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: SubjectI4rc - TTL Profile

Draft as of 2026-08-07

TTL representation of the Subject logical model.

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

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

<http://hl7.org/fhir/StructureDefinition/Subject> a fhir:StructureDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "Subject"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition Subject</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-Subject-definitions.html#Subject\" title=\"Subject of care.#xA;Maturity Level: 0 Draft\">Subject</a><a name=\"Subject\"> </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\">Patient</td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.sex\" title=\"Describes biological sex as recorded in the patient's identity document or in the hospital record. In the absence of documentation, the one declared by the patient will be recorded\">sex</a><a name=\"Subject.sex\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Sex (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.race\" title=\"Describes race as recorded in  the hospital record, the one declared by the patient,, otherwise, the onerecognized by the observer\">race</a><a name=\"Subject.race\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Race (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.birthYear\" title=\"Year of birth of the patient.\">birthYear</a><a name=\"Subject.birthYear\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Birth year (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.countryOfResidence\" title=\"Country of residence at the time of diagnosis\">countryOfResidence</a><a name=\"Subject.countryOfResidence\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Country of Residence (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.smoking\" title=\"Describes tobacco smoker habits within the options proposed\">smoking</a><a name=\"Subject.smoking\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Smoking (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.cigarettesPackYearsSmokedDuringLife\" title=\"Calculates pack/ year by multiplying the number of packs of cigarettes smoked per day by the number of years the person has been smoking.\">cigarettesPackYearsSmokedDuringLife</a><a name=\"Subject.cigarettesPackYearsSmokedDuringLife\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cigarettes pack years smoked during life (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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-Subject-definitions.html#Subject.alcohol\" title=\"Describes alcohol habits within the options proposed\">alcohol</a><a name=\"Subject.alcohol\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Alcohol (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.bmi\" title=\"Body Mass Index information if weight and height are included. it is calculated as BMI = kg/m2 where kg is a person's weight in kilograms and m2 is their height in metres squared.\">bmi</a><a name=\"Subject.bmi\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</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\">Height/weight (BMI)\n (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.charlsonComorbidityIndex\" title=\"Provides the Charlson Comorbidity index for the patient\">charlsonComorbidityIndex</a><a name=\"Subject.charlsonComorbidityIndex\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Charlson Comorbidity index (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity\" title=\"Describes wherther the patient was diagnosed before treatment of at least one of the comorbidities listed or not. #xA;It refers to any disease or medical condition that is simultaneously present with the cancer under study.\">comorbidity</a><a name=\"Subject.comorbidity\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#BackboneElement\">BackboneElement</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Comorbidity (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.myocardialInfarction\" title=\"Describes comorbidities reported or assesed before treatment. More than one choice is allowed. Please do not include the current cancer in this calculation, only the previous cancer.\">myocardialInfarction</a><a name=\"Subject.comorbidity.myocardialInfarction\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Myocardial infarction (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.congestiveHeartFailure\" title=\"Previous cancer comorbidity related to Congestive heart failure (O)\">congestiveHeartFailure</a><a name=\"Subject.comorbidity.congestiveHeartFailure\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Congestive heart failure (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.peripheralVascularDisease\" title=\"Previous cancer comorbidity related to Peripheral vascular disease (O)\">peripheralVascularDisease</a><a name=\"Subject.comorbidity.peripheralVascularDisease\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Peripheral vascular disease (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.cerebrovascularAccidentExceptHemiplegia\" title=\"Previous cancer comorbidity related to Cerebrovascular accident  (except hemiplegia) (O)\">cerebrovascularAccidentExceptHemiplegia</a><a name=\"Subject.comorbidity.cerebrovascularAccidentExceptHemiplegia\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cerebrovascular accident  (except hemiplegia) (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.dementia\" title=\"Previous cancer comorbidity related to Dementia (O)\">dementia</a><a name=\"Subject.comorbidity.dementia\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Dementia (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.chronicPulmonaryDisease\" title=\"Previous cancer comorbidity related to Chronic pulmonary disease (O)\">chronicPulmonaryDisease</a><a name=\"Subject.comorbidity.chronicPulmonaryDisease\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Chronic pulmonary disease (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.connectiveTissueDisease\" title=\"Previous cancer comorbidity related to Connective tissue disease (O)\">connectiveTissueDisease</a><a name=\"Subject.comorbidity.connectiveTissueDisease\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Connective tissue disease (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.ulcer\" title=\"Previous cancer comorbidity related to Ulcer (O)\">ulcer</a><a name=\"Subject.comorbidity.ulcer\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Ulcer (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.mildLiverDisease\" title=\"Previous cancer comorbidity related to Mild liver disease (O)\">mildLiverDisease</a><a name=\"Subject.comorbidity.mildLiverDisease\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Mild liver disease (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.moderateToSevereLiverDisease\" title=\"Previous cancer comorbidity related to Moderate to severe liver disease (O)\">moderateToSevereLiverDisease</a><a name=\"Subject.comorbidity.moderateToSevereLiverDisease\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Moderate to severe liver disease (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.diabetes\" title=\"Previous cancer comorbidity related to Diabetes (without complications) (O)\">diabetes</a><a name=\"Subject.comorbidity.diabetes\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Diabetes (without complications) (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.diabetesWithEndOrganDamage\" title=\"Previous cancer comorbidity related to Diabetes with end organ damage (O)\">diabetesWithEndOrganDamage</a><a name=\"Subject.comorbidity.diabetesWithEndOrganDamage\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Diabetes with end organ damage (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.hemiplegia\" title=\"Previous cancer comorbidity related to Hemiplegia (O)\">hemiplegia</a><a name=\"Subject.comorbidity.hemiplegia\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Hemiplegia (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.moderateToSevereRenalDisease\" title=\"Previous cancer comorbidity related to Moderate to severe renal disease (O)\">moderateToSevereRenalDisease</a><a name=\"Subject.comorbidity.moderateToSevereRenalDisease\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Moderate to severe renal disease (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.solidTumor\" title=\"Previous cancer comorbidity related to Solid tumor (non metastatic) (O)\">solidTumor</a><a name=\"Subject.comorbidity.solidTumor\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Solid tumor (non metastatic) (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.metastaticSolidTumor\" title=\"Previous cancer comorbidity related to Metastatic solid tumor (O)\">metastaticSolidTumor</a><a name=\"Subject.comorbidity.metastaticSolidTumor\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Metastatic solid tumor (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.leukemia\" title=\"Previous cancer comorbidity related to Leukemia (O)\">leukemia</a><a name=\"Subject.comorbidity.leukemia\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Leukemia (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.lymphoma\" title=\"Previous cancer comorbidity related to Lymphoma (O)\">lymphoma</a><a name=\"Subject.comorbidity.lymphoma\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Lymphoma (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.multipleMyeloma\" title=\"Previous cancer comorbidity related to Multiple myeloma (O)\">multipleMyeloma</a><a name=\"Subject.comorbidity.multipleMyeloma\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Multiple myeloma (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.comorbidity.aids\" title=\"Previous cancer comorbidity related to AIDS (O)\">aids</a><a name=\"Subject.comorbidity.aids\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">AIDS (O)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.ecogPsAtDiagnosis\" title=\"Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis\">ecogPsAtDiagnosis</a><a name=\"Subject.ecogPsAtDiagnosis\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.ecogPsLabel\" title=\"Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis\">ecogPsLabel</a><a name=\"Subject.ecogPsLabel\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">ECOG PS label (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.karnofsyIndexAtDiagnosis\" title=\"Karnofsy index at diagnosis. Consider only the first KI before any treatment available in the clinical record.\">karnofsyIndexAtDiagnosis</a><a name=\"Subject.karnofsyIndexAtDiagnosis\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Karnofsy index at diagnosis (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.karnofsyIndexLabel\" title=\"Karnofsy index at diagnosis. Consider only the first KI before any treatment available in the clinical record.\">karnofsyIndexLabel</a><a name=\"Subject.karnofsyIndexLabel\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Karnofsy index label (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020\" title=\"If no genetic syndrome was identified for the patient. based on WHO 2020.\">noGeneticSyndromeWho2020</a><a name=\"Subject.noGeneticSyndromeWho2020\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">No Genetic syndrome (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020.olliersDisease\" title=\"If patient presents Olliers disease\">olliersDisease</a><a name=\"Subject.noGeneticSyndromeWho2020.olliersDisease\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Olliers disease (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020.maffuciSyndrome\" title=\"If patient presents Maffuci syndrome\">maffuciSyndrome</a><a name=\"Subject.noGeneticSyndromeWho2020.maffuciSyndrome\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Maffuci syndrome (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020.liFraumeniSyndrome\" title=\"If patient presents Li-Fraumeni syndrome\">liFraumeniSyndrome</a><a name=\"Subject.noGeneticSyndromeWho2020.liFraumeniSyndrome\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Li-Fraumeni syndrome (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome\" title=\"If patient presents McCune-Albright syndrome\">mcCuneAlbrightSyndrome</a><a name=\"Subject.noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">McCune-Albright syndrome (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020.multipleOsteochondromas\" title=\"If patient presents Multiple osteochondromas\">multipleOsteochondromas</a><a name=\"Subject.noGeneticSyndromeWho2020.multipleOsteochondromas\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Multiple osteochondromas (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020.neurofibromatosisType1\" title=\"If patient presents Neurofibromatosis type 1\">neurofibromatosisType1</a><a name=\"Subject.noGeneticSyndromeWho2020.neurofibromatosisType1\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Neurofibromatosis type 1 (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020.rothmundThomsonSyndrome\" title=\"If patient presents Rothmund-Thomson syndrome\">rothmundThomsonSyndrome</a><a name=\"Subject.noGeneticSyndromeWho2020.rothmundThomsonSyndrome\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Rothmund-Thomson syndrome (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020.wernerSyndrome\" title=\"If patient presents Werner syndrome\">wernerSyndrome</a><a name=\"Subject.noGeneticSyndromeWho2020.wernerSyndrome\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Werner syndrome (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020.retinoblastoma\" title=\"If patient presents Retinoblastoma\">retinoblastoma</a><a name=\"Subject.noGeneticSyndromeWho2020.retinoblastoma\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Retinoblastoma (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020.pagetDisease\" title=\"If patient presents Paget disease\">pagetDisease</a><a name=\"Subject.noGeneticSyndromeWho2020.pagetDisease\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Paget disease (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.noGeneticSyndromeWho2020.otherSyndromes\" title=\"If patient presents Other Genetic syndrome. According to WHO 2020\">otherSyndromes</a><a name=\"Subject.noGeneticSyndromeWho2020.otherSyndromes\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Other Genetic syndrome (M)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #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-Subject-definitions.html#Subject.previousMalignantCancerSite\" title=\"Describes the site of the malignant tumour reported or assesed before the cancer under study. Any type of of solid and haematological cancer is listed. To obtain the previous malignant cancer refer to the solid tumor (metastatic and non-metastatic)  comorbidity\">previousMalignantCancerSite</a><a name=\"Subject.previousMalignantCancerSite\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Previous malignant cancer site (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\">Head and Neck</a></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Subject-definitions.html#Subject.previousCancerTreatment\" title=\"Describes the type of treatment performed for the previous cancer\">previousCancerTreatment</a><a name=\"Subject.previousCancerTreatment\"> </a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: #D50000\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Previous cancer treatment (R)<br/><table class=\"obligation grid\"><tr><td style=\"font-size: 11px\"><b>Obligations</b></td><td style=\"font-size: 11px\"><b>Actor</b></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<a href=\"http://hl7.org/fhir/extensions/5.3.0/CodeSystem-obligation.html#obligation-handle\" title=\"Obligation Codes: correctly handle\">handle</a></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\">Sarcoma</a></td></tr></table></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  ] ;
  fhir:StructureDefinition.url [ fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"] ;
  fhir:StructureDefinition.version [ fhir:value "0.1.0"] ;
  fhir:StructureDefinition.name [ fhir:value "SubjectI4rc"] ;
  fhir:StructureDefinition.title [ fhir:value "Patient"] ;
  fhir:StructureDefinition.status [ fhir:value "draft"] ;
  fhir:StructureDefinition.date [ fhir:value "2026-08-07T10:05:28+00:00"^^xsd:dateTime] ;
  fhir:StructureDefinition.publisher [ fhir:value "IDEA4RC Project"] ;
  fhir:StructureDefinition.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "IDEA4RC Project" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.idea4rc.eu/" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:ContactDetail.name [ fhir:value "IDEA4RC Project" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.idea4rc.eu/" ]
     ]
  ] ;
  fhir:StructureDefinition.description [ fhir:value "Subject of care.\nMaturity Level: 0 Draft"] ;
  fhir:StructureDefinition.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "150" ] ;
       fhir:Coding.display [ fhir:value "Europe" ]
     ]
  ] ;
  fhir:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ;
  fhir:StructureDefinition.kind [ fhir:value "logical"] ;
  fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ;
  fhir:StructureDefinition.type [ fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject"] ;
  fhir:StructureDefinition.baseDefinition [
     fhir:value "http://hl7.org/fhir/StructureDefinition/Base" ;
     fhir:link <http://hl7.org/fhir/StructureDefinition/Base>
  ] ;
  fhir:StructureDefinition.derivation [ fhir:value "specialization"] ;
  fhir:StructureDefinition.snapshot [
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ;
       fhir:Extension.valueString [ fhir:value "4.0.1" ]
     ] ;
     fhir:StructureDefinition.snapshot.element [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "Subject" ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject" ] ;
       fhir:ElementDefinition.short [ fhir:value "Patient" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Subject of care.\nMaturity Level: 0 Draft" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Base" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "Subject.sex" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.sex" ] ;
       fhir:ElementDefinition.short [ fhir:value "Sex (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes biological sex as recorded in the patient's identity document or in the hospital record. In the absence of documentation, the one declared by the patient will be recorded" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Male - 8507\nFemale - 8532" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.sex" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "Subject.race" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.race" ] ;
       fhir:ElementDefinition.short [ fhir:value "Race (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes race as recorded in  the hospital record, the one declared by the patient,, otherwise, the onerecognized by the observer" ] ;
       fhir:ElementDefinition.comment [ fhir:value "White - 8527\nBlack - 8516\nAsian/Pacific Islanders - 8515\nAmerican Indian/Alaska Native - 8657\n        Hispanic or Latino - 38003563" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.race" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Element.id [ fhir:value "Subject.birthYear" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.birthYear" ] ;
       fhir:ElementDefinition.short [ fhir:value "Birth year (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Year of birth of the patient." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.birthYear" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 4 ;
       fhir:Element.id [ fhir:value "Subject.countryOfResidence" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.countryOfResidence" ] ;
       fhir:ElementDefinition.short [ fhir:value "Country of Residence (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Country of residence at the time of diagnosis" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Son in the hierarchy of countries" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.countryOfResidence" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 5 ;
       fhir:Element.id [ fhir:value "Subject.smoking" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.smoking" ] ;
       fhir:ElementDefinition.short [ fhir:value "Smoking (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes tobacco smoker habits within the options proposed" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Current smoker - 36309332\nFormer smoker - 45883458\nNever smoker - 45879404" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.smoking" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 6 ;
       fhir:Element.id [ fhir:value "Subject.cigarettesPackYearsSmokedDuringLife" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.cigarettesPackYearsSmokedDuringLife" ] ;
       fhir:ElementDefinition.short [ fhir:value "Cigarettes pack years smoked during life (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Calculates pack/ year by multiplying the number of packs of cigarettes smoked per day by the number of years the person has been smoking." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.cigarettesPackYearsSmokedDuringLife" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 7 ;
       fhir:Element.id [ fhir:value "Subject.alcohol" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.alcohol" ] ;
       fhir:ElementDefinition.short [ fhir:value "Alcohol (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes alcohol habits within the options proposed" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Current drinker - 4074035\nEx-drinker - 4220362\nLifetime non-drinker of alcohol - 37204556\nEx-problem drinker - 4117706" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.alcohol" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 8 ;
       fhir:Element.id [ fhir:value "Subject.bmi" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.bmi" ] ;
       fhir:ElementDefinition.short [ fhir:value "Height/weight (BMI)\n (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Body Mass Index information if weight and height are included. it is calculated as BMI = kg/m2 where kg is a person's weight in kilograms and m2 is their height in metres squared." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.bmi" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]
       ]
     ], [
       fhir:index 9 ;
       fhir:Element.id [ fhir:value "Subject.charlsonComorbidityIndex" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.charlsonComorbidityIndex" ] ;
       fhir:ElementDefinition.short [ fhir:value "Charlson Comorbidity index (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Provides the Charlson Comorbidity index for the patient" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.charlsonComorbidityIndex" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 10 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity" ] ;
       fhir:ElementDefinition.short [ fhir:value "Comorbidity (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes wherther the patient was diagnosed before treatment of at least one of the comorbidities listed or not. \nIt refers to any disease or medical condition that is simultaneously present with the cancer under study." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ]
     ], [
       fhir:index 11 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 12 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.extension" ] ;
       fhir:ElementDefinition.slicing [
         fhir:ElementDefinition.slicing.discriminator [
           fhir:index 0 ;
           fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
           fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
         ] ;
         fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
         fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
       ]
     ], [
       fhir:index 13 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.modifierExtension" ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.modifierExtension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Extensions that cannot be ignored even if unrecognized" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.requirements [ fhir:value "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ], [
         fhir:value "modifiers" ;
         fhir:index 2
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "BackboneElement.modifierExtension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.isModifierReason [ fhir:value "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "true"^^xsd:boolean ] ;
       fhir:ElementDefinition.mapping [
         fhir:index 0 ;
         fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
         fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
       ]
     ], [
       fhir:index 14 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.myocardialInfarction" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.myocardialInfarction" ] ;
       fhir:ElementDefinition.short [ fhir:value "Myocardial infarction (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes comorbidities reported or assesed before treatment. More than one choice is allowed. Please do not include the current cancer in this calculation, only the previous cancer." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.myocardialInfarction" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 15 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.congestiveHeartFailure" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.congestiveHeartFailure" ] ;
       fhir:ElementDefinition.short [ fhir:value "Congestive heart failure (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Congestive heart failure (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.congestiveHeartFailure" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 16 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.peripheralVascularDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.peripheralVascularDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Peripheral vascular disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Peripheral vascular disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.peripheralVascularDisease" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 17 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.cerebrovascularAccidentExceptHemiplegia" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.cerebrovascularAccidentExceptHemiplegia" ] ;
       fhir:ElementDefinition.short [ fhir:value "Cerebrovascular accident  (except hemiplegia) (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Cerebrovascular accident  (except hemiplegia) (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.cerebrovascularAccidentExceptHemiplegia" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 18 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.dementia" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.dementia" ] ;
       fhir:ElementDefinition.short [ fhir:value "Dementia (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Dementia (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.dementia" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 19 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.chronicPulmonaryDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.chronicPulmonaryDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Chronic pulmonary disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Chronic pulmonary disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.chronicPulmonaryDisease" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 20 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.connectiveTissueDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.connectiveTissueDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Connective tissue disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Connective tissue disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.connectiveTissueDisease" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 21 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.ulcer" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.ulcer" ] ;
       fhir:ElementDefinition.short [ fhir:value "Ulcer (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Ulcer (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.ulcer" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 22 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.mildLiverDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.mildLiverDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Mild liver disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Mild liver disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.mildLiverDisease" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 23 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.moderateToSevereLiverDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.moderateToSevereLiverDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Moderate to severe liver disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Moderate to severe liver disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.moderateToSevereLiverDisease" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 24 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.diabetes" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.diabetes" ] ;
       fhir:ElementDefinition.short [ fhir:value "Diabetes (without complications) (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Diabetes (without complications) (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.diabetes" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 25 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.diabetesWithEndOrganDamage" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.diabetesWithEndOrganDamage" ] ;
       fhir:ElementDefinition.short [ fhir:value "Diabetes with end organ damage (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Diabetes with end organ damage (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.diabetesWithEndOrganDamage" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 26 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.hemiplegia" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.hemiplegia" ] ;
       fhir:ElementDefinition.short [ fhir:value "Hemiplegia (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Hemiplegia (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.hemiplegia" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 27 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.moderateToSevereRenalDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.moderateToSevereRenalDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Moderate to severe renal disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Moderate to severe renal disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.moderateToSevereRenalDisease" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 28 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.solidTumor" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.solidTumor" ] ;
       fhir:ElementDefinition.short [ fhir:value "Solid tumor (non metastatic) (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Solid tumor (non metastatic) (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.solidTumor" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 29 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.metastaticSolidTumor" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.metastaticSolidTumor" ] ;
       fhir:ElementDefinition.short [ fhir:value "Metastatic solid tumor (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Metastatic solid tumor (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.metastaticSolidTumor" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 30 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.leukemia" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.leukemia" ] ;
       fhir:ElementDefinition.short [ fhir:value "Leukemia (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Leukemia (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.leukemia" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 31 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.lymphoma" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.lymphoma" ] ;
       fhir:ElementDefinition.short [ fhir:value "Lymphoma (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Lymphoma (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.lymphoma" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 32 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.multipleMyeloma" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.multipleMyeloma" ] ;
       fhir:ElementDefinition.short [ fhir:value "Multiple myeloma (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Multiple myeloma (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.multipleMyeloma" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 33 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.aids" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.aids" ] ;
       fhir:ElementDefinition.short [ fhir:value "AIDS (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to AIDS (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.comorbidity.aids" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 34 ;
       fhir:Element.id [ fhir:value "Subject.ecogPsAtDiagnosis" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.ecogPsAtDiagnosis" ] ;
       fhir:ElementDefinition.short [ fhir:value "Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.ecogPsAtDiagnosis" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 35 ;
       fhir:Element.id [ fhir:value "Subject.ecogPsLabel" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.ecogPsLabel" ] ;
       fhir:ElementDefinition.short [ fhir:value "ECOG PS label (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Answers of ECOG Performance Status [Interpretation] - 36303470" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.ecogPsLabel" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 36 ;
       fhir:Element.id [ fhir:value "Subject.karnofsyIndexAtDiagnosis" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.karnofsyIndexAtDiagnosis" ] ;
       fhir:ElementDefinition.short [ fhir:value "Karnofsy index at diagnosis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Karnofsy index at diagnosis. Consider only the first KI before any treatment available in the clinical record." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.karnofsyIndexAtDiagnosis" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 37 ;
       fhir:Element.id [ fhir:value "Subject.karnofsyIndexLabel" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.karnofsyIndexLabel" ] ;
       fhir:ElementDefinition.short [ fhir:value "Karnofsy index label (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Karnofsy index at diagnosis. Consider only the first KI before any treatment available in the clinical record." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Answers of Karnofsky Performance Status [Interpretation] - 36303744" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.karnofsyIndexLabel" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 38 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020" ] ;
       fhir:ElementDefinition.short [ fhir:value "No Genetic syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If no genetic syndrome was identified for the patient. based on WHO 2020." ] ;
       fhir:ElementDefinition.comment [ fhir:value "No evidence of - 4211787" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ]
     ], [
       fhir:index 39 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.id" ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.id" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "xml:id (or equivalent in JSON)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "unique id for the element within a resource (for internal references)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "string" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 40 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.extension" ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.extension" ] ;
       fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
       fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
       fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
       fhir:ElementDefinition.alias [
         fhir:value "extensions" ;
         fhir:index 0
       ], [
         fhir:value "user content" ;
         fhir:index 1
       ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
       ] ;
       fhir:ElementDefinition.constraint [
         fhir:index 0 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
         ]
       ], [
         fhir:index 1 ;
         fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
         fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
         fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
         fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
         fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
         fhir:ElementDefinition.constraint.source [
           fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
           fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
         ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 41 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.value" ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.value" ] ;
       fhir:ElementDefinition.representation [
         fhir:value "xmlAttr" ;
         fhir:index 0
       ] ;
       fhir:ElementDefinition.short [ fhir:value "Primitive value for boolean" ] ;
       fhir:ElementDefinition.definition [ fhir:value "The actual value" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "1" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "boolean.value" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "1" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
           fhir:Extension.valueUrl [ fhir:value "boolean" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/regex" ] ;
           fhir:Extension.valueString [ fhir:value "true|false" ]
         ] ;
         fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.Boolean" ]
       ] ;
       fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
       fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ]
     ], [
       fhir:index 42 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.olliersDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.olliersDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Olliers disease (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Olliers disease" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Enchondromatosis - 4145177" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020.olliersDisease" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 43 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.maffuciSyndrome" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.maffuciSyndrome" ] ;
       fhir:ElementDefinition.short [ fhir:value "Maffuci syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Maffuci syndrome" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Maffucci syndrome - 4187683" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020.maffuciSyndrome" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 44 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.liFraumeniSyndrome" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.liFraumeniSyndrome" ] ;
       fhir:ElementDefinition.short [ fhir:value "Li-Fraumeni syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Li-Fraumeni syndrome" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Li-Fraumeni syndrome - 4323645" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020.liFraumeniSyndrome" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 45 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome" ] ;
       fhir:ElementDefinition.short [ fhir:value "McCune-Albright syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents McCune-Albright syndrome" ] ;
       fhir:ElementDefinition.comment [ fhir:value "McCune Albright syndrome - 37117262" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 46 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.multipleOsteochondromas" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.multipleOsteochondromas" ] ;
       fhir:ElementDefinition.short [ fhir:value "Multiple osteochondromas (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Multiple osteochondromas" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Multiple osteochondroma - 37396802" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020.multipleOsteochondromas" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 47 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.neurofibromatosisType1" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.neurofibromatosisType1" ] ;
       fhir:ElementDefinition.short [ fhir:value "Neurofibromatosis type 1 (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Neurofibromatosis type 1" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Neurofibromatosis type 1 - 377252" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020.neurofibromatosisType1" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 48 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.rothmundThomsonSyndrome" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.rothmundThomsonSyndrome" ] ;
       fhir:ElementDefinition.short [ fhir:value "Rothmund-Thomson syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Rothmund-Thomson syndrome" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Rothmund-Thomson syndrome - 4286355" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020.rothmundThomsonSyndrome" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 49 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.wernerSyndrome" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.wernerSyndrome" ] ;
       fhir:ElementDefinition.short [ fhir:value "Werner syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Werner syndrome" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Werner syndrome - 4197821" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020.wernerSyndrome" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 50 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.retinoblastoma" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.retinoblastoma" ] ;
       fhir:ElementDefinition.short [ fhir:value "Retinoblastoma (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Retinoblastoma" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Retinoblastoma - 4158977" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020.retinoblastoma" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 51 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.pagetDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.pagetDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Paget disease (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Paget disease" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Osteitis deformans - 75910" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020.pagetDisease" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 52 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.otherSyndromes" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.otherSyndromes" ] ;
       fhir:ElementDefinition.short [ fhir:value "Other Genetic syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Other Genetic syndrome. According to WHO 2020" ] ;
       fhir:ElementDefinition.comment [ fhir:value "History of event - 1340204\n\n+ Any Standard Condition Code\nIf not specified, use 37204336 [Genetic disease]" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.noGeneticSyndromeWho2020.otherSyndromes" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 53 ;
       fhir:Element.id [ fhir:value "Subject.previousMalignantCancerSite" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.previousMalignantCancerSite" ] ;
       fhir:ElementDefinition.short [ fhir:value "Previous malignant cancer site (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes the site of the malignant tumour reported or assesed before the cancer under study. Any type of of solid and haematological cancer is listed. To obtain the previous malignant cancer refer to the solid tumor (metastatic and non-metastatic)  comorbidity" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Values from CancerModifier Topography\n\nUse integer for IDEA4RC if needed" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.previousMalignantCancerSite" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 54 ;
       fhir:Element.id [ fhir:value "Subject.previousCancerTreatment" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ], [
           fhir:index 2 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-source" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Subject|0.1.0>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.previousCancerTreatment" ] ;
       fhir:ElementDefinition.short [ fhir:value "Previous cancer treatment (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes the type of treatment performed for the previous cancer" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Chemotherapy - 4273629\nRadiation oncology- 4170755\nSurgery - 4121697 \nComprehensive medication therapy review - 42535584\nImmunological therapy - 4295112" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.base [
         fhir:ElementDefinition.base.path [ fhir:value "Subject.previousCancerTreatment" ] ;
         fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
         fhir:ElementDefinition.base.max [ fhir:value "*" ]
       ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ]
  ] ;
  fhir:StructureDefinition.differential [
     fhir:StructureDefinition.differential.element [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "Subject" ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject" ] ;
       fhir:ElementDefinition.short [ fhir:value "Patient" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Subject of care.\nMaturity Level: 0 Draft" ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "Subject.sex" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.sex" ] ;
       fhir:ElementDefinition.short [ fhir:value "Sex (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes biological sex as recorded in the patient's identity document or in the hospital record. In the absence of documentation, the one declared by the patient will be recorded" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Male - 8507\nFemale - 8532" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "Subject.race" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.race" ] ;
       fhir:ElementDefinition.short [ fhir:value "Race (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes race as recorded in  the hospital record, the one declared by the patient,, otherwise, the onerecognized by the observer" ] ;
       fhir:ElementDefinition.comment [ fhir:value "White - 8527\nBlack - 8516\nAsian/Pacific Islanders - 8515\nAmerican Indian/Alaska Native - 8657\n        Hispanic or Latino - 38003563" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 3 ;
       fhir:Element.id [ fhir:value "Subject.birthYear" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.birthYear" ] ;
       fhir:ElementDefinition.short [ fhir:value "Birth year (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Year of birth of the patient." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 4 ;
       fhir:Element.id [ fhir:value "Subject.countryOfResidence" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.countryOfResidence" ] ;
       fhir:ElementDefinition.short [ fhir:value "Country of Residence (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Country of residence at the time of diagnosis" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Son in the hierarchy of countries" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 5 ;
       fhir:Element.id [ fhir:value "Subject.smoking" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.smoking" ] ;
       fhir:ElementDefinition.short [ fhir:value "Smoking (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes tobacco smoker habits within the options proposed" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Current smoker - 36309332\nFormer smoker - 45883458\nNever smoker - 45879404" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 6 ;
       fhir:Element.id [ fhir:value "Subject.cigarettesPackYearsSmokedDuringLife" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.cigarettesPackYearsSmokedDuringLife" ] ;
       fhir:ElementDefinition.short [ fhir:value "Cigarettes pack years smoked during life (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Calculates pack/ year by multiplying the number of packs of cigarettes smoked per day by the number of years the person has been smoking." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 7 ;
       fhir:Element.id [ fhir:value "Subject.alcohol" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.alcohol" ] ;
       fhir:ElementDefinition.short [ fhir:value "Alcohol (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes alcohol habits within the options proposed" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Current drinker - 4074035\nEx-drinker - 4220362\nLifetime non-drinker of alcohol - 37204556\nEx-problem drinker - 4117706" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 8 ;
       fhir:Element.id [ fhir:value "Subject.bmi" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.bmi" ] ;
       fhir:ElementDefinition.short [ fhir:value "Height/weight (BMI)\n (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Body Mass Index information if weight and height are included. it is calculated as BMI = kg/m2 where kg is a person's weight in kilograms and m2 is their height in metres squared." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "Quantity" ]
       ]
     ], [
       fhir:index 9 ;
       fhir:Element.id [ fhir:value "Subject.charlsonComorbidityIndex" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.charlsonComorbidityIndex" ] ;
       fhir:ElementDefinition.short [ fhir:value "Charlson Comorbidity index (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Provides the Charlson Comorbidity index for the patient" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 10 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity" ] ;
       fhir:ElementDefinition.short [ fhir:value "Comorbidity (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes wherther the patient was diagnosed before treatment of at least one of the comorbidities listed or not. \nIt refers to any disease or medical condition that is simultaneously present with the cancer under study." ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "BackboneElement" ]
       ]
     ], [
       fhir:index 11 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.myocardialInfarction" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.myocardialInfarction" ] ;
       fhir:ElementDefinition.short [ fhir:value "Myocardial infarction (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes comorbidities reported or assesed before treatment. More than one choice is allowed. Please do not include the current cancer in this calculation, only the previous cancer." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 12 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.congestiveHeartFailure" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.congestiveHeartFailure" ] ;
       fhir:ElementDefinition.short [ fhir:value "Congestive heart failure (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Congestive heart failure (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 13 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.peripheralVascularDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.peripheralVascularDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Peripheral vascular disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Peripheral vascular disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 14 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.cerebrovascularAccidentExceptHemiplegia" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.cerebrovascularAccidentExceptHemiplegia" ] ;
       fhir:ElementDefinition.short [ fhir:value "Cerebrovascular accident  (except hemiplegia) (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Cerebrovascular accident  (except hemiplegia) (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 15 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.dementia" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.dementia" ] ;
       fhir:ElementDefinition.short [ fhir:value "Dementia (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Dementia (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 16 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.chronicPulmonaryDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.chronicPulmonaryDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Chronic pulmonary disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Chronic pulmonary disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 17 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.connectiveTissueDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.connectiveTissueDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Connective tissue disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Connective tissue disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 18 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.ulcer" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.ulcer" ] ;
       fhir:ElementDefinition.short [ fhir:value "Ulcer (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Ulcer (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 19 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.mildLiverDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.mildLiverDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Mild liver disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Mild liver disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 20 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.moderateToSevereLiverDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.moderateToSevereLiverDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Moderate to severe liver disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Moderate to severe liver disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 21 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.diabetes" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.diabetes" ] ;
       fhir:ElementDefinition.short [ fhir:value "Diabetes (without complications) (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Diabetes (without complications) (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 22 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.diabetesWithEndOrganDamage" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.diabetesWithEndOrganDamage" ] ;
       fhir:ElementDefinition.short [ fhir:value "Diabetes with end organ damage (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Diabetes with end organ damage (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 23 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.hemiplegia" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.hemiplegia" ] ;
       fhir:ElementDefinition.short [ fhir:value "Hemiplegia (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Hemiplegia (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 24 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.moderateToSevereRenalDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.moderateToSevereRenalDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Moderate to severe renal disease (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Moderate to severe renal disease (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 25 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.solidTumor" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.solidTumor" ] ;
       fhir:ElementDefinition.short [ fhir:value "Solid tumor (non metastatic) (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Solid tumor (non metastatic) (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 26 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.metastaticSolidTumor" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.metastaticSolidTumor" ] ;
       fhir:ElementDefinition.short [ fhir:value "Metastatic solid tumor (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Metastatic solid tumor (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 27 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.leukemia" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.leukemia" ] ;
       fhir:ElementDefinition.short [ fhir:value "Leukemia (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Leukemia (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 28 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.lymphoma" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.lymphoma" ] ;
       fhir:ElementDefinition.short [ fhir:value "Lymphoma (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Lymphoma (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 29 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.multipleMyeloma" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.multipleMyeloma" ] ;
       fhir:ElementDefinition.short [ fhir:value "Multiple myeloma (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to Multiple myeloma (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 30 ;
       fhir:Element.id [ fhir:value "Subject.comorbidity.aids" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.comorbidity.aids" ] ;
       fhir:ElementDefinition.short [ fhir:value "AIDS (O)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Previous cancer comorbidity related to AIDS (O)" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 31 ;
       fhir:Element.id [ fhir:value "Subject.ecogPsAtDiagnosis" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.ecogPsAtDiagnosis" ] ;
       fhir:ElementDefinition.short [ fhir:value "Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 32 ;
       fhir:Element.id [ fhir:value "Subject.ecogPsLabel" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.ecogPsLabel" ] ;
       fhir:ElementDefinition.short [ fhir:value "ECOG PS label (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Eastern Cooperative Oncology Group performance status (ECOG PS)  at diagnosis" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Answers of ECOG Performance Status [Interpretation] - 36303470" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 33 ;
       fhir:Element.id [ fhir:value "Subject.karnofsyIndexAtDiagnosis" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.karnofsyIndexAtDiagnosis" ] ;
       fhir:ElementDefinition.short [ fhir:value "Karnofsy index at diagnosis (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Karnofsy index at diagnosis. Consider only the first KI before any treatment available in the clinical record." ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "integer" ]
       ]
     ], [
       fhir:index 34 ;
       fhir:Element.id [ fhir:value "Subject.karnofsyIndexLabel" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.karnofsyIndexLabel" ] ;
       fhir:ElementDefinition.short [ fhir:value "Karnofsy index label (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Karnofsy index at diagnosis. Consider only the first KI before any treatment available in the clinical record." ] ;
       fhir:ElementDefinition.comment [ fhir:value "Answers of Karnofsky Performance Status [Interpretation] - 36303744" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 35 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020" ] ;
       fhir:ElementDefinition.short [ fhir:value "No Genetic syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If no genetic syndrome was identified for the patient. based on WHO 2020." ] ;
       fhir:ElementDefinition.comment [ fhir:value "No evidence of - 4211787" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 36 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.olliersDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.olliersDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Olliers disease (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Olliers disease" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Enchondromatosis - 4145177" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 37 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.maffuciSyndrome" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.maffuciSyndrome" ] ;
       fhir:ElementDefinition.short [ fhir:value "Maffuci syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Maffuci syndrome" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Maffucci syndrome - 4187683" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 38 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.liFraumeniSyndrome" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.liFraumeniSyndrome" ] ;
       fhir:ElementDefinition.short [ fhir:value "Li-Fraumeni syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Li-Fraumeni syndrome" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Li-Fraumeni syndrome - 4323645" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 39 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.mcCuneAlbrightSyndrome" ] ;
       fhir:ElementDefinition.short [ fhir:value "McCune-Albright syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents McCune-Albright syndrome" ] ;
       fhir:ElementDefinition.comment [ fhir:value "McCune Albright syndrome - 37117262" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 40 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.multipleOsteochondromas" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.multipleOsteochondromas" ] ;
       fhir:ElementDefinition.short [ fhir:value "Multiple osteochondromas (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Multiple osteochondromas" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Multiple osteochondroma - 37396802" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 41 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.neurofibromatosisType1" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.neurofibromatosisType1" ] ;
       fhir:ElementDefinition.short [ fhir:value "Neurofibromatosis type 1 (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Neurofibromatosis type 1" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Neurofibromatosis type 1 - 377252" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 42 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.rothmundThomsonSyndrome" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.rothmundThomsonSyndrome" ] ;
       fhir:ElementDefinition.short [ fhir:value "Rothmund-Thomson syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Rothmund-Thomson syndrome" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Rothmund-Thomson syndrome - 4286355" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 43 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.wernerSyndrome" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.wernerSyndrome" ] ;
       fhir:ElementDefinition.short [ fhir:value "Werner syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Werner syndrome" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Werner syndrome - 4197821" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 44 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.retinoblastoma" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.retinoblastoma" ] ;
       fhir:ElementDefinition.short [ fhir:value "Retinoblastoma (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Retinoblastoma" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Retinoblastoma - 4158977" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 45 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.pagetDisease" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.pagetDisease" ] ;
       fhir:ElementDefinition.short [ fhir:value "Paget disease (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Paget disease" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Osteitis deformans - 75910" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "boolean" ]
       ]
     ], [
       fhir:index 46 ;
       fhir:Element.id [ fhir:value "Subject.noGeneticSyndromeWho2020.otherSyndromes" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.noGeneticSyndromeWho2020.otherSyndromes" ] ;
       fhir:ElementDefinition.short [ fhir:value "Other Genetic syndrome (M)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "If patient presents Other Genetic syndrome. According to WHO 2020" ] ;
       fhir:ElementDefinition.comment [ fhir:value "History of event - 1340204\n\n+ Any Standard Condition Code\nIf not specified, use 37204336 [Genetic disease]" ] ;
       fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 47 ;
       fhir:Element.id [ fhir:value "Subject.previousMalignantCancerSite" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ], [
         fhir:index 1 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.previousMalignantCancerSite" ] ;
       fhir:ElementDefinition.short [ fhir:value "Previous malignant cancer site (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes the site of the malignant tumour reported or assesed before the cancer under study. Any type of of solid and haematological cancer is listed. To obtain the previous malignant cancer refer to the solid tumor (metastatic and non-metastatic)  comorbidity" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Values from CancerModifier Topography\n\nUse integer for IDEA4RC if needed" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ], [
       fhir:index 48 ;
       fhir:Element.id [ fhir:value "Subject.previousCancerTreatment" ] ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "code" ] ;
           fhir:Extension.valueCode [ fhir:value "SHALL:handle" ]
         ], [
           fhir:index 1 ;
           fhir:Extension.url [ fhir:value "actor" ] ;
           fhir:Extension.valueCanonical [
             fhir:value "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc" ;
             fhir:link <http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc>
           ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/obligation" ]
       ] ;
       fhir:ElementDefinition.path [ fhir:value "Subject.previousCancerTreatment" ] ;
       fhir:ElementDefinition.short [ fhir:value "Previous cancer treatment (R)" ] ;
       fhir:ElementDefinition.definition [ fhir:value "Describes the type of treatment performed for the previous cancer" ] ;
       fhir:ElementDefinition.comment [ fhir:value "Chemotherapy - 4273629\nRadiation oncology- 4170755\nSurgery - 4121697 \nComprehensive medication therapy review - 42535584\nImmunological therapy - 4295112" ] ;
       fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
       fhir:ElementDefinition.max [ fhir:value "*" ] ;
       fhir:ElementDefinition.type [
         fhir:index 0 ;
         fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
       ]
     ]
  ] .

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

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