAJCC/UICC 6th clinical N2c Category - 1634678\nAJCC/UICC 7th clinical N2c Category - 1634727\nAJCC/UICC 8th clinical N2c Category - 1633271\n\nAJCC/UICC 6th clinical N3 Category - 1635605\nAJCC/UICC 7th clinical N3 Category - 1634037\nAJCC/UICC 8th clinical N3 Category - 1633854\n\nAJCC/UICC 6th clinical N3a Category - 1633434\nAJCC/UICC 7th clinical N3a Category - 1635004\nAJCC/UICC 8th clinical N3a Category - 1635496\n\nAJCC/UICC 6th clinical N3b Category - 1635283\nAJCC/UICC 7th clinical N3b Category - 1635084\nAJCC/UICC 8th clinical N3b Category - 1635828" ] ;
       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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 20 ;
       fhir:Element.id [ fhir:value "ClinicalStage.cm" ] ;
       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:ElementDefinition.path [ fhir:value "ClinicalStage.cm" ] ;
       fhir:ElementDefinition.short [ fhir:value "cM (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Specifies the clinical M " ] ;
       fhir:ElementDefinition.comment [ fhir:value "AJCC/UICC 6th clinical M0 Category - 1634194\nAJCC/UICC 7th clinical M0 Category - 1633468\nAJCC/UICC 8th clinical M0 Category - 1634757\n\nAJCC/UICC 6th clinical M1 Category - 1634829\nAJCC/UICC 7th clinical M1 Category - 1633276\nAJCC/UICC 8th clinical M1 Category - 1633974" ] ;
       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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 21 ;
       fhir:Element.id [ fhir:value "ClinicalStage.extraNodalExtension" ] ;
       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:ElementDefinition.path [ fhir:value "ClinicalStage.extraNodalExtension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Extra-nodal extension (rEne) (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed \ncheck CODEs" ] ;
       fhir:ElementDefinition.comment [ fhir:value "ENE- - 36769946\nENE+ - 36770618" ] ;
       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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 22 ;
       fhir:Element.id [ fhir:value "ClinicalStage.clinicalStaging" ] ;
       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:ElementDefinition.path [ fhir:value "ClinicalStage.clinicalStaging" ] ;
       fhir:ElementDefinition.short [ fhir:value "Clinical Staging (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Specifies the clinical TNM " ] ;
       fhir:ElementDefinition.comment [ fhir:value "AJCC/UICC 6th clinical Stage 0 - 1635842\nAJCC/UICC 7th clinical Stage 0 - 1633828\nAJCC/UICC 8th clinical Stage 0 - 1635824\n\nAJCC/UICC 6th clinical Stage 1 - 1633905\nAJCC/UICC 7th clinical Stage 1 - 1634457\nAJCC/UICC 8th clinical Stage 1 - 1635758\n\nAJCC/UICC 6th clinical Stage 2 - 1634718\nAJCC/UICC 7th clinical Stage 2 - 1635182\nAJCC/UICC 8th clinical Stage 2 - 1635217\n\nAJCC/UICC 6th clinical Stage 3 - 1635848\nAJCC/UICC 7th clinical Stage 3 - 1635125\nAJCC/UICC 8th clinical Stage 3 - 1634596\n\nAJCC/UICC 6th clinical Stage 4 - 1634307\nAJCC/UICC 7th clinical Stage 4 - 1634766\nAJCC/UICC 8th clinical Stage 4 - 1635029\n\nAJCC/UICC 6th clinical Stage 4A - 1635535\nAJCC/UICC 7th clinical Stage 4A - 1634451\nAJCC/UICC 8th clinical Stage 4A - 1634810\n\nAJCC/UICC 6th clinical Stage 4B - 1633922\nAJCC/UICC 7th clinical Stage 4B - 1635757\nAJCC/UICC 8th clinical Stage 4B - 1635708\n\nAJCC/UICC 6th clinical Stage 4C - 1633270\nAJCC/UICC 7th clinical Stage 4C - 1634614\nAJCC/UICC 8th clinical Stage 4C - 1635006" ] ;
       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 "CodeableConcept" ]
       ]
     ], [
       fhir:index 23 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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-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 "ClinicalStage.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 24 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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-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 "ClinicalStage.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 25 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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-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 "ClinicalStage.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 26 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 27 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 28 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 29 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 30 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 31 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 32 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 33 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 34 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 35 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 36 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 37 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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 38 ;
       fhir:Element.id [ fhir:value "ClinicalStage.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 "ClinicalStage.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" ]
       ]
     ], [
       fhir:index 39 ;
       fhir:Element.id [ fhir:value "ClinicalStage.sites.unknown" ] ;
       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 "ClinicalStage.sites.unknown" ] ;
       fhir:ElementDefinition.short [ fhir:value "unknown (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes if site of metastasic disease  is unknown " ] ;
       fhir:ElementDefinition.comment [ fhir:value "Unknown - 4129922" ] ;
       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/ClinicalStage.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/StructureDefinition/ClinicalStage.ttl> .