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 |
XML representation of the Surgery logical model.
<StructureDefinition xmlns="http://hl7.org/fhir">
<id value="Surgery"/>
<text>
<status value="extensions"/>
<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>
<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>
<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>
<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>
<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>
<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.
Curative: 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>
<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>
<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.
The 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.
R2 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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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:
Ipsilateral when only the neck ipsilateral to the tumor has been treated
Contralateral when only the neck contralateral to the tumor has been treated
Bilateral: 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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
</text>
<url value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery"/>
<version value="0.1.0"/>
<name value="SurgeryI4rc"/>
<title value="Surgery"/>
<status value="draft"/>
<date value="2024-11-12T10:15:38+00:00"/>
<publisher value="IDEA4RC Project"/>
<contact>
<name value="IDEA4RC Project"/>
<telecom>
<system value="url"/>
<value value="https://www.idea4rc.eu/"/>
</telecom>
</contact>
<contact>
<name value="IDEA4RC Project"/>
<telecom>
<system value="url"/>
<value value="https://www.idea4rc.eu/"/>
</telecom>
</contact>
<description value="Surgery"/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="150"/>
<display value="Europe"/>
</coding>
</jurisdiction>
<fhirVersion value="4.0.1"/>
<kind value="logical"/>
<abstract value="false"/>
<type value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Surgery"/>
<baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
<derivation value="specialization"/>
<snapshot>
<element id="Surgery">
<path value="Surgery"/>
<short value="Surgery"/>
<definition value="Surgery"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Base"/>
<min value="0"/>
<max value="*"/>
</base>
<isModifier value="false"/>
</element>
<element id="Surgery.episodeEvent">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.episodeEvent"/>
<short value="Episode Event reference"/>
<definition
value="EpisodeEvent element containing the data regarding the patient's cancer"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.episodeEvent"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"/>
</type>
</element>
<element id="Surgery.type">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.type"/>
<short value="Surgery type"/>
<definition
value="Primary surgery/re-excision (check with unplanned or excisional biopsy)"/>
<comment
value="Primary surgery/re-excision (check with unplanned or excisional biopsy)
Surgical procedure - 4301351
Local excision - 4315400
Amputation - 4217482
Limb operation - 4181193"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.type"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.hospital">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.hospital"/>
<short value="Surgery Hospital"/>
<definition
value="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
value="Yes done at the hospital; Yes done at a different hospital; Not Done; Unknown.
Custom"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.hospital"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.date">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.date"/>
<short value="Date of surgery"/>
<definition
value="Date of the surgery for primary tumor with or without neck surgery"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.date"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
</element>
<element id="Surgery.intention">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.intention"/>
<short value="Surgery intention"/>
<definition
value="Palliative: surgery performed with the intent of improving quality of life or relieving symptoms caused by advanced disease.
Curative: surgery performed with the intend of oncologic cure, regardless of its result (R0 / R1/R2)"/>
<comment
value="Palliative; Curative; Unknown
Palliative - 4179711
Curative procedure intent - 4162591
Unknown - 4129922"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.intention"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.typeOfApproach">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.typeOfApproach"/>
<short value="Type of surgical approach on Tumour"/>
<definition
value="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
value="endoscopic?.
External/Open - 4236080
Transnasal - 4050374
Transorbital - 4044897
Transoral - 4038679
Craniofacial - 4333339
Combined -
Unknown - 4129922"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.typeOfApproach"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.marginsAfterSurgery">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.marginsAfterSurgery"/>
<short value="Margins after surgery"/>
<definition
value="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.
The 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.
R2 applies to cases with macroscopically visible residual tumor that is detected either clinically or pathologically."/>
<comment
value="R0 (microscopic negative); R1 (microscopic positive); R2 (macroscopic positive); Unknown
R0: No residual tumor - 1634643
R1: Microscopic residual tumor - 1633801
R2: Macroscopic residual tumor - 1634484"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.marginsAfterSurgery"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.tumorRupture">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.tumorRupture"/>
<short value="Tumor rupture"/>
<definition value="Tumor rupture Yes/No"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.tumorRupture"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.specimenMitoticCount">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.specimenMitoticCount"/>
<short value="Surgical specimen Mitotic count"/>
<definition value="Surgical specimen Mitotic count"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.specimenMitoticCount"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="Quantity"/>
</type>
</element>
<element id="Surgery.specimenGradingOnlyInUntreatedTumours">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.specimenGradingOnlyInUntreatedTumours"/>
<short value="Surgical specimen grading only in untreated tumours"/>
<definition
value="Surgical specimen grading only in untreated tumours"/>
<comment
value="FNCLCC : 1, 2, 3, unknown, not applicable - Other classification system: high/low
Grade-1 - 1634371
Grade-2 - 1634752
Grade-3 - 1633749
Grade-H - 1635587
Grade-L - 1634085"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.specimenGradingOnlyInUntreatedTumours"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.isolatedLimbPerfusion">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.isolatedLimbPerfusion"/>
<short value="Isolated Limb perfusion"/>
<definition value="Isolated Limb perfusion"/>
<comment value="Yes/No
Isolated limb perfusion - 4019656"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.isolatedLimbPerfusion"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.reconstruction">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.reconstruction"/>
<short value="Reconstruction"/>
<definition value="Local flap / regional pedicled flap / free flap"/>
<comment
value="Yes, no, unknown
Yes - 4188539
No - 4188540
Unknown - 4129922"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.reconstruction"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.neckSurgery">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.neckSurgery"/>
<short value="Neck surgery"/>
<definition
value="Describes whether a surgical procedure to treat and address the neck was performed or not."/>
<comment
value="Yes; No; Unknown.
Yes - 4188539
No - 4188540
Unknown - 4129922"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.neckSurgery"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.dateOfNeckSurgey">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.dateOfNeckSurgey"/>
<short value="Date of Neck surgey"/>
<definition value="Date of the surgery on the neck"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.dateOfNeckSurgey"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
</element>
<element id="Surgery.lateralityOfTheDissection">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.lateralityOfTheDissection"/>
<short value="Laterality of the dissection"/>
<definition
value="Describes laterality of the neck surgical procedure:
Ipsilateral when only the neck ipsilateral to the tumor has been treated
Contralateral when only the neck contralateral to the tumor has been treated
Bilateral: when both sides of the neck have been treated"/>
<comment
value="Ipsilateral; Bilateral; Controlateral; Unknown.
Ipsilateral - 4112106
Bilateral Sampling - 4117496
Controlateral - 4112107
Unknown - 4129922"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.lateralityOfTheDissection"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.surgeryOnM">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.surgeryOnM"/>
<short value="Surgery on M"/>
<definition
value="Describes whether surgery is performed to treat the Metastasis"/>
<comment
value="Yes; No; Unknown.
Yes - 4188539
No - 4188540
Unknown - 4129922"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.surgeryOnM"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.dateOfSurgeryOnM">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.dateOfSurgeryOnM"/>
<short value="Date of surgery on M"/>
<definition value="Date of the surgery on the metastasis"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.dateOfSurgeryOnM"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="date"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis"/>
<short value="Site of surgery on metastasis"/>
<definition
value="Describes if site of surgery on metastasis is soft tissue"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.siteOnMetastasis"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
</element>
<element id="Surgery.siteOnMetastasis.id">
<path value="Surgery.siteOnMetastasis.id"/>
<representation value="xmlAttr"/>
<short value="xml:id (or equivalent in JSON)"/>
<definition
value="unique id for the element within a resource (for internal references)"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Element.id"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="string"/>
</extension>
<code value="http://hl7.org/fhirpath/System.String"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="Surgery.siteOnMetastasis.extension">
<path value="Surgery.siteOnMetastasis.extension"/>
<short value="Additional content defined by implementations"/>
<definition
value="May be used to represent additional information that is not part of the basic definition of the 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
value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
<alias value="extensions"/>
<alias value="user content"/>
<min value="0"/>
<max value="*"/>
<base>
<path value="Element.extension"/>
<min value="0"/>
<max value="*"/>
</base>
<type>
<code value="Extension"/>
</type>
<constraint>
<key value="ele-1"/>
<severity value="error"/>
<human value="All FHIR elements must have a @value or children"/>
<expression
value="hasValue() or (children().count() > id.count())"/>
<xpath value="@value|f:*|h:div"/>
<source value="http://hl7.org/fhir/StructureDefinition/Element"/>
</constraint>
<constraint>
<key value="ext-1"/>
<severity value="error"/>
<human value="Must have either extensions or value[x], not both"/>
<expression value="extension.exists() != value.exists()"/>
<xpath
value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
<source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
</constraint>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="Surgery.siteOnMetastasis.value">
<path value="Surgery.siteOnMetastasis.value"/>
<representation value="xmlAttr"/>
<short value="Primitive value for boolean"/>
<definition value="The actual value"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="boolean.value"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
<valueUrl value="boolean"/>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/regex">
<valueString value="true|false"/>
</extension>
<code value="http://hl7.org/fhirpath/System.Boolean"/>
</type>
<isModifier value="false"/>
<isSummary value="false"/>
</element>
<element id="Surgery.siteOnMetastasis.softTissue">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.softTissue"/>
<short value="Site of surgery on metastasis_soft tissue"/>
<definition
value="Describes if site of surgery on metastasis is soft tissue"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.siteOnMetastasis.softTissue"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.distantLymphNodes">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.distantLymphNodes"/>
<short value="Site of surgery on metastasis_distant lymph nodes"/>
<definition
value="Describes if site of surgery on metastasis is dystan lymph node"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.siteOnMetastasis.distantLymphNodes"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.lung">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.lung"/>
<short value="Site of surgery on metastasis_lung"/>
<definition
value="Describes if site of surgery on metastasis is lung"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.siteOnMetastasis.lung"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.bone">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.bone"/>
<short value="Site of surgery on metastasis_bone"/>
<definition
value="Describes if site of surgery on metastasis is bone"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.siteOnMetastasis.bone"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.liver">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.liver"/>
<short value="Site of surgery on metastasis_liver"/>
<definition
value="Describes if site of surgery on metastasis is liver"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.siteOnMetastasis.liver"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.pleura">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.pleura"/>
<short value="Site of surgery on metastasis_pleura"/>
<definition
value="Describes if site of surgery on metastasis is pleura"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.siteOnMetastasis.pleura"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.peritoneum">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.peritoneum"/>
<short value="Site of surgery on metastasis_peritoneum"/>
<definition
value="Describes if site of surgery on metastasis is peritoneum"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.siteOnMetastasis.peritoneum"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.brain">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.brain"/>
<short value="Site of surgery on metastasis_brain"/>
<definition
value="Describes if site of surgery on metastasis is brain"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.siteOnMetastasis.brain"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.otherViscera">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.otherViscera"/>
<short value="Site of surgery on metastasis_other viscera"/>
<definition
value="Describes if site of surgery on metastasis is other viscera"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.siteOnMetastasis.otherViscera"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.unknown">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.unknown"/>
<short value="Site of surgery on metastasis_unknown"/>
<definition
value="Describes if site of surgery on metastasis is unknown"/>
<min value="0"/>
<max value="1"/>
<base>
<path value="Surgery.siteOnMetastasis.unknown"/>
<min value="0"/>
<max value="1"/>
</base>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.surgicalComplications">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.surgicalComplications"/>
<short value="Surgical complications (Clavien-Dindo Classification)"/>
<definition
value="Describes presence and grade of complications after a surgical procedure,"/>
<comment
value="No complication; Grade I-V; unknown.
No complication - 4188540
Clavien-Dindo complication scale: Grade I - 715974
Clavien-Dindo complication scale: Grade II - 715975
Clavien-Dindo complication scale: Grade III - 715976
Clavien-Dindo complication scale: Grade IIIA - 715977
Clavien-Dindo complication scale: Grade IIIB - 715978
Clavien-Dindo complication scale: Grade IV - 715979
Clavien-Dindo complication scale: Grade IVA - 715980
Clavien-Dindo complication scale: Grade IVB - 715981
Clavien-Dindo complication scale: Grade V - 715982"/>
<min value="1"/>
<max value="1"/>
<base>
<path value="Surgery.surgicalComplications"/>
<min value="1"/>
<max value="1"/>
</base>
<type>
<code value="CodeableConcept"/>
</type>
</element>
</snapshot>
<differential>
<element id="Surgery">
<path value="Surgery"/>
<short value="Surgery"/>
<definition value="Surgery"/>
</element>
<element id="Surgery.episodeEvent">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.episodeEvent"/>
<short value="Episode Event reference"/>
<definition
value="EpisodeEvent element containing the data regarding the patient's cancer"/>
<min value="1"/>
<max value="1"/>
<type>
<code
value="http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/EpisodeEvent"/>
</type>
</element>
<element id="Surgery.type">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.type"/>
<short value="Surgery type"/>
<definition
value="Primary surgery/re-excision (check with unplanned or excisional biopsy)"/>
<comment
value="Primary surgery/re-excision (check with unplanned or excisional biopsy)
Surgical procedure - 4301351
Local excision - 4315400
Amputation - 4217482
Limb operation - 4181193"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.hospital">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.hospital"/>
<short value="Surgery Hospital"/>
<definition
value="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
value="Yes done at the hospital; Yes done at a different hospital; Not Done; Unknown.
Custom"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.date">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.date"/>
<short value="Date of surgery"/>
<definition
value="Date of the surgery for primary tumor with or without neck surgery"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="date"/>
</type>
</element>
<element id="Surgery.intention">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.intention"/>
<short value="Surgery intention"/>
<definition
value="Palliative: surgery performed with the intent of improving quality of life or relieving symptoms caused by advanced disease.
Curative: surgery performed with the intend of oncologic cure, regardless of its result (R0 / R1/R2)"/>
<comment
value="Palliative; Curative; Unknown
Palliative - 4179711
Curative procedure intent - 4162591
Unknown - 4129922"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.typeOfApproach">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.typeOfApproach"/>
<short value="Type of surgical approach on Tumour"/>
<definition
value="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
value="endoscopic?.
External/Open - 4236080
Transnasal - 4050374
Transorbital - 4044897
Transoral - 4038679
Craniofacial - 4333339
Combined -
Unknown - 4129922"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.marginsAfterSurgery">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.marginsAfterSurgery"/>
<short value="Margins after surgery"/>
<definition
value="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.
The 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.
R2 applies to cases with macroscopically visible residual tumor that is detected either clinically or pathologically."/>
<comment
value="R0 (microscopic negative); R1 (microscopic positive); R2 (macroscopic positive); Unknown
R0: No residual tumor - 1634643
R1: Microscopic residual tumor - 1633801
R2: Macroscopic residual tumor - 1634484"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.tumorRupture">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.tumorRupture"/>
<short value="Tumor rupture"/>
<definition value="Tumor rupture Yes/No"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.specimenMitoticCount">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.specimenMitoticCount"/>
<short value="Surgical specimen Mitotic count"/>
<definition value="Surgical specimen Mitotic count"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="Quantity"/>
</type>
</element>
<element id="Surgery.specimenGradingOnlyInUntreatedTumours">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.specimenGradingOnlyInUntreatedTumours"/>
<short value="Surgical specimen grading only in untreated tumours"/>
<definition
value="Surgical specimen grading only in untreated tumours"/>
<comment
value="FNCLCC : 1, 2, 3, unknown, not applicable - Other classification system: high/low
Grade-1 - 1634371
Grade-2 - 1634752
Grade-3 - 1633749
Grade-H - 1635587
Grade-L - 1634085"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.isolatedLimbPerfusion">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"/>
</extension>
</extension>
<path value="Surgery.isolatedLimbPerfusion"/>
<short value="Isolated Limb perfusion"/>
<definition value="Isolated Limb perfusion"/>
<comment value="Yes/No
Isolated limb perfusion - 4019656
"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.reconstruction">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.reconstruction"/>
<short value="Reconstruction"/>
<definition value="Local flap / regional pedicled flap / free flap"/>
<comment
value="Yes, no, unknown
Yes - 4188539
No - 4188540
Unknown - 4129922"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.neckSurgery">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.neckSurgery"/>
<short value="Neck surgery"/>
<definition
value="Describes whether a surgical procedure to treat and address the neck was performed or not."/>
<comment
value="Yes; No; Unknown.
Yes - 4188539
No - 4188540
Unknown - 4129922"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.dateOfNeckSurgey">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.dateOfNeckSurgey"/>
<short value="Date of Neck surgey"/>
<definition value="Date of the surgery on the neck"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="date"/>
</type>
</element>
<element id="Surgery.lateralityOfTheDissection">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.lateralityOfTheDissection"/>
<short value="Laterality of the dissection"/>
<definition
value="Describes laterality of the neck surgical procedure:
Ipsilateral when only the neck ipsilateral to the tumor has been treated
Contralateral when only the neck contralateral to the tumor has been treated
Bilateral: when both sides of the neck have been treated"/>
<comment
value="Ipsilateral; Bilateral; Controlateral; Unknown.
Ipsilateral - 4112106
Bilateral Sampling - 4117496
Controlateral - 4112107
Unknown - 4129922"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.surgeryOnM">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.surgeryOnM"/>
<short value="Surgery on M"/>
<definition
value="Describes whether surgery is performed to treat the Metastasis"/>
<comment
value="Yes; No; Unknown.
Yes - 4188539
No - 4188540
Unknown - 4129922"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
<element id="Surgery.dateOfSurgeryOnM">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.dateOfSurgeryOnM"/>
<short value="Date of surgery on M"/>
<definition value="Date of the surgery on the metastasis"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="date"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis"/>
<short value="Site of surgery on metastasis"/>
<definition
value="Describes if site of surgery on metastasis is soft tissue"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.softTissue">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.softTissue"/>
<short value="Site of surgery on metastasis_soft tissue"/>
<definition
value="Describes if site of surgery on metastasis is soft tissue"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.distantLymphNodes">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.distantLymphNodes"/>
<short value="Site of surgery on metastasis_distant lymph nodes"/>
<definition
value="Describes if site of surgery on metastasis is dystan lymph node"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.lung">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.lung"/>
<short value="Site of surgery on metastasis_lung"/>
<definition
value="Describes if site of surgery on metastasis is lung"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.bone">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.bone"/>
<short value="Site of surgery on metastasis_bone"/>
<definition
value="Describes if site of surgery on metastasis is bone"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.liver">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.liver"/>
<short value="Site of surgery on metastasis_liver"/>
<definition
value="Describes if site of surgery on metastasis is liver"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.pleura">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.pleura"/>
<short value="Site of surgery on metastasis_pleura"/>
<definition
value="Describes if site of surgery on metastasis is pleura"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.peritoneum">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.peritoneum"/>
<short value="Site of surgery on metastasis_peritoneum"/>
<definition
value="Describes if site of surgery on metastasis is peritoneum"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.brain">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.brain"/>
<short value="Site of surgery on metastasis_brain"/>
<definition
value="Describes if site of surgery on metastasis is brain"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.otherViscera">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.otherViscera"/>
<short value="Site of surgery on metastasis_other viscera"/>
<definition
value="Describes if site of surgery on metastasis is other viscera"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.siteOnMetastasis.unknown">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.siteOnMetastasis.unknown"/>
<short value="Site of surgery on metastasis_unknown"/>
<definition
value="Describes if site of surgery on metastasis is unknown"/>
<min value="0"/>
<max value="1"/>
<type>
<code value="boolean"/>
</type>
</element>
<element id="Surgery.surgicalComplications">
<extension url="http://hl7.org/fhir/StructureDefinition/obligation">
<extension url="code">
<valueCode value="SHALL:handle"/>
</extension>
<extension url="actor">
<valueCanonical
value="http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"/>
</extension>
</extension>
<path value="Surgery.surgicalComplications"/>
<short value="Surgical complications (Clavien-Dindo Classification)"/>
<definition
value="Describes presence and grade of complications after a surgical procedure,"/>
<comment
value="No complication; Grade I-V; unknown.
No complication - 4188540
Clavien-Dindo complication scale: Grade I - 715974
Clavien-Dindo complication scale: Grade II - 715975
Clavien-Dindo complication scale: Grade III - 715976
Clavien-Dindo complication scale: Grade IIIA - 715977
Clavien-Dindo complication scale: Grade IIIB - 715978
Clavien-Dindo complication scale: Grade IV - 715979
Clavien-Dindo complication scale: Grade IVA - 715980
Clavien-Dindo complication scale: Grade IVB - 715981
Clavien-Dindo complication scale: Grade V - 715982"/>
<min value="1"/>
<max value="1"/>
<type>
<code value="CodeableConcept"/>
</type>
</element>
</differential>
</StructureDefinition>
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.
