IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
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
| Draft as of 2025-07-25 |
XML representation of the DiseaseExtent logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="DiseaseExtent"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition DiseaseExtent</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent" title="Disease Extent
Maturity Level: 0 Draft">DiseaseExtent</a><a name="DiseaseExtent"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Disease Extent</td></tr>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.episodeEvent" title="EpisodeEvent element containing the data regarding the patient's cancer ">episodeEvent</a><a name="DiseaseExtent.episodeEvent"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="StructureDefinition-EpisodeEvent.html">EpisodeEvent</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Episode Event Reference (M)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.localised" title="Describes if there disease is local
Localised and Number of tumor modules are variables that work together">localised</a><a name="DiseaseExtent.localised"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Localised (M)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.numberOfTumorNodules" title="Indicates the number of tumor nodules in the case the disease is localised
Localised and Number of tumor modules are variables that work together">numberOfTumorNodules</a><a name="DiseaseExtent.numberOfTumorNodules"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Number of tumor nodules (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.locoRegional" title="Indicates if the disease is in a loco-regional extent ">locoRegional</a><a name="DiseaseExtent.locoRegional"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Loco-regional (M)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.isTransitMetastasisWithClinicalConfirmation" title="Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes. ">isTransitMetastasisWithClinicalConfirmation</a><a name="DiseaseExtent.isTransitMetastasisWithClinicalConfirmation"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Is Transit metastasis with clinical confirmation (M)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.isMultifocalTumor" title="Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer. ">isMultifocalTumor</a><a name="DiseaseExtent.isMultifocalTumor"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Is Multifocal tumor (M)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.regionalNodalMetastases" title="Describes if regional nodal mestastases happened ">regionalNodalMetastases</a><a name="DiseaseExtent.regionalNodalMetastases"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Regional nodal metastases (M)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites" title="Describes if site of metastasic disease is soft tissue">sites</a><a name="DiseaseExtent.sites"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">sites (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.softTissue" title="Describes if site of metastasic disease is soft tissue ">softTissue</a><a name="DiseaseExtent.sites.softTissue"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Soft tissue (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.distantLymphNode" title="Describes if site of metastasic disease is dystan lymph node ">distantLymphNode</a><a name="DiseaseExtent.sites.distantLymphNode"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">distant lymph node (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.lung" title="Describes if site of metastasic disease is lung ">lung</a><a name="DiseaseExtent.sites.lung"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">lung (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.metastasisatbone" title="Describes if site of metastasic disease is bone ">metastasisatbone</a><a name="DiseaseExtent.sites.metastasisatbone"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">metastasisAtBone (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.liver" title="Describes if site of metastasic disease is liver ">liver</a><a name="DiseaseExtent.sites.liver"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">liver (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.pleura" title="Describes if site of metastasic disease is pleura ">pleura</a><a name="DiseaseExtent.sites.pleura"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">pleura (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.peritoneum" title="Describes if site of metastasic disease is peritoneum ">peritoneum</a><a name="DiseaseExtent.sites.peritoneum"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">peritoneum (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck010.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.brain" title="Describes if site of metastasic disease is brain ">brain</a><a name="DiseaseExtent.sites.brain"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">brain (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <a href="StructureDefinition-DiseaseExtent-definitions.html#DiseaseExtent.sites.otherViscera" title="Describes if site of metastasic disease is other viscera
Use the generic metastasis code or a metastasis subsumed in it, 36769180">otherViscera</a><a name="DiseaseExtent.sites.otherViscera"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element has obligations">O</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/datatypes.html#boolean">boolean</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">other viscera (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/5.2.0/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>
<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>
</text>
<url
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent"/>
<version value="0.1.0"/>
<name value="DiseaseExtentI4RC"/>
<title value="Disease Extent"/>
<status value="draft"/>
<date value="2025-07-25T13:48:09+00:00"/>
<publisher value="IDEA4RC Project"/>
<contact>
<name value="IDEA4RC Project"/>
<telecom>
<system value="url"/>
<value value="https://www.idea4rc.eu/"/>
</telecom>
</contact>
<contact>
<name value="IDEA4RC Project"/>
<telecom>
<system value="url"/>
<value value="https://www.idea4rc.eu/"/>
</telecom>
</contact>
<description value="Disease Extent
Maturity Level: 0 Draft"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="150"/>
<display value="Europe"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<kind value="logical"/>
<abstract value="false"/>
<type
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
<valueString value="4.0.1"/>
</extension>
<element id="DiseaseExtent">
<path value="DiseaseExtent"/>
<short value="Disease Extent"/>
<definition value="Disease Extent
Maturity Level: 0 Draft"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="DiseaseExtent.episodeEvent">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.episodeEvent"/>
<short value="Episode Event Reference (M)"/>
<definition
value="EpisodeEvent element containing the data regarding the patient's cancer"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.episodeEvent"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"/>
</type>
</element>
<element id="DiseaseExtent.localised">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.localised"/>
<short value="Localised (M)"/>
<definition
value="Describes if there disease is local
Localised and Number of tumor modules are variables that work together"/>
<comment value="Confined disease - 32942"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.localised"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.numberOfTumorNodules">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.numberOfTumorNodules"/>
<short value="Number of tumor nodules (R)"/>
<definition
value="Indicates the number of tumor nodules in the case the disease is localised
Localised and Number of tumor modules are variables that work together"/>
<comment value="Number of tumor nodules - 4228659"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.numberOfTumorNodules"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="integer"/>
</type>
</element>
<element id="DiseaseExtent.locoRegional">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.locoRegional"/>
<short value="Loco-regional (M)"/>
<definition
value="Indicates if the disease is in a loco-regional extent"/>
<comment value="
Invasive Disease - 32943"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.locoRegional"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.isTransitMetastasisWithClinicalConfirmation">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path
value="DiseaseExtent.isTransitMetastasisWithClinicalConfirmation"/>
<short value="Is Transit metastasis with clinical confirmation (M)"/>
<definition
value="Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes."/>
<comment
value="Transit Metastasis with Clinical Confirmation - 36769249"/>
<min value="1"/>
<max value="*"/>
<base>
<path
value="DiseaseExtent.isTransitMetastasisWithClinicalConfirmation"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.isMultifocalTumor">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.isMultifocalTumor"/>
<short value="Is Multifocal tumor (M)"/>
<definition
value="Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer."/>
<comment value="Multifocal Tumor - 36769933"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.isMultifocalTumor"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.regionalNodalMetastases">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.regionalNodalMetastases"/>
<short value="Regional nodal metastases (M)"/>
<definition value="Describes if regional nodal mestastases happened"/>
<comment value="Regional spread to lymph node - 36769269"/>
<min value="1"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.regionalNodalMetastases"/>
<min value="1"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.sites"/>
<short value="sites (R)"/>
<definition
value="Describes if site of metastasic disease is soft tissue"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.sites"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="BackboneElement"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="DiseaseExtent.sites.id">
<path value="DiseaseExtent.sites.id"/>
<representation value="xmlAttr"/>
<short value="Unique id for inter-element referencing"/>
<definition
value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DiseaseExtent.sites.extension">
<path value="DiseaseExtent.sites.extension"/>
<slicing>
<discriminator>
<type value="value"/>
<path value="url"/>
</discriminator>
<description value="Extensions are always sliced by (at least) url"/>
<rules value="open"/>
</slicing>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
<mapping>
<identity value="rim"/>
<map value="n/a"/>
</mapping>
</element>
<element id="DiseaseExtent.sites.modifierExtension">
<path value="DiseaseExtent.sites.modifierExtension"/>
<short value="Extensions that cannot be ignored even if unrecognized"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<requirements
value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
<alias value="extensions"/>
<alias value="user content"/>
<alias value="modifiers"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="BackboneElement.modifierExtension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="true"/>
<isModifierReason
value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
<isSummary value="true"/>
<mapping>
<identity value="rim"/>
<map value="N/A"/>
</mapping>
</element>
<element id="DiseaseExtent.sites.softTissue">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.softTissue"/>
<short value="Soft tissue (R)"/>
<definition
value="Describes if site of metastasic disease is soft tissue"/>
<comment value="Metastasis to soft tissues - 35225724"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.sites.softTissue"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.distantLymphNode">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.distantLymphNode"/>
<short value="distant lymph node (R)"/>
<definition
value="Describes if site of metastasic disease is dystan lymph node"/>
<comment value="Distant spread to lymph node - 36769243"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.sites.distantLymphNode"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.lung">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.lung"/>
<short value="lung (R)"/>
<definition value="Describes if site of metastasic disease is lung"/>
<comment value="Metastasis to lung - 36770283"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.sites.lung"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.metastasisatbone">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.metastasisatbone"/>
<short value="metastasisAtBone (R)"/>
<definition value="Describes if site of metastasic disease is bone"/>
<comment value="Metastasis to bone - 36769301"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.sites.metastasisatbone"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.liver">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.liver"/>
<short value="liver (R)"/>
<definition value="Describes if site of metastasic disease is liver"/>
<comment value="Metastasis to liver - 36770544"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.sites.liver"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.pleura">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.pleura"/>
<short value="pleura (R)"/>
<definition value="Describes if site of metastasic disease is pleura"/>
<comment value="Metastasis to pleura - 35226258"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.sites.pleura"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.peritoneum">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.peritoneum"/>
<short value="peritoneum (R)"/>
<definition
value="Describes if site of metastasic disease is peritoneum"/>
<comment value="Metastasis to peritoneum - 35226253"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.sites.peritoneum"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.brain">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.brain"/>
<short value="brain (R)"/>
<definition value="Describes if site of metastasic disease is brain"/>
<comment value="Metastasis to brain - 36768862"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.sites.brain"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.otherViscera">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
<extension
url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
<valueUri
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/DiseaseExtent|0.1.0"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.otherViscera"/>
<short value="other viscera (R)"/>
<definition
value="Describes if site of metastasic disease is other viscera
Use the generic metastasis code or a metastasis subsumed in it, 36769180"/>
<comment value="Metastasis - 36769180"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="DiseaseExtent.sites.otherViscera"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
</snapshot>
<differential>
<element id="DiseaseExtent">
<path value="DiseaseExtent"/>
<short value="Disease Extent"/>
<definition value="Disease Extent
Maturity Level: 0 Draft"/>
</element>
<element id="DiseaseExtent.episodeEvent">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.episodeEvent"/>
<short value="Episode Event Reference (M)"/>
<definition
value="EpisodeEvent element containing the data regarding the patient's cancer "/>
<min value="1"/>
<max value="*"/>
<type>
<code
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"/>
</type>
</element>
<element id="DiseaseExtent.localised">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.localised"/>
<short value="Localised (M)"/>
<definition
value="Describes if there disease is local
Localised and Number of tumor modules are variables that work together"/>
<comment value="Confined disease - 32942"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.numberOfTumorNodules">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.numberOfTumorNodules"/>
<short value="Number of tumor nodules (R)"/>
<definition
value="Indicates the number of tumor nodules in the case the disease is localised
Localised and Number of tumor modules are variables that work together"/>
<comment value="Number of tumor nodules - 4228659"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="integer"/>
</type>
</element>
<element id="DiseaseExtent.locoRegional">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.locoRegional"/>
<short value="Loco-regional (M)"/>
<definition
value="Indicates if the disease is in a loco-regional extent "/>
<comment value="
Invasive Disease - 32943
"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.isTransitMetastasisWithClinicalConfirmation">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path
value="DiseaseExtent.isTransitMetastasisWithClinicalConfirmation"/>
<short value="Is Transit metastasis with clinical confirmation (M)"/>
<definition
value="Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes. "/>
<comment
value="Transit Metastasis with Clinical Confirmation - 36769249
"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.isMultifocalTumor">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.isMultifocalTumor"/>
<short value="Is Multifocal tumor (M)"/>
<definition
value="Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer. "/>
<comment value="Multifocal Tumor - 36769933
"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.regionalNodalMetastases">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.regionalNodalMetastases"/>
<short value="Regional nodal metastases (M)"/>
<definition value="Describes if regional nodal mestastases happened "/>
<comment value="Regional spread to lymph node - 36769269"/>
<min value="1"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.sites"/>
<short value="sites (R)"/>
<definition
value="Describes if site of metastasic disease is soft tissue"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="BackboneElement"/>
</type>
</element>
<element id="DiseaseExtent.sites.softTissue">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.softTissue"/>
<short value="Soft tissue (R)"/>
<definition
value="Describes if site of metastasic disease is soft tissue "/>
<comment value="Metastasis to soft tissues - 35225724"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.distantLymphNode">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.distantLymphNode"/>
<short value="distant lymph node (R)"/>
<definition
value="Describes if site of metastasic disease is dystan lymph node "/>
<comment value="Distant spread to lymph node - 36769243"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.lung">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.lung"/>
<short value="lung (R)"/>
<definition value="Describes if site of metastasic disease is lung "/>
<comment value="Metastasis to lung - 36770283"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.metastasisatbone">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.metastasisatbone"/>
<short value="metastasisAtBone (R)"/>
<definition value="Describes if site of metastasic disease is bone "/>
<comment value="Metastasis to bone - 36769301"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.liver">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.liver"/>
<short value="liver (R)"/>
<definition value="Describes if site of metastasic disease is liver "/>
<comment value="Metastasis to liver - 36770544"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.pleura">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.pleura"/>
<short value="pleura (R)"/>
<definition
value="Describes if site of metastasic disease is pleura "/>
<comment value="Metastasis to pleura - 35226258"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.peritoneum">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.peritoneum"/>
<short value="peritoneum (R)"/>
<definition
value="Describes if site of metastasic disease is peritoneum "/>
<comment value="Metastasis to peritoneum - 35226253"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.brain">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.brain"/>
<short value="brain (R)"/>
<definition value="Describes if site of metastasic disease is brain "/>
<comment value="Metastasis to brain - 36768862"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="DiseaseExtent.sites.otherViscera">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="DiseaseExtent.sites.otherViscera"/>
<short value="other viscera (R)"/>
<definition
value="Describes if site of metastasic disease is other viscera
Use the generic metastasis code or a metastasis subsumed in it, 36769180"/>
<comment value="Metastasis - 36769180"/>
<min value="0"/>
<max value="*"/>
<type>
<code value="boolean"/>
</type>
</element>
</differential>
</StructureDefinition>
IG © 2022+ IDEA4RC Project. Package hl7.eu.fhir.idea4rc#0.1.0 based on FHIR 4.0.1. Generated 2025-07-25
Links: Table of Contents |
QA Report
The IDEA4RC project has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 101057048.
