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: PathologicalStageI4RC - XML Profile

Draft as of 2025-07-25

XML representation of the PathologicalStage logical model.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="PathologicalStage"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition PathologicalStage</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-PathologicalStage-definitions.html#PathologicalStage" title="Pathological Stage
Maturity Level: 0 Draft">PathologicalStage</a><a name="PathologicalStage"> </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">Pathological Stage</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-PathologicalStage-definitions.html#PathologicalStage.diagnosisReference" title="Diagnosis element containing the data regarding the patient's cancer ">diagnosisReference</a><a name="PathologicalStage.diagnosisReference"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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-Diagnosis.html">Diagnosis</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Diagnosis Reference (M)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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-PathologicalStage-definitions.html#PathologicalStage.stagingProceduresDoneBy" title="Describes the ID of the institution where staging procedure for primary tumour was performed ">stagingProceduresDoneBy</a><a name="PathologicalStage.stagingProceduresDoneBy"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Staging procedures done by (M)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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></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_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-PathologicalStage-definitions.html#PathologicalStage.pt" title="Specifies the pathological T ">pt</a><a name="PathologicalStage.pt"> </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#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">pT (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></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_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-PathologicalStage-definitions.html#PathologicalStage.pn" title="Specifies the pathological N ">pn</a><a name="PathologicalStage.pn"> </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#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">pN (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></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_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-PathologicalStage-definitions.html#PathologicalStage.pm" title="Specifies the pathological M ">pm</a><a name="PathologicalStage.pm"> </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#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">pM (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></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_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-PathologicalStage-definitions.html#PathologicalStage.extraNodalExtension" title="Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed 
check CODEs">extraNodalExtension</a><a name="PathologicalStage.extraNodalExtension"> </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#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Extra-nodal extension (rEne) (M)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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></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-PathologicalStage-definitions.html#PathologicalStage.sentinelNode" title="Describes whether a sentinel node procedure was performed or not. Sentinel lymph node biopsy is considered a diagnostic procedure, therefore, per se, the neck is not considered to have been treated if it does not lead to a neck dissection. ">sentinelNode</a><a name="PathologicalStage.sentinelNode"> </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">Sentinel node (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></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_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-PathologicalStage-definitions.html#PathologicalStage.pathologicalStaging" title="Specifies the clinical TNM ">pathologicalStaging</a><a name="PathologicalStage.pathologicalStaging"> </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#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Pathological staging (M)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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></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-PathologicalStage-definitions.html#PathologicalStage.localised" title="Describes if there disease is local 
Localised and Number of tumor modules are variables that work together">localised</a><a name="PathologicalStage.localised"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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-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-PathologicalStage-definitions.html#PathologicalStage.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="PathologicalStage.numberOfTumorNodules"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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#integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Number of tumor nodules (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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-PathologicalStage-definitions.html#PathologicalStage.locoRegional" title="Indicates if the disease is in a loco-regional extent ">locoRegional</a><a name="PathologicalStage.locoRegional"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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-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-PathologicalStage-definitions.html#PathologicalStage.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="PathologicalStage.isTransitMetastasisWithClinicalConfirmation"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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 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-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-PathologicalStage-definitions.html#PathologicalStage.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="PathologicalStage.isMultifocalTumor"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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 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-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-PathologicalStage-definitions.html#PathologicalStage.regionalNodalMetastases" title="Describes if regional nodal mestastases happened ">regionalNodalMetastases</a><a name="PathologicalStage.regionalNodalMetastases"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <a href="StructureDefinition-PathologicalStage-definitions.html#PathologicalStage.sites" title="Describes if site of metastasic disease  is soft tissue">sites</a><a name="PathologicalStage.sites"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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#BackboneElement">BackboneElement</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">sites (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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-PathologicalStage-definitions.html#PathologicalStage.sites.softTissue" title="Describes if site of metastasic disease  is soft tissue ">softTissue</a><a name="PathologicalStage.sites.softTissue"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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: #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-PathologicalStage-definitions.html#PathologicalStage.sites.distantLymphNode" title="Describes if site of metastasic disease  is dystan lymph node ">distantLymphNode</a><a name="PathologicalStage.sites.distantLymphNode"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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: 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-PathologicalStage-definitions.html#PathologicalStage.sites.lung" title="Describes if site of metastasic disease  is lung ">lung</a><a name="PathologicalStage.sites.lung"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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: #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-PathologicalStage-definitions.html#PathologicalStage.sites.metastasisatbone" title="Describes if site of metastasic disease  is bone ">metastasisatbone</a><a name="PathologicalStage.sites.metastasisatbone"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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: 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-PathologicalStage-definitions.html#PathologicalStage.sites.liver" title="Describes if site of metastasic disease  is liver ">liver</a><a name="PathologicalStage.sites.liver"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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: #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-PathologicalStage-definitions.html#PathologicalStage.sites.pleura" title="Describes if site of metastasic disease  is pleura ">pleura</a><a name="PathologicalStage.sites.pleura"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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: 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-PathologicalStage-definitions.html#PathologicalStage.sites.peritoneum" title="Describes if site of metastasic disease  is peritoneum ">peritoneum</a><a name="PathologicalStage.sites.peritoneum"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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: #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-PathologicalStage-definitions.html#PathologicalStage.sites.brain" title="Describes if site of metastasic disease  is brain ">brain</a><a name="PathologicalStage.sites.brain"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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: 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-PathologicalStage-definitions.html#PathologicalStage.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="PathologicalStage.sites.otherViscera"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">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 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-PathologicalStage-definitions.html#PathologicalStage.sites.unknown" title="Describes if site of metastasic disease  is unknown ">unknown</a><a name="PathologicalStage.sites.unknown"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: 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">unknown (R)<br/><table class="obligation grid"><tr><td style="font-size: 11px"><b>Obligations</b></td><td style="font-size: 11px"><b>Actor</b></td></tr><tr><td style="font-size: 11px"><b>SHALL</b>:<a href="http://hl7.org/fhir/extensions/5.2.0/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/PathologicalStage"/>
  <version value="0.1.0"/>
  <name value="PathologicalStageI4RC"/>
  <title value="Pathological Stage"/>
  <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="Pathological Stage
Maturity Level: 0 Draft"/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="150"/>
      <display value="Europe"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <extension
               url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
      <valueString value="4.0.1"/>
    </extension>
    <element id="PathologicalStage">
      <path value="PathologicalStage"/>
      <short value="Pathological Stage"/>
      <definition value="Pathological Stage
Maturity Level: 0 Draft"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="PathologicalStage.diagnosisReference">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.diagnosisReference"/>
      <short value="Diagnosis Reference (M)"/>
      <definition
                  value="Diagnosis element containing the data regarding the patient's cancer"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.diagnosisReference"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"/>
      </type>
    </element>
    <element id="PathologicalStage.stagingProceduresDoneBy">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.stagingProceduresDoneBy"/>
      <short value="Staging procedures done by (M)"/>
      <definition
                  value="Describes the ID of the institution where staging procedure for primary tumour was performed"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.stagingProceduresDoneBy"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="PathologicalStage.pt">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.pt"/>
      <short value="pT (M)"/>
      <definition value="Specifies the pathological T"/>
      <comment
               value="AJCC/UICC 6th pathological TX Category - 1634270
AJCC/UICC 7th pathological TX Category - 1635402
AJCC/UICC 8th pathological TX Category - 1634986

AJCC/UICC 6th Tis Category - 1635660
AJCC/UICC 7th Tis Category - 1633798
AJCC/UICC 8th Tis Category - 1634720

AJCC/UICC 6th pathological T0 Category - 1633279
AJCC/UICC 7th pathological T0 Category - 1634675
AJCC/UICC 8th pathological T0 Category - 1634635

AJCC/UICC 6th pathological T1 Category - 1633445
AJCC/UICC 7th pathological T1 Category - 1635422
AJCC/UICC 8th pathological T1 Category - 1635070

AJCC/UICC 6th pathological T2 Category - 1634792
AJCC/UICC 7th pathological T2 Category - 1634491
AJCC/UICC 8th pathological T2 Category - 1633307

AJCC/UICC 6th pathological T3 Category - 1635670
AJCC/UICC 7th pathological T3 Category - 1634658
AJCC/UICC 8th pathological T3 Category - 1634386

AJCC/UICC 6th pathological T4 Category - 1635311
AJCC/UICC 7th pathological T4 Category - 1635341
AJCC/UICC 8th pathological T4 Category - 1635396

AJCC/UICC 6th pathological T4a Category - 1634101
AJCC/UICC 7th pathological T4a Category - 1633723
AJCC/UICC 8th pathological T4a Category - 1634894

AJCC/UICC 6th pathological T4b Category - 1633900
AJCC/UICC 7th pathological T4b Category - 1633699
AJCC/UICC 8th pathological T4b Category - 1633658"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.pt"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="PathologicalStage.pn">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.pn"/>
      <short value="pN (M)"/>
      <definition value="Specifies the pathological N"/>
      <comment
               value="AJCC/UICC 6th pathological NX Category - 1635823
AJCC/UICC 7th pathological NX Category - 1634505
AJCC/UICC 8th pathological NX Category - 1634117

AJCC/UICC 6th pathological N0 Category - 1634212
AJCC/UICC 7th pathological N0 Category - 1633726
AJCC/UICC 8th pathological N0 Category - 1635560

AJCC/UICC 6th pathological N1 Category - 1634562
AJCC/UICC 7th pathological N1 Category - 1634245
AJCC/UICC 8th pathological N1 Category - 1633659

AJCC/UICC 6th pathological N2 Category - 1634541
AJCC/UICC 7th pathological N2 Category - 1633569
AJCC/UICC 8th pathological N2 Category - 1633336

AJCC/UICC 6th pathological N2a Category - 1633273
AJCC/UICC 7th pathological N2a Category - 1635717
AJCC/UICC 8th pathological N2a Category - 1635871

AJCC/UICC 6th pathological N2b Category - 1634773
AJCC/UICC 7th pathological N2b Category - 1633607
AJCC/UICC 8th pathological N2b Category - 1634645

AJCC/UICC 6th pathological N2c Category - 1635113
AJCC/UICC 7th pathological N2c Category - 1634601
AJCC/UICC 8th pathological N2c Category - 1634383

AJCC/UICC 6th pathological N3 Category - 1634504
AJCC/UICC 7th pathological N3 Category - 1633668
AJCC/UICC 8th pathological N3 Category - 1635307

AJCC/UICC 6th pathological N3a Category - 1634271
AJCC/UICC 7th pathological N3a Category - 1634397
AJCC/UICC 8th pathological N3a Category - 1635545

AJCC/UICC 6th pathological N3b Category - 1633500
AJCC/UICC 7th pathological N3b Category - 1634847
AJCC/UICC 8th pathological N3b Category - 1634770"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.pn"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="PathologicalStage.pm">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.pm"/>
      <short value="pM (M)"/>
      <definition value="Specifies the pathological M"/>
      <comment
               value="AJCC/UICC 6th pathological M0 Category - 1635345
AJCC/UICC 7th pathological M0 Category - 1635536
AJCC/UICC 8th pathological M0 Category - 1634606

AJCC/UICC 6th pathological M1 Category - 1633469
AJCC/UICC 7th pathological M1 Category - 1635336
AJCC/UICC 8th pathological M1 Category - 1634891"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.pm"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="PathologicalStage.extraNodalExtension">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.extraNodalExtension"/>
      <short value="Extra-nodal extension (rEne) (M)"/>
      <definition
                  value="Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed 
check CODEs"/>
      <comment value="ENE- - 36769946
ENE+ - 36770618"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.extraNodalExtension"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="PathologicalStage.sentinelNode">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sentinelNode"/>
      <short value="Sentinel node (M)"/>
      <definition
                  value="Describes whether a sentinel node procedure was performed or not. Sentinel lymph node biopsy is considered a diagnostic procedure, therefore, per se, the neck is not considered to have been treated if it does not lead to a neck dissection."/>
      <comment value="Sentinel lymph node biopsy - 4263386"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sentinelNode"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.pathologicalStaging">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.pathologicalStaging"/>
      <short value="Pathological staging (M)"/>
      <definition value="Specifies the clinical TNM"/>
      <comment
               value="AJCC/UICC 6th pathological Stage 0 - 1634741
AJCC/UICC 7th pathological Stage 0 - 1635511
AJCC/UICC 8th pathological Stage 0 - 1634787

AJCC/UICC 6th pathological Stage 1 - 1635797
AJCC/UICC 7th pathological Stage 1 - 1635800
AJCC/UICC 8th pathological Stage 1 - 1634799

AJCC/UICC 6th pathological Stage 2 - 1633751
AJCC/UICC 7th pathological Stage 2 - 1634619
AJCC/UICC 8th pathological Stage 2 - 1635386


AJCC/UICC 6th pathological Stage 3 - 1633499
AJCC/UICC 7th pathological Stage 3 - 1634947
AJCC/UICC 8th pathological Stage 3 - 1634705

AJCC/UICC 6th pathological Stage 4 - 1634208
AJCC/UICC 7th pathological Stage 4 - 1635230
AJCC/UICC 8th pathological Stage 4 - 1633697

AJCC/UICC 6th pathological Stage 4A - 1634731
AJCC/UICC 7th pathological Stage 4A - 1635745
AJCC/UICC 8th pathological Stage 4A - 1634005

AJCC/UICC 6th pathological Stage 4B - 1635370
AJCC/UICC 7th pathological Stage 4B - 1634472
AJCC/UICC 8th pathological Stage 4B - 1634487

AJCC/UICC 6th pathological Stage 4C - 1635893
AJCC/UICC 7th pathological Stage 4C - 1634492
AJCC/UICC 8th pathological Stage 4C - 1634551"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.pathologicalStaging"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="PathologicalStage.localised">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.localised"/>
      <short value="Localised (M)"/>
      <definition
                  value="Describes if there disease is local 
Localised and Number of tumor modules are variables that work together"/>
      <comment value="Confined disease - 32942"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.localised"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.numberOfTumorNodules">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.numberOfTumorNodules"/>
      <short value="Number of tumor nodules (R)"/>
      <definition
                  value="Indicates the number of tumor nodules in the case the disease is localised 
Localised and Number of tumor modules are variables that work together"/>
      <comment value="Number of tumor nodules - 4228659"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.numberOfTumorNodules"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element id="PathologicalStage.locoRegional">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.locoRegional"/>
      <short value="Loco-regional (M)"/>
      <definition
                  value="Indicates if the disease is in a loco-regional extent"/>
      <comment value="
Invasive Disease - 32943"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.locoRegional"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element
             id="PathologicalStage.isTransitMetastasisWithClinicalConfirmation">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path
            value="PathologicalStage.isTransitMetastasisWithClinicalConfirmation"/>
      <short value="Is Transit metastasis with clinical confirmation (M)"/>
      <definition
                  value="Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes."/>
      <comment
               value="Transit Metastasis with Clinical Confirmation - 36769249"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path
              value="PathologicalStage.isTransitMetastasisWithClinicalConfirmation"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.isMultifocalTumor">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.isMultifocalTumor"/>
      <short value="Is Multifocal tumor (M)"/>
      <definition
                  value="Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer."/>
      <comment value="Multifocal Tumor - 36769933"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.isMultifocalTumor"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.regionalNodalMetastases">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.regionalNodalMetastases"/>
      <short value="Regional nodal metastases (M)"/>
      <definition value="Describes if regional nodal mestastases happened"/>
      <comment value="Regional spread to lymph node - 36769269"/>
      <min value="1"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.regionalNodalMetastases"/>
        <min value="1"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites"/>
      <short value="sites (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is soft tissue"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sites"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element id="PathologicalStage.sites.id">
      <path value="PathologicalStage.sites.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="PathologicalStage.sites.extension">
      <path value="PathologicalStage.sites.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; 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(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="PathologicalStage.sites.modifierExtension">
      <path value="PathologicalStage.sites.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; 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(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="PathologicalStage.sites.softTissue">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.softTissue"/>
      <short value="Soft tissue (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is soft tissue"/>
      <comment value="Metastasis to soft tissues - 35225724"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sites.softTissue"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.distantLymphNode">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.distantLymphNode"/>
      <short value="distant lymph node (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is dystan lymph node"/>
      <comment value="Distant spread to lymph node - 36769243"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sites.distantLymphNode"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.lung">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.lung"/>
      <short value="lung (R)"/>
      <definition value="Describes if site of metastasic disease  is lung"/>
      <comment value="Metastasis to lung - 36770283"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sites.lung"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.metastasisatbone">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.metastasisatbone"/>
      <short value="metastasisAtBone (R)"/>
      <definition value="Describes if site of metastasic disease  is bone"/>
      <comment value="Metastasis to bone - 36769301"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sites.metastasisatbone"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.liver">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.liver"/>
      <short value="liver (R)"/>
      <definition value="Describes if site of metastasic disease  is liver"/>
      <comment value="Metastasis to liver - 36770544"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sites.liver"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.pleura">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.pleura"/>
      <short value="pleura (R)"/>
      <definition value="Describes if site of metastasic disease  is pleura"/>
      <comment value="Metastasis to pleura - 35226258"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sites.pleura"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.peritoneum">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.peritoneum"/>
      <short value="peritoneum (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is peritoneum"/>
      <comment value="Metastasis to peritoneum - 35226253"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sites.peritoneum"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.brain">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.brain"/>
      <short value="brain (R)"/>
      <definition value="Describes if site of metastasic disease  is brain"/>
      <comment value="Metastasis to brain - 36768862"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sites.brain"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.otherViscera">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.otherViscera"/>
      <short value="other viscera (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is other viscera 
Use the generic metastasis code or a metastasis subsumed in it, 36769180"/>
      <comment value="Metastasis - 36769180"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sites.otherViscera"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.unknown">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-source">
          <valueUri
                    value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/PathologicalStage|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/PathologicalStage|0.1.0"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.unknown"/>
      <short value="unknown (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is unknown"/>
      <comment value="Unknown - 4129922"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="PathologicalStage.sites.unknown"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="boolean"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="PathologicalStage">
      <path value="PathologicalStage"/>
      <short value="Pathological Stage"/>
      <definition value="Pathological Stage
Maturity Level: 0 Draft"/>
    </element>
    <element id="PathologicalStage.diagnosisReference">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.diagnosisReference"/>
      <short value="Diagnosis Reference (M)"/>
      <definition
                  value="Diagnosis element containing the data regarding the patient's cancer "/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code
              value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis"/>
      </type>
    </element>
    <element id="PathologicalStage.stagingProceduresDoneBy">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.stagingProceduresDoneBy"/>
      <short value="Staging procedures done by (M)"/>
      <definition
                  value="Describes the ID of the institution where staging procedure for primary tumour was performed "/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="PathologicalStage.pt">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.pt"/>
      <short value="pT (M)"/>
      <definition value="Specifies the pathological T "/>
      <comment
               value="AJCC/UICC 6th pathological TX Category - 1634270
AJCC/UICC 7th pathological TX Category - 1635402
AJCC/UICC 8th pathological TX Category - 1634986

AJCC/UICC 6th Tis Category - 1635660
AJCC/UICC 7th Tis Category - 1633798
AJCC/UICC 8th Tis Category - 1634720

AJCC/UICC 6th pathological T0 Category - 1633279
AJCC/UICC 7th pathological T0 Category - 1634675
AJCC/UICC 8th pathological T0 Category - 1634635

AJCC/UICC 6th pathological T1 Category - 1633445
AJCC/UICC 7th pathological T1 Category - 1635422
AJCC/UICC 8th pathological T1 Category - 1635070

AJCC/UICC 6th pathological T2 Category - 1634792
AJCC/UICC 7th pathological T2 Category - 1634491
AJCC/UICC 8th pathological T2 Category - 1633307

AJCC/UICC 6th pathological T3 Category - 1635670
AJCC/UICC 7th pathological T3 Category - 1634658
AJCC/UICC 8th pathological T3 Category - 1634386

AJCC/UICC 6th pathological T4 Category - 1635311
AJCC/UICC 7th pathological T4 Category - 1635341
AJCC/UICC 8th pathological T4 Category - 1635396

AJCC/UICC 6th pathological T4a Category - 1634101
AJCC/UICC 7th pathological T4a Category - 1633723
AJCC/UICC 8th pathological T4a Category - 1634894

AJCC/UICC 6th pathological T4b Category - 1633900
AJCC/UICC 7th pathological T4b Category - 1633699
AJCC/UICC 8th pathological T4b Category - 1633658"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="PathologicalStage.pn">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.pn"/>
      <short value="pN (M)"/>
      <definition value="Specifies the pathological N "/>
      <comment
               value="AJCC/UICC 6th pathological NX Category - 1635823
AJCC/UICC 7th pathological NX Category - 1634505
AJCC/UICC 8th pathological NX Category - 1634117

AJCC/UICC 6th pathological N0 Category - 1634212
AJCC/UICC 7th pathological N0 Category - 1633726
AJCC/UICC 8th pathological N0 Category - 1635560

AJCC/UICC 6th pathological N1 Category - 1634562
AJCC/UICC 7th pathological N1 Category - 1634245
AJCC/UICC 8th pathological N1 Category - 1633659

AJCC/UICC 6th pathological N2 Category - 1634541
AJCC/UICC 7th pathological N2 Category - 1633569
AJCC/UICC 8th pathological N2 Category - 1633336

AJCC/UICC 6th pathological N2a Category - 1633273
AJCC/UICC 7th pathological N2a Category - 1635717
AJCC/UICC 8th pathological N2a Category - 1635871

AJCC/UICC 6th pathological N2b Category - 1634773
AJCC/UICC 7th pathological N2b Category - 1633607
AJCC/UICC 8th pathological N2b Category - 1634645

AJCC/UICC 6th pathological N2c Category - 1635113
AJCC/UICC 7th pathological N2c Category - 1634601
AJCC/UICC 8th pathological N2c Category - 1634383

AJCC/UICC 6th pathological N3 Category - 1634504
AJCC/UICC 7th pathological N3 Category - 1633668
AJCC/UICC 8th pathological N3 Category - 1635307

AJCC/UICC 6th pathological N3a Category - 1634271
AJCC/UICC 7th pathological N3a Category - 1634397
AJCC/UICC 8th pathological N3a Category - 1635545

AJCC/UICC 6th pathological N3b Category - 1633500
AJCC/UICC 7th pathological N3b Category - 1634847
AJCC/UICC 8th pathological N3b Category - 1634770"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="PathologicalStage.pm">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.pm"/>
      <short value="pM (M)"/>
      <definition value="Specifies the pathological M "/>
      <comment
               value="AJCC/UICC 6th pathological M0 Category - 1635345
AJCC/UICC 7th pathological M0 Category - 1635536
AJCC/UICC 8th pathological M0 Category - 1634606

AJCC/UICC 6th pathological M1 Category - 1633469
AJCC/UICC 7th pathological M1 Category - 1635336
AJCC/UICC 8th pathological M1 Category - 1634891"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="PathologicalStage.extraNodalExtension">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.extraNodalExtension"/>
      <short value="Extra-nodal extension (rEne) (M)"/>
      <definition
                  value="Describes the presence or absence of radiological signs of extracapsular extension, as defined in the AJCC 8th Ed 
check CODEs"/>
      <comment value="ENE- - 36769946
ENE+ - 36770618"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="PathologicalStage.sentinelNode">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sentinelNode"/>
      <short value="Sentinel node (M)"/>
      <definition
                  value="Describes whether a sentinel node procedure was performed or not. Sentinel lymph node biopsy is considered a diagnostic procedure, therefore, per se, the neck is not considered to have been treated if it does not lead to a neck dissection. "/>
      <comment value="Sentinel lymph node biopsy - 4263386"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.pathologicalStaging">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.pathologicalStaging"/>
      <short value="Pathological staging (M)"/>
      <definition value="Specifies the clinical TNM "/>
      <comment
               value="AJCC/UICC 6th pathological Stage 0 - 1634741
AJCC/UICC 7th pathological Stage 0 - 1635511
AJCC/UICC 8th pathological Stage 0 - 1634787

AJCC/UICC 6th pathological Stage 1 - 1635797
AJCC/UICC 7th pathological Stage 1 - 1635800
AJCC/UICC 8th pathological Stage 1 - 1634799

AJCC/UICC 6th pathological Stage 2 - 1633751
AJCC/UICC 7th pathological Stage 2 - 1634619
AJCC/UICC 8th pathological Stage 2 - 1635386


AJCC/UICC 6th pathological Stage 3 - 1633499
AJCC/UICC 7th pathological Stage 3 - 1634947
AJCC/UICC 8th pathological Stage 3 - 1634705

AJCC/UICC 6th pathological Stage 4 - 1634208
AJCC/UICC 7th pathological Stage 4 - 1635230
AJCC/UICC 8th pathological Stage 4 - 1633697

AJCC/UICC 6th pathological Stage 4A - 1634731
AJCC/UICC 7th pathological Stage 4A - 1635745
AJCC/UICC 8th pathological Stage 4A - 1634005

AJCC/UICC 6th pathological Stage 4B - 1635370
AJCC/UICC 7th pathological Stage 4B - 1634472
AJCC/UICC 8th pathological Stage 4B - 1634487

AJCC/UICC 6th pathological Stage 4C - 1635893
AJCC/UICC 7th pathological Stage 4C - 1634492
AJCC/UICC 8th pathological Stage 4C - 1634551"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
    </element>
    <element id="PathologicalStage.localised">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.localised"/>
      <short value="Localised (M)"/>
      <definition
                  value="Describes if there disease is local 
Localised and Number of tumor modules are variables that work together"/>
      <comment value="Confined disease - 32942"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.numberOfTumorNodules">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.numberOfTumorNodules"/>
      <short value="Number of tumor nodules (R)"/>
      <definition
                  value="Indicates the number of tumor nodules in the case the disease is localised 
Localised and Number of tumor modules are variables that work together"/>
      <comment value="Number of tumor nodules - 4228659"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="integer"/>
      </type>
    </element>
    <element id="PathologicalStage.locoRegional">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.locoRegional"/>
      <short value="Loco-regional (M)"/>
      <definition
                  value="Indicates if the disease is in a loco-regional extent "/>
      <comment value="
Invasive Disease - 32943

"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element
             id="PathologicalStage.isTransitMetastasisWithClinicalConfirmation">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path
            value="PathologicalStage.isTransitMetastasisWithClinicalConfirmation"/>
      <short value="Is Transit metastasis with clinical confirmation (M)"/>
      <definition
                  value="Indicates spread of cancer cells through lymphatic vessels, where they lodge and grow in tissues located between the primary tumor and the nearest regional lymph nodes. "/>
      <comment
               value="Transit Metastasis with Clinical Confirmation - 36769249
"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.isMultifocalTumor">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.isMultifocalTumor"/>
      <short value="Is Multifocal tumor (M)"/>
      <definition
                  value="Presence of multiple distinct tumor foci (or nodules) within the same organ or tissue, originating from the same primary tumor type. These foci may arise through independent tumorigenesis (multiple primary lesions) or local spread of the same cancer. "/>
      <comment value="Multifocal Tumor - 36769933
"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.regionalNodalMetastases">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.regionalNodalMetastases"/>
      <short value="Regional nodal metastases (M)"/>
      <definition value="Describes if regional nodal mestastases happened "/>
      <comment value="Regional spread to lymph node - 36769269"/>
      <min value="1"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites"/>
      <short value="sites (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is soft tissue"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.softTissue">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.softTissue"/>
      <short value="Soft tissue (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is soft tissue "/>
      <comment value="Metastasis to soft tissues - 35225724"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.distantLymphNode">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.distantLymphNode"/>
      <short value="distant lymph node (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is dystan lymph node "/>
      <comment value="Distant spread to lymph node - 36769243"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.lung">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.lung"/>
      <short value="lung (R)"/>
      <definition value="Describes if site of metastasic disease  is lung "/>
      <comment value="Metastasis to lung - 36770283"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.metastasisatbone">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.metastasisatbone"/>
      <short value="metastasisAtBone (R)"/>
      <definition value="Describes if site of metastasic disease  is bone "/>
      <comment value="Metastasis to bone - 36769301"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.liver">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.liver"/>
      <short value="liver (R)"/>
      <definition value="Describes if site of metastasic disease  is liver "/>
      <comment value="Metastasis to liver - 36770544"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.pleura">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.pleura"/>
      <short value="pleura (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is pleura "/>
      <comment value="Metastasis to pleura - 35226258"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.peritoneum">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.peritoneum"/>
      <short value="peritoneum (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is peritoneum "/>
      <comment value="Metastasis to peritoneum - 35226253"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.brain">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.brain"/>
      <short value="brain (R)"/>
      <definition value="Describes if site of metastasic disease  is brain "/>
      <comment value="Metastasis to brain - 36768862"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.otherViscera">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.otherViscera"/>
      <short value="other viscera (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is other viscera 
Use the generic metastasis code or a metastasis subsumed in it, 36769180"/>
      <comment value="Metastasis - 36769180"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
    <element id="PathologicalStage.sites.unknown">
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
        </extension>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/obligation">
        <extension url="code">
          <valueCode value="SHALL:handle"/>
        </extension>
        <extension url="actor">
          <valueCanonical
                          value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
        </extension>
      </extension>
      <path value="PathologicalStage.sites.unknown"/>
      <short value="unknown (R)"/>
      <definition
                  value="Describes if site of metastasic disease  is unknown "/>
      <comment value="Unknown - 4129922"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="boolean"/>
      </type>
    </element>
  </differential>
</StructureDefinition>