Transmission of pathogenic microorganisms or cancerous cells from an original site to one or more sites elsewhere in the body, usually by way of the blood vessels or lymphatics

Attributes
«CS» Code	clinicalM	Idenifiies the presence or absence of distant metastasis (M) as recorded by the physicain. Possible values are Not recorded by the physician; MX, M0; M1; M1a; M1b; M1c; not applicable etc.
«CS» Code	csMetastasisAtDx	Identifies the distant site(s) of metastatic involvement at time of diagnosis. Possible values are 00 No; Distant lymph node(s); Distant metastases except code 10 Distant metastasis, NOS Carcinomatosis; (40) + (10); Unknown; distant metastasis cannot be assessed,not stated in patient record; Not applicable etc.
«CS» Code	metastasis1	Identifies only the site(s) of distant metastasis identified during initial diagnosis and workup. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.
«CS» Code	metastasis2	Identifies the second site of distant metastasis identified during initial diagnosis and workup. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.
«CS» Code	metastasis3	Identifies the third site of distant metastasis identified during initial diagnosis and workup. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.
«CS» Code	otherM	Indicates the code that identifies the presence or absence of distant metastases. Possible values are MX, M0, M1, M1A, M1B, M1C, Not Applicable; etc.
«CS» Code	pathologicM	Identifies the presence or absence of distant metastasis (M) as recorded by the physician. Possible values are MX, M0; M1; M1a; M1b; M1c; Not applicable; etc.

 clinicalM

Public «CS» Code clinicalM

Idenifiies the presence or absence of distant metastasis (M) as recorded by the physicain. Possible values are Not recorded by the physician; MX, M0; M1; M1a; M1b; M1c; not applicable etc.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	MetastasisEvaluation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	clinicalM
Name Expression
Namespace	MetastasisEvaluation
Opposite
Owner	MetastasisEvaluation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::OncologyRegistry::MetastasisEvaluation::clinicalM
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 csMetastasisAtDx

Public «CS» Code csMetastasisAtDx

Identifies the distant site(s) of metastatic involvement at time of diagnosis. Possible values are 00 No; Distant lymph node(s); Distant metastases except code 10 Distant metastasis, NOS Carcinomatosis; (40) + (10); Unknown; distant metastasis cannot be assessed,not stated in patient record; Not applicable etc.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	MetastasisEvaluation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	csMetastasisAtDx
Name Expression
Namespace	MetastasisEvaluation
Opposite
Owner	MetastasisEvaluation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::OncologyRegistry::MetastasisEvaluation::csMetastasisAtDx
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 metastasis1

Public «CS» Code metastasis1

Identifies only the site(s) of distant metastasis identified during initial diagnosis and workup. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	MetastasisEvaluation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	metastasis1
Name Expression
Namespace	MetastasisEvaluation
Opposite
Owner	MetastasisEvaluation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::OncologyRegistry::MetastasisEvaluation::metastasis1
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 metastasis2

Public «CS» Code metastasis2

Identifies the second site of distant metastasis identified during initial diagnosis and workup. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	MetastasisEvaluation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	metastasis2
Name Expression
Namespace	MetastasisEvaluation
Opposite
Owner	MetastasisEvaluation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::OncologyRegistry::MetastasisEvaluation::metastasis2
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 metastasis3

Public «CS» Code metastasis3

Identifies the third site of distant metastasis identified during initial diagnosis and workup. Possible values are None; Peritoneum; Lung; Pleura; Liver; Bone; Central nervous system; Skin; Lymph nodes (distant); Other/Gen/Carcinomatosis/Unkn; etc.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	MetastasisEvaluation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	metastasis3
Name Expression
Namespace	MetastasisEvaluation
Opposite
Owner	MetastasisEvaluation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::OncologyRegistry::MetastasisEvaluation::metastasis3
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 otherM

Public «CS» Code otherM

Indicates the code that identifies the presence or absence of distant metastases. Possible values are MX, M0, M1, M1A, M1B, M1C, Not Applicable; etc.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	MetastasisEvaluation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	otherM
Name Expression
Namespace	MetastasisEvaluation
Opposite
Owner	MetastasisEvaluation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::OncologyRegistry::MetastasisEvaluation::otherM
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 pathologicM

Public «CS» Code pathologicM

Identifies the presence or absence of distant metastasis (M) as recorded by the physician. Possible values are MX, M0; M1; M1a; M1b; M1c; Not applicable; etc.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	MetastasisEvaluation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	pathologicM
Name Expression
Namespace	MetastasisEvaluation
Opposite
Owner	MetastasisEvaluation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::OncologyRegistry::MetastasisEvaluation::pathologicM
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public