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

Logical Model: HnStageI4rc - Detailed Descriptions

Draft as of 2024-11-12

Definitions for the HnStage logical model.

Guidance on how to interpret the contents of this table can be found here

0. HnStage
Definition

Head Neck Stage

ShortHead Neck Stage
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. HnStage.episodeEvent
Definition

EpisodeEvent element containing the data regarding the patient's cancer

ShortEpisode Event Reference
Control1..1
Typehttp://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent
Obligations
    ObligationsActor
    SHALL:handle
    4. HnStage.Ct
    Definition

    Specifies the clinical T

    ShortcT
    Comments

    Tx; Tis; T0;T1;T2; T3; T4; T4a; T4b;

    Control1..1
    TypeCodeableConcept
    Obligations
      ObligationsActor
      SHALL:handle
      6. HnStage.Cn
      Definition

      Specifies the clinical N

      ShortcN
      Comments

      Nx; N0;N1;N2;N2a;N2b;N2c;N3; N3a;N3b;

      Control1..1
      TypeCodeableConcept
      Obligations
        ObligationsActor
        SHALL:handle
        8. HnStage.Cm
        Definition

        Specifies the clinical M

        ShortcM
        Comments

        M0; M1;

        Control1..1
        TypeCodeableConcept
        Obligations
          ObligationsActor
          SHALL:handle
          10. HnStage.Pt
          Definition

          Specifies the clinical T

          ShortpT
          Comments

          Tx; Tis; T0;T1;T2; T3; T4; T4a; T4b;

          Control1..1
          TypeCodeableConcept
          Obligations
            ObligationsActor
            SHALL:handle
            12. HnStage.Pn
            Definition

            Specifies the clinical N

            ShortpN
            Comments

            Nx; N0;N1;N2;N2a;N2b;N2c;N3; N3a;N3b;

            Control1..1
            TypeCodeableConcept
            Obligations
              ObligationsActor
              SHALL:handle
              14. HnStage.Pm
              Definition

              Specifies the clinical M

              ShortpM
              Comments

              M0; M1;

              Control1..1
              TypeCodeableConcept
              Obligations
                ObligationsActor
                SHALL:handle
                16. HnStage.rEne
                Definition

                Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed

                ShortRadiological Extra-nodal extension (rEne)
                Comments

                ENE-; ENE+;

                Control0..1
                TypeCodeableConcept
                Obligations
                  ObligationsActor
                  SHALL:handle
                  18. HnStage.StagingClassification
                  Definition

                  Specifies the clinical TNM

                  ShortStaging classification
                  Comments

                  0;I;II;III;IV;IVA;IVB;IVC;

                  Control1..1
                  TypeCodeableConcept
                  Obligations
                    ObligationsActor
                    SHALL:handle
                    20. HnStage.sites
                    Definition

                    Describes if site of metastasic disease is soft tissue

                    Shortsites
                    Control0..1
                    TypeBackboneElement
                    Obligations
                      ObligationsActor
                      SHALL:handle
                      22. HnStage.sites.softTissue
                      Definition

                      Describes if site of metastasic disease is soft tissue

                      ShortSoft tissue
                      Control0..1
                      Typeboolean
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Obligations
                        ObligationsActor
                        SHALL:handle
                        24. HnStage.sites.distantLymphNode
                        Definition

                        Describes if site of metastasic disease is dystan lymph node

                        Shortdistant lymph node
                        Control0..1
                        Typeboolean
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Obligations
                          ObligationsActor
                          SHALL:handle
                          26. HnStage.sites.lung
                          Definition

                          Describes if site of metastasic disease is lung

                          Shortlung
                          Control0..1
                          Typeboolean
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Obligations
                            ObligationsActor
                            SHALL:handle
                            28. HnStage.sites.bone
                            Definition

                            Describes if site of metastasic disease is bone

                            Shortbone
                            Control0..1
                            Typeboolean
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Obligations
                              ObligationsActor
                              SHALL:handle
                              30. HnStage.sites.liver
                              Definition

                              Describes if site of metastasic disease is liver

                              Shortliver
                              Control0..1
                              Typeboolean
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Obligations
                                ObligationsActor
                                SHALL:handle
                                32. HnStage.sites.pleura
                                Definition

                                Describes if site of metastasic disease is pleura

                                Shortpleura
                                Control0..1
                                Typeboolean
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Obligations
                                  ObligationsActor
                                  SHALL:handle
                                  34. HnStage.sites.peritoneum
                                  Definition

                                  Describes if site of metastasic disease is peritoneum

                                  Shortperitoneum
                                  Control0..1
                                  Typeboolean
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Obligations
                                    ObligationsActor
                                    SHALL:handle
                                    36. HnStage.sites.brain
                                    Definition

                                    Describes if site of metastasic disease is brain

                                    Shortbrain
                                    Control0..1
                                    Typeboolean
                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                    Obligations
                                      ObligationsActor
                                      SHALL:handle
                                      38. HnStage.sites.otherViscera
                                      Definition

                                      Describes if site of metastasic disease is other viscera

                                      Shortother viscera
                                      Control0..1
                                      Typeboolean
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Obligations
                                        ObligationsActor
                                        SHALL:handle
                                        40. HnStage.sites.unknown
                                        Definition

                                        Describes if site of metastasic disease is unknown

                                        Shortunknown
                                        Control0..1
                                        Typeboolean
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Obligations
                                          ObligationsActor
                                          SHALL:handle

                                          Guidance on how to interpret the contents of this table can be found here

                                          0. HnStage
                                          Definition

                                          Head Neck Stage

                                          ShortHead Neck Stage
                                          Control0..*
                                          Is Modifierfalse
                                          Logical ModelInstances of this logical model are not marked to be the target of a Reference
                                          2. HnStage.episodeEvent
                                          Definition

                                          EpisodeEvent element containing the data regarding the patient's cancer

                                          ShortEpisode Event Reference
                                          Control1..1
                                          Typehttp://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent
                                          Obligations
                                            ObligationsActor
                                            SHALL:handle
                                            4. HnStage.Ct
                                            Definition

                                            Specifies the clinical T

                                            ShortcT
                                            Comments

                                            Tx; Tis; T0;T1;T2; T3; T4; T4a; T4b;

                                            Control1..1
                                            TypeCodeableConcept
                                            Obligations
                                              ObligationsActor
                                              SHALL:handle
                                              6. HnStage.Cn
                                              Definition

                                              Specifies the clinical N

                                              ShortcN
                                              Comments

                                              Nx; N0;N1;N2;N2a;N2b;N2c;N3; N3a;N3b;

                                              Control1..1
                                              TypeCodeableConcept
                                              Obligations
                                                ObligationsActor
                                                SHALL:handle
                                                8. HnStage.Cm
                                                Definition

                                                Specifies the clinical M

                                                ShortcM
                                                Comments

                                                M0; M1;

                                                Control1..1
                                                TypeCodeableConcept
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:handle
                                                  10. HnStage.Pt
                                                  Definition

                                                  Specifies the clinical T

                                                  ShortpT
                                                  Comments

                                                  Tx; Tis; T0;T1;T2; T3; T4; T4a; T4b;

                                                  Control1..1
                                                  TypeCodeableConcept
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:handle
                                                    12. HnStage.Pn
                                                    Definition

                                                    Specifies the clinical N

                                                    ShortpN
                                                    Comments

                                                    Nx; N0;N1;N2;N2a;N2b;N2c;N3; N3a;N3b;

                                                    Control1..1
                                                    TypeCodeableConcept
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:handle
                                                      14. HnStage.Pm
                                                      Definition

                                                      Specifies the clinical M

                                                      ShortpM
                                                      Comments

                                                      M0; M1;

                                                      Control1..1
                                                      TypeCodeableConcept
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:handle
                                                        16. HnStage.rEne
                                                        Definition

                                                        Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed

                                                        ShortRadiological Extra-nodal extension (rEne)
                                                        Comments

                                                        ENE-; ENE+;

                                                        Control0..1
                                                        TypeCodeableConcept
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:handle
                                                          18. HnStage.StagingClassification
                                                          Definition

                                                          Specifies the clinical TNM

                                                          ShortStaging classification
                                                          Comments

                                                          0;I;II;III;IV;IVA;IVB;IVC;

                                                          Control1..1
                                                          TypeCodeableConcept
                                                          Obligations
                                                            ObligationsActor
                                                            SHALL:handle
                                                            20. HnStage.sites
                                                            Definition

                                                            Describes if site of metastasic disease is soft tissue

                                                            Shortsites
                                                            Control0..1
                                                            TypeBackboneElement
                                                            Obligations
                                                              ObligationsActor
                                                              SHALL:handle
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              22. HnStage.sites.modifierExtension
                                                              Definition

                                                              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).

                                                              ShortExtensions that cannot be ignored even if unrecognized
                                                              Comments

                                                              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.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                              Summarytrue
                                                              Requirements

                                                              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.

                                                              Alternate Namesextensions, user content, modifiers
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              24. HnStage.sites.softTissue
                                                              Definition

                                                              Describes if site of metastasic disease is soft tissue

                                                              ShortSoft tissue
                                                              Control0..1
                                                              Typeboolean
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Obligations
                                                                ObligationsActor
                                                                SHALL:handle
                                                                26. HnStage.sites.distantLymphNode
                                                                Definition

                                                                Describes if site of metastasic disease is dystan lymph node

                                                                Shortdistant lymph node
                                                                Control0..1
                                                                Typeboolean
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Obligations
                                                                  ObligationsActor
                                                                  SHALL:handle
                                                                  28. HnStage.sites.lung
                                                                  Definition

                                                                  Describes if site of metastasic disease is lung

                                                                  Shortlung
                                                                  Control0..1
                                                                  Typeboolean
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Obligations
                                                                    ObligationsActor
                                                                    SHALL:handle
                                                                    30. HnStage.sites.bone
                                                                    Definition

                                                                    Describes if site of metastasic disease is bone

                                                                    Shortbone
                                                                    Control0..1
                                                                    Typeboolean
                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                    Obligations
                                                                      ObligationsActor
                                                                      SHALL:handle
                                                                      32. HnStage.sites.liver
                                                                      Definition

                                                                      Describes if site of metastasic disease is liver

                                                                      Shortliver
                                                                      Control0..1
                                                                      Typeboolean
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Obligations
                                                                        ObligationsActor
                                                                        SHALL:handle
                                                                        34. HnStage.sites.pleura
                                                                        Definition

                                                                        Describes if site of metastasic disease is pleura

                                                                        Shortpleura
                                                                        Control0..1
                                                                        Typeboolean
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Obligations
                                                                          ObligationsActor
                                                                          SHALL:handle
                                                                          36. HnStage.sites.peritoneum
                                                                          Definition

                                                                          Describes if site of metastasic disease is peritoneum

                                                                          Shortperitoneum
                                                                          Control0..1
                                                                          Typeboolean
                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                          Obligations
                                                                            ObligationsActor
                                                                            SHALL:handle
                                                                            38. HnStage.sites.brain
                                                                            Definition

                                                                            Describes if site of metastasic disease is brain

                                                                            Shortbrain
                                                                            Control0..1
                                                                            Typeboolean
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Obligations
                                                                              ObligationsActor
                                                                              SHALL:handle
                                                                              40. HnStage.sites.otherViscera
                                                                              Definition

                                                                              Describes if site of metastasic disease is other viscera

                                                                              Shortother viscera
                                                                              Control0..1
                                                                              Typeboolean
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Obligations
                                                                                ObligationsActor
                                                                                SHALL:handle
                                                                                42. HnStage.sites.unknown
                                                                                Definition

                                                                                Describes if site of metastasic disease is unknown

                                                                                Shortunknown
                                                                                Control0..1
                                                                                Typeboolean
                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                Obligations
                                                                                  ObligationsActor
                                                                                  SHALL:handle

                                                                                  Guidance on how to interpret the contents of this table can be found here

                                                                                  0. HnStage
                                                                                  Definition

                                                                                  Head Neck Stage

                                                                                  ShortHead Neck Stage
                                                                                  Control0..*
                                                                                  Is Modifierfalse
                                                                                  Logical ModelInstances of this logical model are not marked to be the target of a Reference
                                                                                  2. HnStage.episodeEvent
                                                                                  Definition

                                                                                  EpisodeEvent element containing the data regarding the patient's cancer

                                                                                  ShortEpisode Event Reference
                                                                                  Control1..1
                                                                                  Typehttp://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent
                                                                                  Obligations
                                                                                    ObligationsActor
                                                                                    SHALL:handle
                                                                                    4. HnStage.Ct
                                                                                    Definition

                                                                                    Specifies the clinical T

                                                                                    ShortcT
                                                                                    Comments

                                                                                    Tx; Tis; T0;T1;T2; T3; T4; T4a; T4b;

                                                                                    Control1..1
                                                                                    TypeCodeableConcept
                                                                                    Obligations
                                                                                      ObligationsActor
                                                                                      SHALL:handle
                                                                                      6. HnStage.Cn
                                                                                      Definition

                                                                                      Specifies the clinical N

                                                                                      ShortcN
                                                                                      Comments

                                                                                      Nx; N0;N1;N2;N2a;N2b;N2c;N3; N3a;N3b;

                                                                                      Control1..1
                                                                                      TypeCodeableConcept
                                                                                      Obligations
                                                                                        ObligationsActor
                                                                                        SHALL:handle
                                                                                        8. HnStage.Cm
                                                                                        Definition

                                                                                        Specifies the clinical M

                                                                                        ShortcM
                                                                                        Comments

                                                                                        M0; M1;

                                                                                        Control1..1
                                                                                        TypeCodeableConcept
                                                                                        Obligations
                                                                                          ObligationsActor
                                                                                          SHALL:handle
                                                                                          10. HnStage.Pt
                                                                                          Definition

                                                                                          Specifies the clinical T

                                                                                          ShortpT
                                                                                          Comments

                                                                                          Tx; Tis; T0;T1;T2; T3; T4; T4a; T4b;

                                                                                          Control1..1
                                                                                          TypeCodeableConcept
                                                                                          Obligations
                                                                                            ObligationsActor
                                                                                            SHALL:handle
                                                                                            12. HnStage.Pn
                                                                                            Definition

                                                                                            Specifies the clinical N

                                                                                            ShortpN
                                                                                            Comments

                                                                                            Nx; N0;N1;N2;N2a;N2b;N2c;N3; N3a;N3b;

                                                                                            Control1..1
                                                                                            TypeCodeableConcept
                                                                                            Obligations
                                                                                              ObligationsActor
                                                                                              SHALL:handle
                                                                                              14. HnStage.Pm
                                                                                              Definition

                                                                                              Specifies the clinical M

                                                                                              ShortpM
                                                                                              Comments

                                                                                              M0; M1;

                                                                                              Control1..1
                                                                                              TypeCodeableConcept
                                                                                              Obligations
                                                                                                ObligationsActor
                                                                                                SHALL:handle
                                                                                                16. HnStage.rEne
                                                                                                Definition

                                                                                                Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed

                                                                                                ShortRadiological Extra-nodal extension (rEne)
                                                                                                Comments

                                                                                                ENE-; ENE+;

                                                                                                Control0..1
                                                                                                TypeCodeableConcept
                                                                                                Obligations
                                                                                                  ObligationsActor
                                                                                                  SHALL:handle
                                                                                                  18. HnStage.StagingClassification
                                                                                                  Definition

                                                                                                  Specifies the clinical TNM

                                                                                                  ShortStaging classification
                                                                                                  Comments

                                                                                                  0;I;II;III;IV;IVA;IVB;IVC;

                                                                                                  Control1..1
                                                                                                  TypeCodeableConcept
                                                                                                  Obligations
                                                                                                    ObligationsActor
                                                                                                    SHALL:handle
                                                                                                    20. HnStage.sites
                                                                                                    Definition

                                                                                                    Describes if site of metastasic disease is soft tissue

                                                                                                    Shortsites
                                                                                                    Control0..1
                                                                                                    TypeBackboneElement
                                                                                                    Obligations
                                                                                                      ObligationsActor
                                                                                                      SHALL:handle
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      22. HnStage.sites.id
                                                                                                      Definition

                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      24. HnStage.sites.extension
                                                                                                      Definition

                                                                                                      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.

                                                                                                      ShortAdditional content defined by implementations
                                                                                                      Comments

                                                                                                      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.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      SlicingThis element introduces a set of slices on HnStage.sites.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                      • value @ url
                                                                                                      • 26. HnStage.sites.modifierExtension
                                                                                                        Definition

                                                                                                        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).

                                                                                                        ShortExtensions that cannot be ignored even if unrecognized
                                                                                                        Comments

                                                                                                        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.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        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.

                                                                                                        Alternate Namesextensions, user content, modifiers
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        28. HnStage.sites.softTissue
                                                                                                        Definition

                                                                                                        Describes if site of metastasic disease is soft tissue

                                                                                                        ShortSoft tissue
                                                                                                        Control0..1
                                                                                                        Typeboolean
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Obligations
                                                                                                          ObligationsActor
                                                                                                          SHALL:handle
                                                                                                          30. HnStage.sites.distantLymphNode
                                                                                                          Definition

                                                                                                          Describes if site of metastasic disease is dystan lymph node

                                                                                                          Shortdistant lymph node
                                                                                                          Control0..1
                                                                                                          Typeboolean
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Obligations
                                                                                                            ObligationsActor
                                                                                                            SHALL:handle
                                                                                                            32. HnStage.sites.lung
                                                                                                            Definition

                                                                                                            Describes if site of metastasic disease is lung

                                                                                                            Shortlung
                                                                                                            Control0..1
                                                                                                            Typeboolean
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Obligations
                                                                                                              ObligationsActor
                                                                                                              SHALL:handle
                                                                                                              34. HnStage.sites.bone
                                                                                                              Definition

                                                                                                              Describes if site of metastasic disease is bone

                                                                                                              Shortbone
                                                                                                              Control0..1
                                                                                                              Typeboolean
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Obligations
                                                                                                                ObligationsActor
                                                                                                                SHALL:handle
                                                                                                                36. HnStage.sites.liver
                                                                                                                Definition

                                                                                                                Describes if site of metastasic disease is liver

                                                                                                                Shortliver
                                                                                                                Control0..1
                                                                                                                Typeboolean
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Obligations
                                                                                                                  ObligationsActor
                                                                                                                  SHALL:handle
                                                                                                                  38. HnStage.sites.pleura
                                                                                                                  Definition

                                                                                                                  Describes if site of metastasic disease is pleura

                                                                                                                  Shortpleura
                                                                                                                  Control0..1
                                                                                                                  Typeboolean
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Obligations
                                                                                                                    ObligationsActor
                                                                                                                    SHALL:handle
                                                                                                                    40. HnStage.sites.peritoneum
                                                                                                                    Definition

                                                                                                                    Describes if site of metastasic disease is peritoneum

                                                                                                                    Shortperitoneum
                                                                                                                    Control0..1
                                                                                                                    Typeboolean
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Obligations
                                                                                                                      ObligationsActor
                                                                                                                      SHALL:handle
                                                                                                                      42. HnStage.sites.brain
                                                                                                                      Definition

                                                                                                                      Describes if site of metastasic disease is brain

                                                                                                                      Shortbrain
                                                                                                                      Control0..1
                                                                                                                      Typeboolean
                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                      Obligations
                                                                                                                        ObligationsActor
                                                                                                                        SHALL:handle
                                                                                                                        44. HnStage.sites.otherViscera
                                                                                                                        Definition

                                                                                                                        Describes if site of metastasic disease is other viscera

                                                                                                                        Shortother viscera
                                                                                                                        Control0..1
                                                                                                                        Typeboolean
                                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                        Obligations
                                                                                                                          ObligationsActor
                                                                                                                          SHALL:handle
                                                                                                                          46. HnStage.sites.unknown
                                                                                                                          Definition

                                                                                                                          Describes if site of metastasic disease is unknown

                                                                                                                          Shortunknown
                                                                                                                          Control0..1
                                                                                                                          Typeboolean
                                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                          Obligations
                                                                                                                            ObligationsActor
                                                                                                                            SHALL:handle