Resource StructureDefinition/FHIR Server from package hl7.eu.fhir.idea4rc#current (282 ms)
Resources that use this resource
Resources that this resource uses
Narrative
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Source
{
"resourceType" : "StructureDefinition",
"id" : "Diagnosis",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition Diagnosis</b></p><a name=\"Diagnosis\"> </a><a name=\"hcDiagnosis\"> </a><a name=\"Diagnosis-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; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"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; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & 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-Diagnosis-definitions.html#Diagnosis\" title=\"Diagnosis\nMaturity Level: 0 Draft\">Diagnosis</a><a name=\"Diagnosis\"> </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\">Diagnosis</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.cancerepisode\" title=\"CancerEpisode reference where the diagnosis was performed \">cancerepisode</a><a name=\"Diagnosis.cancerepisode\"> </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..*</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-CancerEpisode.html\">CancerEpisode</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">CancerEpisode (M)<br/><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\">Head and Neck</a></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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.dateOfDiagnosis\" title=\"Date of the procedure performed to obtain the specimen for the histological diagnosis, regardless of the institution that performed it. \nDate of biopsy in Sarc.\n\nThe only procedures accepted are biopsy and/ or surgical piece. Needle aspirations have low quality, if a biopsy has been done for the same patient please refer to the biopsy.\">dateOfDiagnosis</a><a name=\"Diagnosis.dateOfDiagnosis\"> </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..*</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 diagnosis (biopsy or surgical piece) (M)<br/><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\">Head and Neck</a></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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.typeOfBiopsy\" title=\"Type of biopsy performed to the patient. Information coming from the biopsy data. \">typeOfBiopsy</a><a name=\"Diagnosis.typeOfBiopsy\"> </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..*</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\">Type of biopsy (M)<br/><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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.biopsyDoneBy\" title=\"Describes the institution where diagnostic procedure was performed. A pseudonym for a hospital. It could be the ID assigned from the original hospital. \">biopsyDoneBy</a><a name=\"Diagnosis.biopsyDoneBy\"> </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..*</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#string\">string</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Biopsy done by (M)<br/><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\">Head and Neck</a></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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.ageAtDiagnosis\" title=\"Age of the patient at the time of the diagnosis. \">ageAtDiagnosis</a><a name=\"Diagnosis.ageAtDiagnosis\"> </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..*</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\">Age at diagnosis (M)<br/><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\">Head and Neck</a></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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.radiotherapyInducedSarcoma\" title=\"radiotherapy induced if the new tumour is in the field or marginal the anatomical area that received high radiation dose; please specify the interval time from the radiotherapy treatment \">radiotherapyInducedSarcoma</a><a name=\"Diagnosis.radiotherapyInducedSarcoma\"> </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..*</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\">Radiotherapy induced sarcoma (M)<br/><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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.biopsyGrading\" title=\"Grading of the cancer given by the biopsy \">biopsyGrading</a><a name=\"Diagnosis.biopsyGrading\"> </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..*</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\">Biopsy grading (O)<br/><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\">Head and Neck</a></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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.histologyGroup\" title=\"HNC: Describes the histology of primary tumour according to WHO 2017 clasification. \nCodes may not match the exact hierarchy in Athena\">histologyGroup</a><a name=\"Diagnosis.histologyGroup\"> </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..*</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\">Histology group (M)<br/><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\">Head and Neck</a></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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.site\" title=\"Describes the primary tumor site. For head and neck, according to AJCC . \nCodes may not match the exact hierarchy in Athena\">site</a><a name=\"Diagnosis.site\"> </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..*</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\">Site (R)<br/><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\">Head and Neck</a></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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.histologySubgroup\" title=\"Histology subgroup value for the cancer diagnosis. \nHistology Subgroup adenocarcinoma\n\nAdenocarcinoma, intestinal type - 4097305\nAdenocarcinoma - 37152526\nCystoadenocarcinoma - 4050978\nMucinous adenocarcinoma - 4247921\nCeruminous adenocarcinoma - 4238334\nPapillary adenocarcinoma - 4172953\nAdenoid cystic carcinoma - 4022895\nMucoepidermoid carcinoma - 4253608\nPolymorphous low grade adenocarcinoma - 4030121\nAcinar cell carcinoma - 4164740\nClear cell adenocarcinoma - 4148292\nBasal cell adenocarcinoma - 4146684\nInfiltrating duct carcinoma - 4221403\nJuvenile carcinoma of the breast - 4224593\nPaget's disease, extramammary (except Paget's disease of bone) - 4323699\nMalignant myoepithelioma - 4029680\nEpithelial-myoepithelial carcinoma - 4321002\nCarcinoma ex pleomorphic adenoma - 4066512\nSebaceous adenocarcinoma - 4182993\nCarcinosarcoma - 4271564\nOxyphilic adenocarcinoma - 4212379\nCystadenocarcinoma - 4050978\">histologySubgroup</a><a name=\"Diagnosis.histologySubgroup\"> </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..*</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\">Histology subgroup (M)<br/><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\">Head and Neck</a></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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.subsite\" title=\"Topography subsite value for the cancer diagnosis \">subsite</a><a name=\"Diagnosis.subsite\"> </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..*</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\">Subsite (M)<br/><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\">Head and Neck</a></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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.diagnosisCode\" title=\"Histology/Topography code combination for the cancer diagnosis \">diagnosisCode</a><a name=\"Diagnosis.diagnosisCode\"> </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..*</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\">Diagnosis code (M)<br/><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\">Head and Neck</a></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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.tumorSize\" title=\"Describes the tumor size in CM. (the longest diameter; longest dimension between pre operatory imaging and pathological specimen) cm \">tumorSize</a><a name=\"Diagnosis.tumorSize\"> </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..*</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\">Tumor Size (M)<br/><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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.superficialDepth\" title=\"Provides the superficial depth of the tumour (for upper and lower limbs and superficial trunk) superficial (superficial tumour is located exclusively above the investing fascia without invasion of the fascia), deep (deep tumour is located beneath or invade the investing fascia). All the others are deep by definition. \">superficialDepth</a><a name=\"Diagnosis.superficialDepth\"> </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..*</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#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Superficial depth (M)<br/><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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.deepDepth\" title=\"Provides the deep depth of the tumour (for upper and lower limbs and superficial trunk) superficial (superficial tumour is located exclusively above the investing fascia without invasion of the fascia), deep (deep tumour is located beneath or invade the investing fascia). All the others are deep by definition \">deepDepth</a><a name=\"Diagnosis.deepDepth\"> </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..*</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\">Deep depth (M)<br/><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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.biopsyMitoticCount\" title=\"Mitotic count reported from the biopsy (Number/10HPF/1mm2, 50HPF/5mm2). Reported as Number of mitoses per 10 high power fields. \">biopsyMitoticCount</a><a name=\"Diagnosis.biopsyMitoticCount\"> </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..*</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#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Biopsy Mitotic count (M)<br/><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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.mitoticIndex\" title=\"Mitotic index derived from the mitotic count. Information coming from the biopsy and derived. M1 for less than 10HPF, M2 for range 10-20 HPF and M3 for greater than 20 HPF. \">mitoticIndex</a><a name=\"Diagnosis.mitoticIndex\"> </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..*</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\">Mitotic Index (R)<br/><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\">Sarcoma</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.plasmaticEbvDnaAtBaseline\" title=\"Describes the result of EBV DNA plasmatic test before treatment for Lymphoepithelial carcinoma, lymphoepithelioma like carcinoma (Nasal cavity and Paranasal Sinuses) or Nasopharynx \nWE DO NOT EXPECT NUMERIC VALUES BUT POSITIVE/NEGATIVE/NOT-TESTED\">plasmaticEbvDnaAtBaseline</a><a name=\"Diagnosis.plasmaticEbvDnaAtBaseline\"> </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..*</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\">Plasmatic EBV DNA at baseline (R)<br/><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\">Head and Neck</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.hpvStatus\" title=\"Describes the result of HPV tumor tested in Nasal Cavity and Paranasal Sinuses, Nasopharnx or Oropharynx carcinoma \">hpvStatus</a><a name=\"Diagnosis.hpvStatus\"> </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..*</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\">HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas)<br/><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\">Head and Neck</a></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <a href=\"StructureDefinition-Diagnosis-definitions.html#Diagnosis.crpTested\" title=\"Describes the result of C reactive protein tested \">crpTested</a><a name=\"Diagnosis.crpTested\"> </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..*</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\">CRP – C reactive protein tested (O)<br/><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\">Head and Neck</a></td></tr></table></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"url" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis",
"version" : "0.1.0",
"name" : "DiagnosisI4RC",
"title" : "Diagnosis",
"status" : "draft",
"date" : "2025-01-13T10:15:12+00:00",
"publisher" : "IDEA4RC Project",
"contact" : [
{
"name" : "IDEA4RC Project",
"telecom" : [
{
"system" : "url",
"value" : "https://www.idea4rc.eu/"
}
]
},
{
"name" : "IDEA4RC Project",
"telecom" : [
{
"system" : "url",
"value" : "https://www.idea4rc.eu/"
}
]
}
],
"description" : "Diagnosis\nMaturity Level: 0 Draft",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "150",
"display" : "Europe"
}
]
}
],
"fhirVersion" : "4.0.1",
"kind" : "logical",
"abstract" : false,
"type" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/Diagnosis",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Base",
"derivation" : "specialization",
"snapshot" : {
"element" : [
{
"id" : "Diagnosis",
"path" : "Diagnosis",
"short" : "Diagnosis",
"definition" : "Diagnosis\nMaturity Level: 0 Draft",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Base",
"min" : 0,
"max" : "*"
},
"isModifier" : false
},
{
"id" : "Diagnosis.cancerepisode",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.cancerepisode",
"short" : "CancerEpisode (M)",
"definition" : "CancerEpisode reference where the diagnosis was performed",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.cancerepisode",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/CancerEpisode"
}
]
},
{
"id" : "Diagnosis.dateOfDiagnosis",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.dateOfDiagnosis",
"short" : "Date of diagnosis (biopsy or surgical piece) (M)",
"definition" : "Date of the procedure performed to obtain the specimen for the histological diagnosis, regardless of the institution that performed it. \nDate of biopsy in Sarc.\n\nThe only procedures accepted are biopsy and/ or surgical piece. Needle aspirations have low quality, if a biopsy has been done for the same patient please refer to the biopsy.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.dateOfDiagnosis",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Diagnosis.typeOfBiopsy",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.typeOfBiopsy",
"short" : "Type of biopsy (M)",
"definition" : "Type of biopsy performed to the patient. Information coming from the biopsy data.",
"comment" : "Fine needle biopsy - 4171863\nCore needle biopsy - 4321878\nIncisional biopsy - 4321986\nExcisional biopsy - 4228202\nExcision - 4279903",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.typeOfBiopsy",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.biopsyDoneBy",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.biopsyDoneBy",
"short" : "Biopsy done by (M)",
"definition" : "Describes the institution where diagnostic procedure was performed. A pseudonym for a hospital. It could be the ID assigned from the original hospital.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.biopsyDoneBy",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Diagnosis.ageAtDiagnosis",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.ageAtDiagnosis",
"short" : "Age at diagnosis (M)",
"definition" : "Age of the patient at the time of the diagnosis.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.ageAtDiagnosis",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Diagnosis.radiotherapyInducedSarcoma",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.radiotherapyInducedSarcoma",
"short" : "Radiotherapy induced sarcoma (M)",
"definition" : "radiotherapy induced if the new tumour is in the field or marginal the anatomical area that received high radiation dose; please specify the interval time from the radiotherapy treatment",
"comment" : "Radiation-induced sarcoma - 2000100003",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.radiotherapyInducedSarcoma",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Diagnosis.biopsyGrading",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.biopsyGrading",
"short" : "Biopsy grading (O)",
"definition" : "Grading of the cancer given by the biopsy",
"comment" : "Grade-1 - 1634371\nGrade-2 - 1634752\nGrade-3 - 1633749\nGrade-H - 1635587\nGrade-L - 1634085",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnosis.biopsyGrading",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.histologyGroup",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.histologyGroup",
"short" : "Histology group (M)",
"definition" : "HNC: Describes the histology of primary tumour according to WHO 2017 clasification. \nCodes may not match the exact hierarchy in Athena",
"comment" : "Squamous cell carcinoma - 37156145\nAdenocarcinoma - 37152526\nNeuroendocrine carcinoma - 1242310\nUndifferentiated carcinoma of nasal sinus - 44783808\nAdenosquamous carcinoma - 4241843\nTeratocarcinoma - 4284401\nNuclear protein in testis associated carcinoma - 37116896\nHPV-related Multiphenotypic Sinonasal Carcinoma - 2000100004\nOlfactory neuroblastoma - 4295574\nOdontogenic tumor, malignant - 4098585\n\nLipomatous neoplasm (Adipocytic tumours) - 4019487\nFibromatous neoplasm of borderline malignancy - 4266648\nSo-called fibrohistiocytic tumours - 2000100005\nVascular tumours - 2000100006\nPericytic (perivascular) tumours - 2000100007\nSmooth muscle tumor - 4327493\nOsseous AND/OR chondromatous neoplasm - 4019107\nNerve sheath tumor - 4017276\nNeoplasm of uncertain behavior - 4313421\nUndifferentiated small round cell sarcomas of bone and soft tissue - 2000100008\nEndometrial stromal sarcoma - 2000100009\nMiscellanious mesenchimal tumors - 2000100010\nMixed epithelial and mesenchymal tumours - 2000100011",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.histologyGroup",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.site",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.site",
"short" : "Site (R)",
"definition" : "Describes the primary tumor site. For head and neck, according to AJCC . \nCodes may not match the exact hierarchy in Athena",
"comment" : "Nasal cavity and paranasal sinus - 2000000067\nNasopharynx - 36769745\nParotid gland - 36769263\nSubmandibular gland - 36770243\nSublingual gland - 36769383\nMiddle ear - 2000100020\nHypopharynx - 36770295\nOropharynx - 36769199\nLarynx - 2000000037\nOral cavity - 2000100021\nLip - 36769197\n\nPharynx - 2000000057\nSinonasal - 2000000067\nLarynx - 2000000037\nHead, face, and neck - 36769894\nUpper limb and shoulder - 36769192\nLower limb and hip - 36769168\nTrunk - 36768213\nThorax - 36770344\nAbdomen - 36769612\nRetroperitoneum - 36770706\nPeritoneum - 36768774\nPelvis - 36768752\nBreast - 2000000012\nGenitourinary (not bladder / prostate) - 36768087\nUrinary tract - 36769378\nCentral Nervous System - 2000000015",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnosis.site",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.histologySubgroup",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.histologySubgroup",
"short" : "Histology subgroup (M)",
"definition" : "Histology subgroup value for the cancer diagnosis. \nHistology Subgroup adenocarcinoma\n\nAdenocarcinoma, intestinal type - 4097305\nAdenocarcinoma - 37152526\nCystoadenocarcinoma - 4050978\nMucinous adenocarcinoma - 4247921\nCeruminous adenocarcinoma - 4238334\nPapillary adenocarcinoma - 4172953\nAdenoid cystic carcinoma - 4022895\nMucoepidermoid carcinoma - 4253608\nPolymorphous low grade adenocarcinoma - 4030121\nAcinar cell carcinoma - 4164740\nClear cell adenocarcinoma - 4148292\nBasal cell adenocarcinoma - 4146684\nInfiltrating duct carcinoma - 4221403\nJuvenile carcinoma of the breast - 4224593\nPaget's disease, extramammary (except Paget's disease of bone) - 4323699\nMalignant myoepithelioma - 4029680\nEpithelial-myoepithelial carcinoma - 4321002\nCarcinoma ex pleomorphic adenoma - 4066512\nSebaceous adenocarcinoma - 4182993\nCarcinosarcoma - 4271564\nOxyphilic adenocarcinoma - 4212379\nCystadenocarcinoma - 4050978",
"comment" : "Squamous cell carcinoma, keratinizing - 4078953\nSquamous cell carcinoma, large cell, nonkeratinizing - 4166826\nSchneiderian carcinoma - 4206785\n Non-keratinizing squamous cell carcinoma: SMARCB1 (INI-1)-deficient Sinonasal Carcinoma - 2000100012\nNon-keratinizing squamous cell carcinoma: Transitional (cylindrical cell, Schneiderian) carcinoma - 2000100013\nSquamous cell carcinoma, spindle cell - 4009590\nSpindle cell (sarcomatoid) squamous cell carcinoma: SMARCB1 (INI-1) - 2000100014\nLymphoepithelial carcinoma - 4247661\nBasaloid squamous cell carcinoma - 4029973\nSquamous cell carcinoma - 37156145\nAdenoid squamous cell carcinoma - 4312219\nSquamous cell carcinoma, microinvasive - 4052146\nGiant cell carcinoma - 4175678\nVerrucous carcinoma - 4233949\n Papillary squamous cell carcinoma - 4191609\nSquamous cell carcinoma - 37156145\nHuman papillomavirus positive squamous cell carcinoma - 37204531\n Human papillomavirus negative squamous cell carcinoma - 37204532\nSquamous cell carcinoma - 37156145\n\nAdenocarcinoma, intestinal type - 4097305\nAdenocarcinoma - 37152526\nCystoadenocarcinoma - 4050978\nMucinous adenocarcinoma - 4247921\nCeruminous adenocarcinoma - 4238334\nPapillary adenocarcinoma - 4172953\nAdenoid cystic carcinoma - 4022895\nMucoepidermoid carcinoma - 4253608\nPolymorphous low grade adenocarcinoma - 4030121\nAcinar cell carcinoma - 4164740\nClear cell adenocarcinoma - 4148292\nBasal cell adenocarcinoma - 4146684\nInfiltrating duct carcinoma - 4221403\nJuvenile carcinoma of the breast - 4224593\nPaget's disease, extramammary (except Paget's disease of bone) - 4323699\nMalignant myoepithelioma - 4029680\nEpithelial-myoepithelial carcinoma - 4321002\nCarcinoma ex pleomorphic adenoma - 4066512\nSebaceous adenocarcinoma - 4182993\nCarcinosarcoma - 4271564\nOxyphilic adenocarcinoma - 4212379\nCystadenocarcinoma - 4050978\n\nSmall cell neuroendocrine�carcinoma (SmCC)​ - 36714029\nMalignant poorly differentiated neuroendocrine carcinoma - 37018672\nLarge cell neuroendocrine carcinoma (LCNEC)​ - 4029971\nNeuroendocrine tumor grade 1 - 4133828\nNeuroendocrine tumor grade 2 - 4133297\nNeuroendocrine carcinoma - 1242310\n\nOdontogenic tumor, malignant - 4098585\nClear cell odontogenic carcinoma - 37116966\nMalignant odontogenic ghost cell tumor\n - 4005818\n\nSMARCB1 (INI-1)-deficient Sinonasal undifferentiated Carcinoma - 2000100015\nSinonasal SMARCA4 deficient carcinoma; - 2000100016\nIDH2-mutated sinonasal undifferentiated neoplasm - 2000100017\nUndifferentiated carcinoma of nasal sinus - 44783808\n\nCarcinoma, undifferentiated - 4243327\n\nAdenosquamous carcinoma - 4241843\n\nTeratocarcinoma - 4284401\n\nNuclear protein in testis associated carcinoma - 37116896\n\nHPV-related Multiphenotypic Sinonasal Carcinoma - 2000100018\n\nOlfactory neuroblastoma - 4295574\n\nAtypical lipomatous tumor - 4021372\n\n\n\n\nLiposarcoma, well differentiated - 4102790\nDedifferentiated liposarcoma - 4284833\nMyxoid liposarcoma - 4101123\nPleomorphic liposarcoma - 4010104\nMyxoid pleomorphic liposarcoma - 1243142\nPalmar/plantar-type fibromatosis - 45766452\nAggressive fibromatosis - 4264204\nLipofibromatosis - 45766468\nGiant cell fibroblastoma - 4030132\nDermatofibrosarcoma protuberans - 4295283\nSolitary fibrous tumor and hemangiopericytoma grade 1 - 37116995\nSolitary fibrous tumor and hemangiopericytoma grade 2 - 37116996\nSolitary fibrous tumor and hemangiopericytoma grade 3 - 37116997\nMyofibroblastic tumour - 4021373\nLow-grade myofibroblastic sarcoma - 45766454\nCellular fibroma - 4029679\nMyxoinflammatory fibroblastic sarcoma - 45766450\nFibrosarcoma - 4202374\nMyxofibrosarcoma - 45771359\nLow-grade fibromyxoid sarcoma - 45771361\nSclerosing epithelioid fibrosarcoma - 45766456\n\nPlexiform fibrohistiocytic tumour - 4029525\nGiant cell tumour of soft parts - 4218898\nTenosynovial giant cell tumor - 4030140\nTenosynovial giant cell tumor, diffuse - 45766525\nMalignant tenosynovial giant cell tumor - 4029655\n\nEpithelioid haemangioendothelioma - 4207381\nAngiosarcoma - 3661612\nHemangioendothelioma - 4281384\nSpindle cell hemangioendothelioma - 4030139\nRetiform haemangioendothelioma - 45766493\nPapillary intralymphatic angioendothelioma - 4030138\nComposite haemangioendothelioma - 45766494\nPseudomyogenic (epithelioid sarcoma-like) hemangioendothelioma - 45766492\nGlomus tumor - 4014760\nGlomus tumor, malignant - 4028856\nSmooth muscle tumour - 4327493\nEpithelioid smooth muscle tumor of uncertain malignant potential - 607803\nMyxoid smooth muscle tumour of uncertain mailgnant potential - 600675\nMetastasizing leiomyoma - 4029023\nLeiomyosarcoma - 37151903\nEpithelioid leiomyosarcoma - 4173148\nMyxoid leiomyosarcoma - 4059632\nEmbryonal rhabdomyosarcoma - 4031038\nAlveolar rhabdomyosarcoma - 4272931\nPleomorphic rhabdomyosarcoma - 4298312\nSpindle cell rhabdomyosarcoma - 4029528\nEctomesenchymoma - 4029024\nExtraskeletal osteosarcoma - 4298240\nMalignant peripheral nerve sheath tumour - 4062426\nMelanotic malignant peripheral nerve sheath tumor - 4102399\nGranular cell tumour - 4005360\nGranular cell tumour, malignant - 4027842\nAtypical fibrous histiocytoma - 4096931\nAngiomatoid fibrous histiocytoma - 4029526\nPleomorphic hyalinizing angiectatic tumour - 45766448\nHemosiderotic fibrolipomatous tumor - 1243125\nNTRK-rearranged spindle cell neoplasm - 1243130\nSynovial sarcoma - 4268491\nEpithelioid sarcoma - 4244886\nAlveolar soft part sarcoma - 4339208\nClear cell sarcoma - 4155072\nExtraskeletal myxoid chondrosarcoma - 4297345\nDesmoplastic small round cell tumor - 4029522\nExtrarenal rhabdoid tumor - 4299132\nPerivascular epithelioid tumor, benign - 45771358\nPerivascular epithelioid tumor, malignant - 45766447\nPerivascular epithelioid cell tumor - 4304780\nIntimal sarcoma - 45766495\nUndifferentiated sarcoma - 4029021\nMyoepithelioma - 4239519\nMyoepithelial carcinoma - 4029680\nOssifying fibromyxoid tumour - 4028565\nOssifying fibromyxoid tumor, malignant - 45766467\nMesenchymoma - 4195947\nPhosphaturic mesenchymal tumor, benign - 45766484\nPhosphaturic mesenchymal tumour, malignant - 45766485\nAngiomyxoma - 4239956\nAngiomatoid fibrous histiocytoma - 4029526\nNTRK-rearranged spindle cell neoplasm (emerging) - 2000100019\nEwing sarcoma / peripheral neuroectodermal tumor - 45766528\nRound cell sarcoma with�EWSR1–non-ETS fusions - 37155974\nCIC-rearranged sarcoma - 37152438\nSarcoma with�BCOR�genetic alterations - 37152440\nEndometrial stromal sarcoma, high grade - 4290926\nEndometrial stromal sarcoma, low grade - 4028557\nUterine tumour resembling ovarian sex cord tumour - 45771357\nBenign phyllodes tumor - 4040991\nBorderline phyllodes tumor - 4323562\nMalignant phyllodes tumor - 4337106\nFollicular dendritic cell sarcoma - 4028710\nHistiocytic sarcoma - 4029172\nInterdigitating dendritic cell sarcoma - 4028709\nLangherans cell sarcoma - 4029173\nFibroblastic reticular cell tumour - 42872917\nBiphenotypic sinonasal sarcoma - 37311513\nAdenosarcoma - 4135215",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.histologySubgroup",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.subsite",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.subsite",
"short" : "Subsite (M)",
"definition" : "Topography subsite value for the cancer diagnosis",
"comment" : "Nasal cavity structure - 4088327\nMaxillary sinus structure - 4050631\nEthmoid sinus structure - 4182234\nFrontal sinus structure - 4204534\nSphenoid sinus structure - 4097172\nNasal sinus structure - 4051578\n\nStructure of superior wall of nasopharynx - 4068978\nStructure of posterior wall of nasopharynx - 4146741\nStructure of lateral wall of nasopharynx - 4323979\nStructure of anterior wall of nasopharynx - 4220236\nNasopharyngeal structure - 4216712\n\nStructure of postcricoid region - 4147741\nStructure of hypopharyngeal aspect of aryepiglottic fold - 4262980\nStructure of posterior wall of hypopharynx - 4102600\nStructure of piriform recess - 4268741\nHypopharyngeal structure - 4218592\n\nParotid gland structure - 4166063\n\nSubmandibular salivary gland structure - 4299196\n\nSublingual gland structure - 4229131\n\nMiddle ear structure - 4100253\n\nStructure of root of tongue - 4169910\nSoft palate structure - 4177005\nUvula palatina structure - 4095284\nTonsillar fossa structure - 4138234\nLingual tonsil structure - 4068841\nPalatine arch structure - 4065073\nStructure of vallecula of epiglottis - 4173123\nStructure of anterior surface of epiglottis - 4283238\nStructure of lateral wall of oropharynx - 4078066\nStructure of posterior wall of oropharynx - 4045435\nEmbryonic branchial cleft - 4235649\nPalatine tonsillar structure - 4327174\nOropharyngeal structure - 4151149\n\nGlottis structure - 4047227\nSupraglottis structure - 4001049\nSubglottis structure - 4002724\nLaryngeal cartilage structure - 4279711\nLaryngeal structure - 4262229\n\nStructure of dorsum of tongue - 4284551\nStructure of border of tongue - 4077986\nStructure of inferior surface of tongue - 4172794\nAnterior 2/3 of tongue NOS - 2000100024\nOverlapping lesion of tongue - 44498031\nStructure of gum of maxilla - 4047029\nStructure of gum of mandible - 4210919\nStructure of anterior floor of mouth - 4181419\nStructure of lateral floor of mouth - 4103066\nOverlapping lesion of floor of mouth - 44498040\nHard palate structure - 4234542\nBuccal mucosa - 4057160\nStructure of vestibule of mouth - 4144069\nStructure of retromolar area of mouth - 4312102\nOverlapping lesion of other and unspecified parts of mouth - 44498052\nOral cavity structure - 4253672\n\nStructure of vermilion border of upper lip - 4134589\nStructure of vermilion border of lower lip - 4027546\nStructure of vermilion border of lip - 4027545\nStructure of mucous membrane of upper lip - 4086480\nStructure of mucous membrane of lip - 4245168\nCommissure of lips - 4307358\nLip structure - 4168155\n\n\nHand structure - 4310976\nWrist region structure - 4220073\nForearm structure - 4032953\nElbow region structure - 4027910\nAntecubital fossa (surface region) - 4348994\nUpper arm structure - 4165266\nFoot structure- 4211098\nAnkle region structure - 4142359\nLower leg structure - 4107527\nKnee region structure - 4217806\npopliteal fossa structure - 4138531\nUpper leg - 4090445\nDeltoid - 4291935\nSupraclavicular - 4088464\nPeriscapular - 2000100022\nTrapezius - 4136969\nGroin Flap - 2000100023\nButtock - 4263335\nPectoral - 4096078\nAxilla - 4157836\nJoint structure of thoracic wall - 4088614\nAnterior abdominal wall structure - 4244412\n Posterior abdominal wall structure - 4330865\nParavertebral region - 4348976\nStructure of thoracolumbar region of back - 4289613\nStructure of thoracolumbar junction of vertebral column - 606482\nStructure of cervical vertebral column - 4046743\nRetroperitoneal fascia - 4075118\nRetroperitoneal compartment structure - 4220536\n Inferior vena cava structure - 4271699\nIliac vessel - 4193451\nAorta and aorta, CS - 4004831\nStructure of renal artery - 4154880\nGonadal artery - 4157844\nStructure of mesenteric artery - 4314264\nOther vessels - Subsume (CHILDREN)\nPelvic region - 4044034\nRegion of esophagus - 4075991\nStomach structure - 4288283\nDuodenal structure - 4302112\nJejunal structure - 4065077\nStricture of ileum - 4316356\nColon structure - 4215634\nRectum structure - 4144541\nMesentery - 4233095\nLung structure - 4213162\nHeart structure - 4217142\nPleura structure - 4150673\nRegion of mediastinum - 4088610\nSuperior vena cava structure - 4167648\nAorta and aorta, CS - 4004831\nStricture of pulmonary vessel - 4035327\nStructure of subclavian artery - 4272388\nAdrenal structure - 4051774\nKidney structure - 4271678\nRegion of ureter - 4078617\nUrinary bladder structure - 4232481\nProstatic structure - 4165732\nSeminal Vescicle structure - 4277442\nSpermatic Cord structure - 4172591\nTestis structure - 4238088\nPenile structure - 4077311 \nUterine structure - 4149192\nOvarian structure - 4049448\nFallopian tube structure - 4151444\nVaginal structure - 4296022\nVulval structure - 4166066\nFace and/or neck structure - 4122633\nBreast structure - 4298444\nAny Domain=Spec Anatomic Site and Standard code",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.subsite",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.diagnosisCode",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.diagnosisCode",
"short" : "Diagnosis code (M)",
"definition" : "Histology/Topography code combination for the cancer diagnosis",
"comment" : "The codes lists are in the spreadsheets \"HNC Conditions List\" and \"Sarcoma Conditions List\" of the file",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.diagnosisCode",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.tumorSize",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.tumorSize",
"short" : "Tumor Size (M)",
"definition" : "Describes the tumor size in CM. (the longest diameter; longest dimension between pre operatory imaging and pathological specimen) cm",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.tumorSize",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Diagnosis.superficialDepth",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.superficialDepth",
"short" : "Superficial depth (M)",
"definition" : "Provides the superficial depth of the tumour (for upper and lower limbs and superficial trunk) superficial (superficial tumour is located exclusively above the investing fascia without invasion of the fascia), deep (deep tumour is located beneath or invade the investing fascia). All the others are deep by definition.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.superficialDepth",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Diagnosis.deepDepth",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.deepDepth",
"short" : "Deep depth (M)",
"definition" : "Provides the deep depth of the tumour (for upper and lower limbs and superficial trunk) superficial (superficial tumour is located exclusively above the investing fascia without invasion of the fascia), deep (deep tumour is located beneath or invade the investing fascia). All the others are deep by definition",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.deepDepth",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Diagnosis.biopsyMitoticCount",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.biopsyMitoticCount",
"short" : "Biopsy Mitotic count (M)",
"definition" : "Mitotic count reported from the biopsy (Number/10HPF/1mm2, 50HPF/5mm2). Reported as Number of mitoses per 10 high power fields.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Diagnosis.biopsyMitoticCount",
"min" : 1,
"max" : "*"
},
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Diagnosis.mitoticIndex",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.mitoticIndex",
"short" : "Mitotic Index (R)",
"definition" : "Mitotic index derived from the mitotic count. Information coming from the biopsy and derived. M1 for less than 10HPF, M2 for range 10-20 HPF and M3 for greater than 20 HPF.",
"comment" : "Less than 10 mitoses per 10 HPF (score = 1) - 4240574\n10-20 mitoses per 10 HPF (score = 2) - 4241298\nGreater than 10 mitoses per 10 HPF (score = 3) - 4240069",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnosis.mitoticIndex",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.plasmaticEbvDnaAtBaseline",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.plasmaticEbvDnaAtBaseline",
"short" : "Plasmatic EBV DNA at baseline (R)",
"definition" : "Describes the result of EBV DNA plasmatic test before treatment for Lymphoepithelial carcinoma, lymphoepithelioma like carcinoma (Nasal cavity and Paranasal Sinuses) or Nasopharynx \nWE DO NOT EXPECT NUMERIC VALUES BUT POSITIVE/NEGATIVE/NOT-TESTED",
"comment" : " Positive - 9191\n Negative - 9189\nnot tested - 45878602",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnosis.plasmaticEbvDnaAtBaseline",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.hpvStatus",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.hpvStatus",
"short" : "HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas)",
"definition" : "Describes the result of HPV tumor tested in Nasal Cavity and Paranasal Sinuses, Nasopharnx or Oropharynx carcinoma",
"comment" : " Positive - 9191\n Negative - 9189\nnot tested - 45878602",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnosis.hpvStatus",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.crpTested",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.crpTested",
"short" : "CRP – C reactive protein tested (O)",
"definition" : "Describes the result of C reactive protein tested",
"comment" : " Positive - 9191\n Negative - 9189\nnot tested - 45878602",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Diagnosis.crpTested",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
]
}
]
},
"differential" : {
"element" : [
{
"id" : "Diagnosis",
"path" : "Diagnosis",
"short" : "Diagnosis",
"definition" : "Diagnosis\nMaturity Level: 0 Draft"
},
{
"id" : "Diagnosis.cancerepisode",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.cancerepisode",
"short" : "CancerEpisode (M)",
"definition" : "CancerEpisode reference where the diagnosis was performed ",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "http://hl7.eu/fhir/ig/idea4rc/StructureDefinition/CancerEpisode"
}
]
},
{
"id" : "Diagnosis.dateOfDiagnosis",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.dateOfDiagnosis",
"short" : "Date of diagnosis (biopsy or surgical piece) (M)",
"definition" : "Date of the procedure performed to obtain the specimen for the histological diagnosis, regardless of the institution that performed it. \nDate of biopsy in Sarc.\n\nThe only procedures accepted are biopsy and/ or surgical piece. Needle aspirations have low quality, if a biopsy has been done for the same patient please refer to the biopsy.",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "date"
}
]
},
{
"id" : "Diagnosis.typeOfBiopsy",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.typeOfBiopsy",
"short" : "Type of biopsy (M)",
"definition" : "Type of biopsy performed to the patient. Information coming from the biopsy data. ",
"comment" : "Fine needle biopsy - 4171863\nCore needle biopsy - 4321878\nIncisional biopsy - 4321986\nExcisional biopsy - 4228202\nExcision - 4279903",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.biopsyDoneBy",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.biopsyDoneBy",
"short" : "Biopsy done by (M)",
"definition" : "Describes the institution where diagnostic procedure was performed. A pseudonym for a hospital. It could be the ID assigned from the original hospital. ",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Diagnosis.ageAtDiagnosis",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.ageAtDiagnosis",
"short" : "Age at diagnosis (M)",
"definition" : "Age of the patient at the time of the diagnosis. ",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Diagnosis.radiotherapyInducedSarcoma",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.radiotherapyInducedSarcoma",
"short" : "Radiotherapy induced sarcoma (M)",
"definition" : "radiotherapy induced if the new tumour is in the field or marginal the anatomical area that received high radiation dose; please specify the interval time from the radiotherapy treatment ",
"comment" : "Radiation-induced sarcoma - 2000100003",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "boolean"
}
]
},
{
"id" : "Diagnosis.biopsyGrading",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.biopsyGrading",
"short" : "Biopsy grading (O)",
"definition" : "Grading of the cancer given by the biopsy ",
"comment" : "Grade-1 - 1634371\nGrade-2 - 1634752\nGrade-3 - 1633749\nGrade-H - 1635587\nGrade-L - 1634085",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.histologyGroup",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.histologyGroup",
"short" : "Histology group (M)",
"definition" : "HNC: Describes the histology of primary tumour according to WHO 2017 clasification. \nCodes may not match the exact hierarchy in Athena",
"comment" : "Squamous cell carcinoma - 37156145\nAdenocarcinoma - 37152526\nNeuroendocrine carcinoma - 1242310\nUndifferentiated carcinoma of nasal sinus - 44783808\nAdenosquamous carcinoma - 4241843\nTeratocarcinoma - 4284401\nNuclear protein in testis associated carcinoma - 37116896\nHPV-related Multiphenotypic Sinonasal Carcinoma - 2000100004\nOlfactory neuroblastoma - 4295574\nOdontogenic tumor, malignant - 4098585\n\nLipomatous neoplasm (Adipocytic tumours) - 4019487\nFibromatous neoplasm of borderline malignancy - 4266648\nSo-called fibrohistiocytic tumours - 2000100005\nVascular tumours - 2000100006\nPericytic (perivascular) tumours - 2000100007\nSmooth muscle tumor - 4327493\nOsseous AND/OR chondromatous neoplasm - 4019107\nNerve sheath tumor - 4017276\nNeoplasm of uncertain behavior - 4313421\nUndifferentiated small round cell sarcomas of bone and soft tissue - 2000100008\nEndometrial stromal sarcoma - 2000100009\nMiscellanious mesenchimal tumors - 2000100010\nMixed epithelial and mesenchymal tumours - 2000100011",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.site",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.site",
"short" : "Site (R)",
"definition" : "Describes the primary tumor site. For head and neck, according to AJCC . \nCodes may not match the exact hierarchy in Athena",
"comment" : "Nasal cavity and paranasal sinus - 2000000067\nNasopharynx - 36769745\nParotid gland - 36769263\nSubmandibular gland - 36770243\nSublingual gland - 36769383\nMiddle ear - 2000100020\nHypopharynx - 36770295\nOropharynx - 36769199\nLarynx - 2000000037\nOral cavity - 2000100021\nLip - 36769197\n\nPharynx - 2000000057\nSinonasal - 2000000067\nLarynx - 2000000037\nHead, face, and neck - 36769894\nUpper limb and shoulder - 36769192\nLower limb and hip - 36769168\nTrunk - 36768213\nThorax - 36770344\nAbdomen - 36769612\nRetroperitoneum - 36770706\nPeritoneum - 36768774\nPelvis - 36768752\nBreast - 2000000012\nGenitourinary (not bladder / prostate) - 36768087\nUrinary tract - 36769378\nCentral Nervous System - 2000000015\n",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.histologySubgroup",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.histologySubgroup",
"short" : "Histology subgroup (M)",
"definition" : "Histology subgroup value for the cancer diagnosis. \nHistology Subgroup adenocarcinoma\n\nAdenocarcinoma, intestinal type - 4097305\nAdenocarcinoma - 37152526\nCystoadenocarcinoma - 4050978\nMucinous adenocarcinoma - 4247921\nCeruminous adenocarcinoma - 4238334\nPapillary adenocarcinoma - 4172953\nAdenoid cystic carcinoma - 4022895\nMucoepidermoid carcinoma - 4253608\nPolymorphous low grade adenocarcinoma - 4030121\nAcinar cell carcinoma - 4164740\nClear cell adenocarcinoma - 4148292\nBasal cell adenocarcinoma - 4146684\nInfiltrating duct carcinoma - 4221403\nJuvenile carcinoma of the breast - 4224593\nPaget's disease, extramammary (except Paget's disease of bone) - 4323699\nMalignant myoepithelioma - 4029680\nEpithelial-myoepithelial carcinoma - 4321002\nCarcinoma ex pleomorphic adenoma - 4066512\nSebaceous adenocarcinoma - 4182993\nCarcinosarcoma - 4271564\nOxyphilic adenocarcinoma - 4212379\nCystadenocarcinoma - 4050978",
"comment" : "Squamous cell carcinoma, keratinizing - 4078953\nSquamous cell carcinoma, large cell, nonkeratinizing - 4166826\nSchneiderian carcinoma - 4206785\n Non-keratinizing squamous cell carcinoma: SMARCB1 (INI-1)-deficient Sinonasal Carcinoma - 2000100012\nNon-keratinizing squamous cell carcinoma: Transitional (cylindrical cell, Schneiderian) carcinoma - 2000100013\nSquamous cell carcinoma, spindle cell - 4009590\nSpindle cell (sarcomatoid) squamous cell carcinoma: SMARCB1 (INI-1) - 2000100014\nLymphoepithelial carcinoma - 4247661\nBasaloid squamous cell carcinoma - 4029973\nSquamous cell carcinoma - 37156145\nAdenoid squamous cell carcinoma - 4312219\nSquamous cell carcinoma, microinvasive - 4052146\nGiant cell carcinoma - 4175678\nVerrucous carcinoma - 4233949\n Papillary squamous cell carcinoma - 4191609\nSquamous cell carcinoma - 37156145\nHuman papillomavirus positive squamous cell carcinoma - 37204531\n Human papillomavirus negative squamous cell carcinoma - 37204532\nSquamous cell carcinoma - 37156145\n\nAdenocarcinoma, intestinal type - 4097305\nAdenocarcinoma - 37152526\nCystoadenocarcinoma - 4050978\nMucinous adenocarcinoma - 4247921\nCeruminous adenocarcinoma - 4238334\nPapillary adenocarcinoma - 4172953\nAdenoid cystic carcinoma - 4022895\nMucoepidermoid carcinoma - 4253608\nPolymorphous low grade adenocarcinoma - 4030121\nAcinar cell carcinoma - 4164740\nClear cell adenocarcinoma - 4148292\nBasal cell adenocarcinoma - 4146684\nInfiltrating duct carcinoma - 4221403\nJuvenile carcinoma of the breast - 4224593\nPaget's disease, extramammary (except Paget's disease of bone) - 4323699\nMalignant myoepithelioma - 4029680\nEpithelial-myoepithelial carcinoma - 4321002\nCarcinoma ex pleomorphic adenoma - 4066512\nSebaceous adenocarcinoma - 4182993\nCarcinosarcoma - 4271564\nOxyphilic adenocarcinoma - 4212379\nCystadenocarcinoma - 4050978\n\nSmall cell neuroendocrine�carcinoma (SmCC)​ - 36714029\nMalignant poorly differentiated neuroendocrine carcinoma - 37018672\nLarge cell neuroendocrine carcinoma (LCNEC)​ - 4029971\nNeuroendocrine tumor grade 1 - 4133828\nNeuroendocrine tumor grade 2 - 4133297\nNeuroendocrine carcinoma - 1242310\n\nOdontogenic tumor, malignant - 4098585\nClear cell odontogenic carcinoma - 37116966\nMalignant odontogenic ghost cell tumor\n - 4005818\n\nSMARCB1 (INI-1)-deficient Sinonasal undifferentiated Carcinoma - 2000100015\nSinonasal SMARCA4 deficient carcinoma; - 2000100016\nIDH2-mutated sinonasal undifferentiated neoplasm - 2000100017\nUndifferentiated carcinoma of nasal sinus - 44783808\n\nCarcinoma, undifferentiated - 4243327\n\nAdenosquamous carcinoma - 4241843\n\nTeratocarcinoma - 4284401\n\nNuclear protein in testis associated carcinoma - 37116896\n\nHPV-related Multiphenotypic Sinonasal Carcinoma - 2000100018\n\nOlfactory neuroblastoma - 4295574\n\nAtypical lipomatous tumor - 4021372\n\n\n\n\nLiposarcoma, well differentiated - 4102790\nDedifferentiated liposarcoma - 4284833\nMyxoid liposarcoma - 4101123\nPleomorphic liposarcoma - 4010104\nMyxoid pleomorphic liposarcoma - 1243142\nPalmar/plantar-type fibromatosis - 45766452\nAggressive fibromatosis - 4264204\nLipofibromatosis - 45766468\nGiant cell fibroblastoma - 4030132\nDermatofibrosarcoma protuberans - 4295283\nSolitary fibrous tumor and hemangiopericytoma grade 1 - 37116995\nSolitary fibrous tumor and hemangiopericytoma grade 2 - 37116996\nSolitary fibrous tumor and hemangiopericytoma grade 3 - 37116997\nMyofibroblastic tumour - 4021373\nLow-grade myofibroblastic sarcoma - 45766454\nCellular fibroma - 4029679\nMyxoinflammatory fibroblastic sarcoma - 45766450\nFibrosarcoma - 4202374\nMyxofibrosarcoma - 45771359\nLow-grade fibromyxoid sarcoma - 45771361\nSclerosing epithelioid fibrosarcoma - 45766456\n\nPlexiform fibrohistiocytic tumour - 4029525\nGiant cell tumour of soft parts - 4218898\nTenosynovial giant cell tumor - 4030140\nTenosynovial giant cell tumor, diffuse - 45766525\nMalignant tenosynovial giant cell tumor - 4029655\n\nEpithelioid haemangioendothelioma - 4207381\nAngiosarcoma - 3661612\nHemangioendothelioma - 4281384\nSpindle cell hemangioendothelioma - 4030139\nRetiform haemangioendothelioma - 45766493\nPapillary intralymphatic angioendothelioma - 4030138\nComposite haemangioendothelioma - 45766494\nPseudomyogenic (epithelioid sarcoma-like) hemangioendothelioma - 45766492\nGlomus tumor - 4014760\nGlomus tumor, malignant - 4028856\nSmooth muscle tumour - 4327493\nEpithelioid smooth muscle tumor of uncertain malignant potential - 607803\nMyxoid smooth muscle tumour of uncertain mailgnant potential - 600675\nMetastasizing leiomyoma - 4029023\nLeiomyosarcoma - 37151903\nEpithelioid leiomyosarcoma - 4173148\nMyxoid leiomyosarcoma - 4059632\nEmbryonal rhabdomyosarcoma - 4031038\nAlveolar rhabdomyosarcoma - 4272931\nPleomorphic rhabdomyosarcoma - 4298312\nSpindle cell rhabdomyosarcoma - 4029528\nEctomesenchymoma - 4029024\nExtraskeletal osteosarcoma - 4298240\nMalignant peripheral nerve sheath tumour - 4062426\nMelanotic malignant peripheral nerve sheath tumor - 4102399\nGranular cell tumour - 4005360\nGranular cell tumour, malignant - 4027842\nAtypical fibrous histiocytoma - 4096931\nAngiomatoid fibrous histiocytoma - 4029526\nPleomorphic hyalinizing angiectatic tumour - 45766448\nHemosiderotic fibrolipomatous tumor - 1243125\nNTRK-rearranged spindle cell neoplasm - 1243130\nSynovial sarcoma - 4268491\nEpithelioid sarcoma - 4244886\nAlveolar soft part sarcoma - 4339208\nClear cell sarcoma - 4155072\nExtraskeletal myxoid chondrosarcoma - 4297345\nDesmoplastic small round cell tumor - 4029522\nExtrarenal rhabdoid tumor - 4299132\nPerivascular epithelioid tumor, benign - 45771358\nPerivascular epithelioid tumor, malignant - 45766447\nPerivascular epithelioid cell tumor - 4304780\nIntimal sarcoma - 45766495\nUndifferentiated sarcoma - 4029021\nMyoepithelioma - 4239519\nMyoepithelial carcinoma - 4029680\nOssifying fibromyxoid tumour - 4028565\nOssifying fibromyxoid tumor, malignant - 45766467\nMesenchymoma - 4195947\nPhosphaturic mesenchymal tumor, benign - 45766484\nPhosphaturic mesenchymal tumour, malignant - 45766485\nAngiomyxoma - 4239956\nAngiomatoid fibrous histiocytoma - 4029526\nNTRK-rearranged spindle cell neoplasm (emerging) - 2000100019\nEwing sarcoma / peripheral neuroectodermal tumor - 45766528\nRound cell sarcoma with�EWSR1–non-ETS fusions - 37155974\nCIC-rearranged sarcoma - 37152438\nSarcoma with�BCOR�genetic alterations - 37152440\nEndometrial stromal sarcoma, high grade - 4290926\nEndometrial stromal sarcoma, low grade - 4028557\nUterine tumour resembling ovarian sex cord tumour - 45771357\nBenign phyllodes tumor - 4040991\nBorderline phyllodes tumor - 4323562\nMalignant phyllodes tumor - 4337106\nFollicular dendritic cell sarcoma - 4028710\nHistiocytic sarcoma - 4029172\nInterdigitating dendritic cell sarcoma - 4028709\nLangherans cell sarcoma - 4029173\nFibroblastic reticular cell tumour - 42872917\nBiphenotypic sinonasal sarcoma - 37311513\nAdenosarcoma - 4135215",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.subsite",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.subsite",
"short" : "Subsite (M)",
"definition" : "Topography subsite value for the cancer diagnosis ",
"comment" : "Nasal cavity structure - 4088327\nMaxillary sinus structure - 4050631\nEthmoid sinus structure - 4182234\nFrontal sinus structure - 4204534\nSphenoid sinus structure - 4097172\nNasal sinus structure - 4051578\n\nStructure of superior wall of nasopharynx - 4068978\nStructure of posterior wall of nasopharynx - 4146741\nStructure of lateral wall of nasopharynx - 4323979\nStructure of anterior wall of nasopharynx - 4220236\nNasopharyngeal structure - 4216712\n\nStructure of postcricoid region - 4147741\nStructure of hypopharyngeal aspect of aryepiglottic fold - 4262980\nStructure of posterior wall of hypopharynx - 4102600\nStructure of piriform recess - 4268741\nHypopharyngeal structure - 4218592\n\nParotid gland structure - 4166063\n\nSubmandibular salivary gland structure - 4299196\n\nSublingual gland structure - 4229131\n\nMiddle ear structure - 4100253\n\nStructure of root of tongue - 4169910\nSoft palate structure - 4177005\nUvula palatina structure - 4095284\nTonsillar fossa structure - 4138234\nLingual tonsil structure - 4068841\nPalatine arch structure - 4065073\nStructure of vallecula of epiglottis - 4173123\nStructure of anterior surface of epiglottis - 4283238\nStructure of lateral wall of oropharynx - 4078066\nStructure of posterior wall of oropharynx - 4045435\nEmbryonic branchial cleft - 4235649\nPalatine tonsillar structure - 4327174\nOropharyngeal structure - 4151149\n\nGlottis structure - 4047227\nSupraglottis structure - 4001049\nSubglottis structure - 4002724\nLaryngeal cartilage structure - 4279711\nLaryngeal structure - 4262229\n\nStructure of dorsum of tongue - 4284551\nStructure of border of tongue - 4077986\nStructure of inferior surface of tongue - 4172794\nAnterior 2/3 of tongue NOS - 2000100024\nOverlapping lesion of tongue - 44498031\nStructure of gum of maxilla - 4047029\nStructure of gum of mandible - 4210919\nStructure of anterior floor of mouth - 4181419\nStructure of lateral floor of mouth - 4103066\nOverlapping lesion of floor of mouth - 44498040\nHard palate structure - 4234542\nBuccal mucosa - 4057160\nStructure of vestibule of mouth - 4144069\nStructure of retromolar area of mouth - 4312102\nOverlapping lesion of other and unspecified parts of mouth - 44498052\nOral cavity structure - 4253672\n\nStructure of vermilion border of upper lip - 4134589\nStructure of vermilion border of lower lip - 4027546\nStructure of vermilion border of lip - 4027545\nStructure of mucous membrane of upper lip - 4086480\nStructure of mucous membrane of lip - 4245168\nCommissure of lips - 4307358\nLip structure - 4168155\n\n\nHand structure - 4310976\nWrist region structure - 4220073\nForearm structure - 4032953\nElbow region structure - 4027910\nAntecubital fossa (surface region) - 4348994\nUpper arm structure - 4165266\nFoot structure- 4211098\nAnkle region structure - 4142359\nLower leg structure - 4107527\nKnee region structure - 4217806\npopliteal fossa structure - 4138531\nUpper leg - 4090445\nDeltoid - 4291935\nSupraclavicular - 4088464\nPeriscapular - 2000100022\nTrapezius - 4136969\nGroin Flap - 2000100023\nButtock - 4263335\nPectoral - 4096078\nAxilla - 4157836\nJoint structure of thoracic wall - 4088614\nAnterior abdominal wall structure - 4244412\n Posterior abdominal wall structure - 4330865\nParavertebral region - 4348976\nStructure of thoracolumbar region of back - 4289613\nStructure of thoracolumbar junction of vertebral column - 606482\nStructure of cervical vertebral column - 4046743\nRetroperitoneal fascia - 4075118\nRetroperitoneal compartment structure - 4220536\n Inferior vena cava structure - 4271699\nIliac vessel - 4193451\nAorta and aorta, CS - 4004831\nStructure of renal artery - 4154880\nGonadal artery - 4157844\nStructure of mesenteric artery - 4314264\nOther vessels - Subsume (CHILDREN)\nPelvic region - 4044034\nRegion of esophagus - 4075991\nStomach structure - 4288283\nDuodenal structure - 4302112\nJejunal structure - 4065077\nStricture of ileum - 4316356\nColon structure - 4215634\nRectum structure - 4144541\nMesentery - 4233095\nLung structure - 4213162\nHeart structure - 4217142\nPleura structure - 4150673\nRegion of mediastinum - 4088610\nSuperior vena cava structure - 4167648\nAorta and aorta, CS - 4004831\nStricture of pulmonary vessel - 4035327\nStructure of subclavian artery - 4272388\nAdrenal structure - 4051774\nKidney structure - 4271678\nRegion of ureter - 4078617\nUrinary bladder structure - 4232481\nProstatic structure - 4165732\nSeminal Vescicle structure - 4277442\nSpermatic Cord structure - 4172591\nTestis structure - 4238088\nPenile structure - 4077311 \nUterine structure - 4149192\nOvarian structure - 4049448\nFallopian tube structure - 4151444\nVaginal structure - 4296022\nVulval structure - 4166066\nFace and/or neck structure - 4122633\nBreast structure - 4298444\nAny Domain=Spec Anatomic Site and Standard code",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.diagnosisCode",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.diagnosisCode",
"short" : "Diagnosis code (M)",
"definition" : "Histology/Topography code combination for the cancer diagnosis ",
"comment" : "The codes lists are in the spreadsheets \"HNC Conditions List\" and \"Sarcoma Conditions List\" of the file",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.tumorSize",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.tumorSize",
"short" : "Tumor Size (M)",
"definition" : "Describes the tumor size in CM. (the longest diameter; longest dimension between pre operatory imaging and pathological specimen) cm ",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Diagnosis.superficialDepth",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.superficialDepth",
"short" : "Superficial depth (M)",
"definition" : "Provides the superficial depth of the tumour (for upper and lower limbs and superficial trunk) superficial (superficial tumour is located exclusively above the investing fascia without invasion of the fascia), deep (deep tumour is located beneath or invade the investing fascia). All the others are deep by definition. ",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Diagnosis.deepDepth",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.deepDepth",
"short" : "Deep depth (M)",
"definition" : "Provides the deep depth of the tumour (for upper and lower limbs and superficial trunk) superficial (superficial tumour is located exclusively above the investing fascia without invasion of the fascia), deep (deep tumour is located beneath or invade the investing fascia). All the others are deep by definition ",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Diagnosis.biopsyMitoticCount",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.biopsyMitoticCount",
"short" : "Biopsy Mitotic count (M)",
"definition" : "Mitotic count reported from the biopsy (Number/10HPF/1mm2, 50HPF/5mm2). Reported as Number of mitoses per 10 high power fields. ",
"min" : 1,
"max" : "*",
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Diagnosis.mitoticIndex",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-sarcoma-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.mitoticIndex",
"short" : "Mitotic Index (R)",
"definition" : "Mitotic index derived from the mitotic count. Information coming from the biopsy and derived. M1 for less than 10HPF, M2 for range 10-20 HPF and M3 for greater than 20 HPF. ",
"comment" : "Less than 10 mitoses per 10 HPF (score = 1) - 4240574\n10-20 mitoses per 10 HPF (score = 2) - 4241298\nGreater than 10 mitoses per 10 HPF (score = 3) - 4240069",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.plasmaticEbvDnaAtBaseline",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.plasmaticEbvDnaAtBaseline",
"short" : "Plasmatic EBV DNA at baseline (R)",
"definition" : "Describes the result of EBV DNA plasmatic test before treatment for Lymphoepithelial carcinoma, lymphoepithelioma like carcinoma (Nasal cavity and Paranasal Sinuses) or Nasopharynx \nWE DO NOT EXPECT NUMERIC VALUES BUT POSITIVE/NEGATIVE/NOT-TESTED",
"comment" : " Positive - 9191\n Negative - 9189\nnot tested - 45878602",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.hpvStatus",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.hpvStatus",
"short" : "HPV status (M for OROPHARYNGEAL (not oral cavity) carcinomas)",
"definition" : "Describes the result of HPV tumor tested in Nasal Cavity and Paranasal Sinuses, Nasopharnx or Oropharynx carcinoma ",
"comment" : " Positive - 9191\n Negative - 9189\nnot tested - 45878602",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
},
{
"id" : "Diagnosis.crpTested",
"extension" : [
{
"extension" : [
{
"url" : "code",
"valueCode" : "SHALL:handle"
},
{
"url" : "actor",
"valueCanonical" : "http://hl7.eu/fhir/ig/idea4rc/actor-headneck-i4rc"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/obligation"
}
],
"path" : "Diagnosis.crpTested",
"short" : "CRP – C reactive protein tested (O)",
"definition" : "Describes the result of C reactive protein tested ",
"comment" : " Positive - 9191\n Negative - 9189\nnot tested - 45878602",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "CodeableConcept"
}
]
}
]
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.
Diagnosis 
cancerepisode 
dateOfDiagnosis 
typeOfBiopsy 
FHIR