IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
IDEA4RC FHIR Implementation Guide
0.1.0 - CI Build
150
IDEA4RC FHIR Implementation Guide, published by IDEA4RC Project. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/idea4rc/ and changes regularly. See the Directory of published versions
| Draft as of 2024-11-12 |
JSON representation of the Surgery logical model.
{
"resourceType" : "StructureDefinition",
"id" : "Surgery",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition Surgery</b></p><a name=\"Surgery\"> </a><a name=\"hcSurgery\"> </a><a name=\"Surgery-en-US\"> </a><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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" 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=\"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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery\" title=\"Surgery\">Surgery</a><a name=\"Surgery\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : 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 : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Surgery<br/><span style=\"font-weight:bold\">Instances of this logical model are not marked to be the target of a Reference</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Surgery-definitions.html#Surgery.episodeEvent\" title=\"EpisodeEvent element containing the data regarding the patient's cancer\">episodeEvent</a><a name=\"Surgery.episodeEvent\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"StructureDefinition-EpisodeEvent.html\">EpisodeEvent</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Episode Event reference<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.type\" title=\"Primary surgery/re-excision (check with unplanned or excisional biopsy)\">type</a><a name=\"Surgery.type\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Surgery type<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.hospital\" title=\"Whether or not a surgical procedure was performed and whether it was performed at the registering hospital or another hospital. Diagnostic procedures (biopsy) are not included.\">hospital</a><a name=\"Surgery.hospital\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Surgery Hospital<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.date\" title=\"Date of the surgery for primary tumor with or without neck surgery\">date</a><a name=\"Surgery.date\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date of surgery<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.intention\" title=\"Palliative: surgery performed with the intent of improving quality of life or relieving symptoms caused by advanced disease.\nCurative: surgery performed with the intend of oncologic cure, regardless of its result (R0 / R1/R2)\">intention</a><a name=\"Surgery.intention\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Surgery intention<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.typeOfApproach\" title=\"Describes the approach to tumor resection whether it includes skin incision (extenal or open ), or it 's aproached through a natural orifice (Transnasal/transorbital/transoral) or if the approach combines two or more of the previous ones\">typeOfApproach</a><a name=\"Surgery.typeOfApproach\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Type of surgical approach on Tumour<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.marginsAfterSurgery\" title=\"The R0 (?no residual rumor?) category applies only to cases in which residual tumor cannot be detected by conventional diagnostic methods. A more exact definition would read ?no detectable residual tumor.?This category corresponds to surgical resection for cure.\nThe R1 category is reserved exclusively for cases in which residual tumor is found by histologic examination. This category may apply to biopsy sampling of the regional tissue at the site of resection or of a distant site at the time of surgery. It also applies to microscopic examination of the resection margins of the surgical resection specimen by the pathologist.\nR2 applies to cases with macroscopically visible residual tumor that is detected either clinically or pathologically.\">marginsAfterSurgery</a><a name=\"Surgery.marginsAfterSurgery\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Margins after surgery<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr><tr><td style=\"font-size: 11px\"><b>SHALL</b>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.tumorRupture\" title=\"Tumor rupture Yes/No\">tumorRupture</a><a name=\"Surgery.tumorRupture\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Tumor rupture<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.specimenMitoticCount\" title=\"Surgical specimen Mitotic count\">specimenMitoticCount</a><a name=\"Surgery.specimenMitoticCount\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Surgical specimen Mitotic count<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.specimenGradingOnlyInUntreatedTumours\" title=\"Surgical specimen grading only in untreated tumours\">specimenGradingOnlyInUntreatedTumours</a><a name=\"Surgery.specimenGradingOnlyInUntreatedTumours\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Surgical specimen grading only in untreated tumours<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.isolatedLimbPerfusion\" title=\"Isolated Limb perfusion\">isolatedLimbPerfusion</a><a name=\"Surgery.isolatedLimbPerfusion\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Isolated Limb perfusion<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-sarcoma-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.reconstruction\" title=\"Local flap / regional pedicled flap / free flap\">reconstruction</a><a name=\"Surgery.reconstruction\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Reconstruction<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.neckSurgery\" title=\"Describes whether a surgical procedure to treat and address the neck was performed or not.\">neckSurgery</a><a name=\"Surgery.neckSurgery\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Neck surgery<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.dateOfNeckSurgey\" title=\"Date of the surgery on the neck\">dateOfNeckSurgey</a><a name=\"Surgery.dateOfNeckSurgey\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date of Neck surgey<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.lateralityOfTheDissection\" title=\"Describes laterality of the neck surgical procedure: \nIpsilateral when only the neck ipsilateral to the tumor has been treated\nContralateral when only the neck contralateral to the tumor has been treated \nBilateral: when both sides of the neck have been treated\">lateralityOfTheDissection</a><a name=\"Surgery.lateralityOfTheDissection\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Laterality of the dissection<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.surgeryOnM\" title=\"Describes whether surgery is performed to treat the Metastasis\">surgeryOnM</a><a name=\"Surgery.surgeryOnM\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Surgery on M<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.dateOfSurgeryOnM\" title=\"Date of the surgery on the metastasis\">dateOfSurgeryOnM</a><a name=\"Surgery.dateOfSurgeryOnM\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date of surgery on M<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Surgery-definitions.html#Surgery.siteOnMetastasis\" title=\"Describes if site of surgery on metastasis is soft tissue\">siteOnMetastasis</a><a name=\"Surgery.siteOnMetastasis\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Site of surgery on metastasis<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.siteOnMetastasis.softTissue\" title=\"Describes if site of surgery on metastasis is soft tissue\">softTissue</a><a name=\"Surgery.siteOnMetastasis.softTissue\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Site of surgery on metastasis_soft tissue<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.siteOnMetastasis.distantLymphNodes\" title=\"Describes if site of surgery on metastasis is dystan lymph node\">distantLymphNodes</a><a name=\"Surgery.siteOnMetastasis.distantLymphNodes\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Site of surgery on metastasis_distant lymph nodes<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.siteOnMetastasis.lung\" title=\"Describes if site of surgery on metastasis is lung\">lung</a><a name=\"Surgery.siteOnMetastasis.lung\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Site of surgery on metastasis_lung<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.siteOnMetastasis.bone\" title=\"Describes if site of surgery on metastasis is bone\">bone</a><a name=\"Surgery.siteOnMetastasis.bone\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Site of surgery on metastasis_bone<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.siteOnMetastasis.liver\" title=\"Describes if site of surgery on metastasis is liver\">liver</a><a name=\"Surgery.siteOnMetastasis.liver\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Site of surgery on metastasis_liver<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.siteOnMetastasis.pleura\" title=\"Describes if site of surgery on metastasis is pleura\">pleura</a><a name=\"Surgery.siteOnMetastasis.pleura\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Site of surgery on metastasis_pleura<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.siteOnMetastasis.peritoneum\" title=\"Describes if site of surgery on metastasis is peritoneum\">peritoneum</a><a name=\"Surgery.siteOnMetastasis.peritoneum\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Site of surgery on metastasis_peritoneum<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.siteOnMetastasis.brain\" title=\"Describes if site of surgery on metastasis is brain\">brain</a><a name=\"Surgery.siteOnMetastasis.brain\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Site of surgery on metastasis_brain<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.siteOnMetastasis.otherViscera\" title=\"Describes if site of surgery on metastasis is other viscera\">otherViscera</a><a name=\"Surgery.siteOnMetastasis.otherViscera\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Site of surgery on metastasis_other viscera<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : 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-Surgery-definitions.html#Surgery.siteOnMetastasis.unknown\" title=\"Describes if site of surgery on metastasis is unknown\">unknown</a><a name=\"Surgery.siteOnMetastasis.unknown\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Site of surgery on metastasis_unknown<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; 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: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Surgery-definitions.html#Surgery.surgicalComplications\" title=\"Describes presence and grade of complications after a surgical procedure,\">surgicalComplications</a><a name=\"Surgery.surgicalComplications\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element has obligations\">O</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : 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 : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Surgical complications (Clavien-Dindo Classification)<table class=\"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>:<span title=\"obligation: handle\">handle</span></td><td style=\"font-size: 11px; opacity: 0.5;\"><a href=\"ActorDefinition-actor-headneck-i4rc.html\"/></td></tr></table></td></tr>\r\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>"
},
"url" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery",
"version" : "0.1.0",
"name" : "SurgeryI4rc",
"title" : "Surgery",
"status" : "draft",
"date" : "2024-11-12T10:15:38+00:00",
"publisher" : "IDEA4RC Project",
"contact" : [
{
"name" : "IDEA4RC Project",
"telecom" : [
{
"system" : "url",
"value" : "https://www.idea4rc.eu/"
}
]
},
{
"name" : "IDEA4RC Project",
"telecom" : [
{
"system" : "url",
"value" : "https://www.idea4rc.eu/"
}
]
}
],
"description" : "Surgery",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "150",
"display" : "Europe"
}
]
}
],
"fhirVersion" : "4.0.1",
"kind" : "logical",
"abstract" : false,
"type" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"element" : [
{
"id" : "Surgery",
"path" : "Surgery",
"short" : "Surgery",
"definition" : "Surgery",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false
},
{
"id" : "Surgery.episodeEvent",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.episodeEvent",
"short" : "Episode Event reference",
"definition" : "EpisodeEvent element containing the data regarding the patient's cancer",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.episodeEvent",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"
}
]
},
{
"id" : "Surgery.type",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.type",
"short" : "Surgery type",
"definition" : "Primary surgery/re-excision (check with unplanned or excisional biopsy)",
"comment" : "Primary surgery/re-excision (check with unplanned or excisional biopsy)\n\nSurgical procedure - 4301351\nLocal excision - 4315400\nAmputation - 4217482\nLimb operation - 4181193",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.type",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.hospital",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.hospital",
"short" : "Surgery Hospital",
"definition" : "Whether or not a surgical procedure was performed and whether it was performed at the registering hospital or another hospital. Diagnostic procedures (biopsy) are not included.",
"comment" : "Yes done at the hospital; Yes done at a different hospital; Not Done; Unknown.\nCustom",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.hospital",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.date",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.date",
"short" : "Date of surgery",
"definition" : "Date of the surgery for primary tumor with or without neck surgery",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.date",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Surgery.intention",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.intention",
"short" : "Surgery intention",
"definition" : "Palliative: surgery performed with the intent of improving quality of life or relieving symptoms caused by advanced disease.\nCurative: surgery performed with the intend of oncologic cure, regardless of its result (R0 / R1/R2)",
"comment" : "Palliative; Curative; Unknown\nPalliative - 4179711\nCurative procedure intent - 4162591\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.intention",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.typeOfApproach",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.typeOfApproach",
"short" : "Type of surgical approach on Tumour",
"definition" : "Describes the approach to tumor resection whether it includes skin incision (extenal or open ), or it 's aproached through a natural orifice (Transnasal/transorbital/transoral) or if the approach combines two or more of the previous ones",
"comment" : "endoscopic?.\n\nExternal/Open - 4236080\nTransnasal - 4050374\nTransorbital - 4044897\nTransoral - 4038679\nCraniofacial - 4333339\nCombined - \nUnknown - 4129922",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.typeOfApproach",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.marginsAfterSurgery",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.marginsAfterSurgery",
"short" : "Margins after surgery",
"definition" : "The R0 (?no residual rumor?) category applies only to cases in which residual tumor cannot be detected by conventional diagnostic methods. A more exact definition would read ?no detectable residual tumor.?This category corresponds to surgical resection for cure.\nThe R1 category is reserved exclusively for cases in which residual tumor is found by histologic examination. This category may apply to biopsy sampling of the regional tissue at the site of resection or of a distant site at the time of surgery. It also applies to microscopic examination of the resection margins of the surgical resection specimen by the pathologist.\nR2 applies to cases with macroscopically visible residual tumor that is detected either clinically or pathologically.",
"comment" : "R0 (microscopic negative); R1 (microscopic positive); R2 (macroscopic positive); Unknown\nR0: No residual tumor - 1634643\nR1: Microscopic residual tumor - 1633801\nR2: Macroscopic residual tumor - 1634484",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.marginsAfterSurgery",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.tumorRupture",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.tumorRupture",
"short" : "Tumor rupture",
"definition" : "Tumor rupture Yes/No",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.tumorRupture",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.specimenMitoticCount",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.specimenMitoticCount",
"short" : "Surgical specimen Mitotic count",
"definition" : "Surgical specimen Mitotic count",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.specimenMitoticCount",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Surgery.specimenGradingOnlyInUntreatedTumours",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.specimenGradingOnlyInUntreatedTumours",
"short" : "Surgical specimen grading only in untreated tumours",
"definition" : "Surgical specimen grading only in untreated tumours",
"comment" : "FNCLCC : 1, 2, 3, unknown, not applicable - Other classification system: high/low\nGrade-1 - 1634371\nGrade-2 - 1634752\nGrade-3 - 1633749\nGrade-H - 1635587\nGrade-L - 1634085",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.specimenGradingOnlyInUntreatedTumours",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.isolatedLimbPerfusion",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.isolatedLimbPerfusion",
"short" : "Isolated Limb perfusion",
"definition" : "Isolated Limb perfusion",
"comment" : "Yes/No\nIsolated limb perfusion - 4019656",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.isolatedLimbPerfusion",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.reconstruction",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.reconstruction",
"short" : "Reconstruction",
"definition" : "Local flap / regional pedicled flap / free flap",
"comment" : "Yes, no, unknown\nYes - 4188539\nNo - 4188540\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.reconstruction",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.neckSurgery",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.neckSurgery",
"short" : "Neck surgery",
"definition" : "Describes whether a surgical procedure to treat and address the neck was performed or not.",
"comment" : "Yes; No; Unknown.\nYes - 4188539\nNo - 4188540\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.neckSurgery",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.dateOfNeckSurgey",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.dateOfNeckSurgey",
"short" : "Date of Neck surgey",
"definition" : "Date of the surgery on the neck",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.dateOfNeckSurgey",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Surgery.lateralityOfTheDissection",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.lateralityOfTheDissection",
"short" : "Laterality of the dissection",
"definition" : "Describes laterality of the neck surgical procedure: \nIpsilateral when only the neck ipsilateral to the tumor has been treated\nContralateral when only the neck contralateral to the tumor has been treated \nBilateral: when both sides of the neck have been treated",
"comment" : "Ipsilateral; Bilateral; Controlateral; Unknown.\nIpsilateral - 4112106\nBilateral Sampling - 4117496\nControlateral - 4112107\nUnknown - 4129922",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.lateralityOfTheDissection",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.surgeryOnM",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.surgeryOnM",
"short" : "Surgery on M",
"definition" : "Describes whether surgery is performed to treat the Metastasis",
"comment" : "Yes; No; Unknown.\nYes - 4188539\nNo - 4188540\nUnknown - 4129922",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.surgeryOnM",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.dateOfSurgeryOnM",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.dateOfSurgeryOnM",
"short" : "Date of surgery on M",
"definition" : "Date of the surgery on the metastasis",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.dateOfSurgeryOnM",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Surgery.siteOnMetastasis",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis",
"short" : "Site of surgery on metastasis",
"definition" : "Describes if site of surgery on metastasis is soft tissue",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.siteOnMetastasis",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.id",
"path" : "Surgery.siteOnMetastasis.id",
"representation" : [
"xmlAttr"
],
"short" : "xml:id (or equivalent in JSON)",
"definition" : "unique id for the element within a resource (for internal references)",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Surgery.siteOnMetastasis.extension",
"path" : "Surgery.siteOnMetastasis.extension",
"short" : "Additional content defined by implementations",
"definition" : "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.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Surgery.siteOnMetastasis.value",
"path" : "Surgery.siteOnMetastasis.value",
"representation" : [
"xmlAttr"
],
"short" : "Primitive value for boolean",
"definition" : "The actual value",
"min" : 0,
"max" : "1",
"base" : {
"path" : "boolean.value",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "boolean"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/regex",
"valueString" : "true|false"
}
],
"code" : "http://hl7.org/fhirpath/System.Boolean"
}
],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Surgery.siteOnMetastasis.softTissue",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.softTissue",
"short" : "Site of surgery on metastasis_soft tissue",
"definition" : "Describes if site of surgery on metastasis is soft tissue",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.siteOnMetastasis.softTissue",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.distantLymphNodes",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.distantLymphNodes",
"short" : "Site of surgery on metastasis_distant lymph nodes",
"definition" : "Describes if site of surgery on metastasis is dystan lymph node",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.siteOnMetastasis.distantLymphNodes",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.lung",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.lung",
"short" : "Site of surgery on metastasis_lung",
"definition" : "Describes if site of surgery on metastasis is lung",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.siteOnMetastasis.lung",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.bone",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.bone",
"short" : "Site of surgery on metastasis_bone",
"definition" : "Describes if site of surgery on metastasis is bone",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.siteOnMetastasis.bone",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.liver",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.liver",
"short" : "Site of surgery on metastasis_liver",
"definition" : "Describes if site of surgery on metastasis is liver",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.siteOnMetastasis.liver",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.pleura",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.pleura",
"short" : "Site of surgery on metastasis_pleura",
"definition" : "Describes if site of surgery on metastasis is pleura",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.siteOnMetastasis.pleura",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.peritoneum",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.peritoneum",
"short" : "Site of surgery on metastasis_peritoneum",
"definition" : "Describes if site of surgery on metastasis is peritoneum",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.siteOnMetastasis.peritoneum",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.brain",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.brain",
"short" : "Site of surgery on metastasis_brain",
"definition" : "Describes if site of surgery on metastasis is brain",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.siteOnMetastasis.brain",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.otherViscera",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.otherViscera",
"short" : "Site of surgery on metastasis_other viscera",
"definition" : "Describes if site of surgery on metastasis is other viscera",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.siteOnMetastasis.otherViscera",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.unknown",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.unknown",
"short" : "Site of surgery on metastasis_unknown",
"definition" : "Describes if site of surgery on metastasis is unknown",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Surgery.siteOnMetastasis.unknown",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.surgicalComplications",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.surgicalComplications",
"short" : "Surgical complications (Clavien-Dindo Classification)",
"definition" : "Describes presence and grade of complications after a surgical procedure,",
"comment" : "No complication; Grade I-V; unknown.\nNo complication - 4188540\nClavien-Dindo complication scale: Grade I - 715974\nClavien-Dindo complication scale: Grade II - 715975\nClavien-Dindo complication scale: Grade III - 715976\nClavien-Dindo complication scale: Grade IIIA - 715977\nClavien-Dindo complication scale: Grade IIIB - 715978\nClavien-Dindo complication scale: Grade IV - 715979\nClavien-Dindo complication scale: Grade IVA - 715980\nClavien-Dindo complication scale: Grade IVB - 715981\nClavien-Dindo complication scale: Grade V - 715982",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Surgery.surgicalComplications",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Surgery",
"path" : "Surgery",
"short" : "Surgery",
"definition" : "Surgery"
},
{
"id" : "Surgery.episodeEvent",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.episodeEvent",
"short" : "Episode Event reference",
"definition" : "EpisodeEvent element containing the data regarding the patient's cancer",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"
}
]
},
{
"id" : "Surgery.type",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.type",
"short" : "Surgery type",
"definition" : "Primary surgery/re-excision (check with unplanned or excisional biopsy)",
"comment" : "Primary surgery/re-excision (check with unplanned or excisional biopsy)\n\nSurgical procedure - 4301351\nLocal excision - 4315400\nAmputation - 4217482\nLimb operation - 4181193",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.hospital",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.hospital",
"short" : "Surgery Hospital",
"definition" : "Whether or not a surgical procedure was performed and whether it was performed at the registering hospital or another hospital. Diagnostic procedures (biopsy) are not included.",
"comment" : "Yes done at the hospital; Yes done at a different hospital; Not Done; Unknown.\nCustom",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.date",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.date",
"short" : "Date of surgery",
"definition" : "Date of the surgery for primary tumor with or without neck surgery",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Surgery.intention",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.intention",
"short" : "Surgery intention",
"definition" : "Palliative: surgery performed with the intent of improving quality of life or relieving symptoms caused by advanced disease.\nCurative: surgery performed with the intend of oncologic cure, regardless of its result (R0 / R1/R2)",
"comment" : "Palliative; Curative; Unknown\nPalliative - 4179711\nCurative procedure intent - 4162591\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.typeOfApproach",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.typeOfApproach",
"short" : "Type of surgical approach on Tumour",
"definition" : "Describes the approach to tumor resection whether it includes skin incision (extenal or open ), or it 's aproached through a natural orifice (Transnasal/transorbital/transoral) or if the approach combines two or more of the previous ones",
"comment" : "endoscopic?.\n\nExternal/Open - 4236080\nTransnasal - 4050374\nTransorbital - 4044897\nTransoral - 4038679\nCraniofacial - 4333339\nCombined - \nUnknown - 4129922",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.marginsAfterSurgery",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.marginsAfterSurgery",
"short" : "Margins after surgery",
"definition" : "The R0 (?no residual rumor?) category applies only to cases in which residual tumor cannot be detected by conventional diagnostic methods. A more exact definition would read ?no detectable residual tumor.?This category corresponds to surgical resection for cure.\nThe R1 category is reserved exclusively for cases in which residual tumor is found by histologic examination. This category may apply to biopsy sampling of the regional tissue at the site of resection or of a distant site at the time of surgery. It also applies to microscopic examination of the resection margins of the surgical resection specimen by the pathologist.\nR2 applies to cases with macroscopically visible residual tumor that is detected either clinically or pathologically.",
"comment" : "R0 (microscopic negative); R1 (microscopic positive); R2 (macroscopic positive); Unknown\nR0: No residual tumor - 1634643\nR1: Microscopic residual tumor - 1633801\nR2: Macroscopic residual tumor - 1634484",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.tumorRupture",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.tumorRupture",
"short" : "Tumor rupture",
"definition" : "Tumor rupture Yes/No",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.specimenMitoticCount",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.specimenMitoticCount",
"short" : "Surgical specimen Mitotic count",
"definition" : "Surgical specimen Mitotic count",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Surgery.specimenGradingOnlyInUntreatedTumours",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.specimenGradingOnlyInUntreatedTumours",
"short" : "Surgical specimen grading only in untreated tumours",
"definition" : "Surgical specimen grading only in untreated tumours",
"comment" : "FNCLCC : 1, 2, 3, unknown, not applicable - Other classification system: high/low\nGrade-1 - 1634371\nGrade-2 - 1634752\nGrade-3 - 1633749\nGrade-H - 1635587\nGrade-L - 1634085",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.isolatedLimbPerfusion",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.isolatedLimbPerfusion",
"short" : "Isolated Limb perfusion",
"definition" : "Isolated Limb perfusion",
"comment" : "Yes/No\nIsolated limb perfusion - 4019656\n",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.reconstruction",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.reconstruction",
"short" : "Reconstruction",
"definition" : "Local flap / regional pedicled flap / free flap",
"comment" : "Yes, no, unknown\nYes - 4188539\nNo - 4188540\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.neckSurgery",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.neckSurgery",
"short" : "Neck surgery",
"definition" : "Describes whether a surgical procedure to treat and address the neck was performed or not.",
"comment" : "Yes; No; Unknown.\nYes - 4188539\nNo - 4188540\nUnknown - 4129922",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.dateOfNeckSurgey",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.dateOfNeckSurgey",
"short" : "Date of Neck surgey",
"definition" : "Date of the surgery on the neck",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Surgery.lateralityOfTheDissection",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.lateralityOfTheDissection",
"short" : "Laterality of the dissection",
"definition" : "Describes laterality of the neck surgical procedure: \nIpsilateral when only the neck ipsilateral to the tumor has been treated\nContralateral when only the neck contralateral to the tumor has been treated \nBilateral: when both sides of the neck have been treated",
"comment" : "Ipsilateral; Bilateral; Controlateral; Unknown.\nIpsilateral - 4112106\nBilateral Sampling - 4117496\nControlateral - 4112107\nUnknown - 4129922",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.surgeryOnM",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.surgeryOnM",
"short" : "Surgery on M",
"definition" : "Describes whether surgery is performed to treat the Metastasis",
"comment" : "Yes; No; Unknown.\nYes - 4188539\nNo - 4188540\nUnknown - 4129922",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Surgery.dateOfSurgeryOnM",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.dateOfSurgeryOnM",
"short" : "Date of surgery on M",
"definition" : "Date of the surgery on the metastasis",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Surgery.siteOnMetastasis",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis",
"short" : "Site of surgery on metastasis",
"definition" : "Describes if site of surgery on metastasis is soft tissue",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.softTissue",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.softTissue",
"short" : "Site of surgery on metastasis_soft tissue",
"definition" : "Describes if site of surgery on metastasis is soft tissue",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.distantLymphNodes",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.distantLymphNodes",
"short" : "Site of surgery on metastasis_distant lymph nodes",
"definition" : "Describes if site of surgery on metastasis is dystan lymph node",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.lung",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.lung",
"short" : "Site of surgery on metastasis_lung",
"definition" : "Describes if site of surgery on metastasis is lung",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.bone",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.bone",
"short" : "Site of surgery on metastasis_bone",
"definition" : "Describes if site of surgery on metastasis is bone",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.liver",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.liver",
"short" : "Site of surgery on metastasis_liver",
"definition" : "Describes if site of surgery on metastasis is liver",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.pleura",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.pleura",
"short" : "Site of surgery on metastasis_pleura",
"definition" : "Describes if site of surgery on metastasis is pleura",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.peritoneum",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.peritoneum",
"short" : "Site of surgery on metastasis_peritoneum",
"definition" : "Describes if site of surgery on metastasis is peritoneum",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.brain",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.brain",
"short" : "Site of surgery on metastasis_brain",
"definition" : "Describes if site of surgery on metastasis is brain",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.otherViscera",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.otherViscera",
"short" : "Site of surgery on metastasis_other viscera",
"definition" : "Describes if site of surgery on metastasis is other viscera",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.siteOnMetastasis.unknown",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.siteOnMetastasis.unknown",
"short" : "Site of surgery on metastasis_unknown",
"definition" : "Describes if site of surgery on metastasis is unknown",
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Surgery.surgicalComplications",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Surgery.surgicalComplications",
"short" : "Surgical complications (Clavien-Dindo Classification)",
"definition" : "Describes presence and grade of complications after a surgical procedure,",
"comment" : "No complication; Grade I-V; unknown.\nNo complication - 4188540\nClavien-Dindo complication scale: Grade I - 715974\nClavien-Dindo complication scale: Grade II - 715975\nClavien-Dindo complication scale: Grade III - 715976\nClavien-Dindo complication scale: Grade IIIA - 715977\nClavien-Dindo complication scale: Grade IIIB - 715978\nClavien-Dindo complication scale: Grade IV - 715979\nClavien-Dindo complication scale: Grade IVA - 715980\nClavien-Dindo complication scale: Grade IVB - 715981\nClavien-Dindo complication scale: Grade V - 715982",
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
]
}
]
}
}
IG © 2022+ IDEA4RC Project. Package hl7.eu.fhir.idea4rc#0.1.0 based on FHIR 4.0.1. Generated 2024-11-12
Links: Table of Contents |
QA Report
The IDEA4RC project has received funding from the European Union's Horizon 2020
research and innovation programme under grant agreement No. 101057048.
