diff --git a/head-and-mouth/diagnoses.jsonld b/head-and-mouth/diagnoses.jsonld
index 012cdea..ebaef75 100644
--- a/head-and-mouth/diagnoses.jsonld
+++ b/head-and-mouth/diagnoses.jsonld
@@ -68,14 +68,38 @@
       "related_specimen": [
         {
           "id": "bdc73f48-dc0b-487d-abbe-e3a977b6830a",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:44:57.790971-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -298,23 +322,71 @@
       "related_specimen": [
         {
           "id": "8b2588c8-4261-492b-b173-2490a5de668f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "badeaed0-2625-4a4d-bb95-d295e2c32c01",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "e23c7006-1a13-4211-8920-47548641e574",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -537,28 +609,92 @@
       "related_specimen": [
         {
           "id": "69a89590-eb61-41d5-b33e-e7bc5adb92bf",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b069c55b-496a-4a57-a507-1b2e1b4201ae",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "00f7bc3c-c0e7-42bf-84d7-87a8a539bd4a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a7692585-a129-4671-bfe5-98342a326776",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -781,23 +917,71 @@
       "related_specimen": [
         {
           "id": "bd90f967-84dd-48cd-aec0-9de9a76df7a9",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "256469d0-5f36-4966-bf4f-3b4297e55f43",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "dc102dcf-3f48-49e2-8a6f-cfdc34f8ed0f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -1009,23 +1193,71 @@
       "related_specimen": [
         {
           "id": "1ed245de-fea4-42c9-9197-773bcd12d2a8",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "665d66ad-54ee-478e-bdd0-85d77980fb3e",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "665d4bff-603c-497b-816f-c98784665d0f",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -1257,13 +1489,45 @@
       "related_specimen": [
         {
           "id": "aa121605-a2c9-43fc-a836-8ec6c42b99de",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "afb7ea63-2959-4e53-95ea-7a032dcb5a8b",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -1506,23 +1770,71 @@
       "related_specimen": [
         {
           "id": "0c14d932-3b44-48fa-8974-db6e01464851",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "cc3866fe-2690-4354-a548-10189054b85d",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "744cbf84-554d-4cba-aa4f-4c1e5e28a1ee",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -1714,23 +2026,71 @@
       "related_specimen": [
         {
           "id": "d6f48bb2-379a-448d-b13d-2dfc5da91d0c",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "fd99fd83-4040-4738-8a5a-e42d36ecfe0e",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5fe1ae56-74a5-44a9-b8d1-7f05a569bb34",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -1962,13 +2322,45 @@
       "related_specimen": [
         {
           "id": "2d9ad43c-f177-455e-9b63-1b9ffdc672d9",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5ef4d047-5a84-4e03-acf5-02029d8a4cf2",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -2171,23 +2563,71 @@
       "related_specimen": [
         {
           "id": "36fb3f52-714b-4b86-a7a5-ca4b017fd182",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "95018dba-f23d-4af0-b774-c28be60007f7",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b8eb9edb-fce8-4e72-9cbf-c4868c04965c",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -2410,23 +2850,71 @@
       "related_specimen": [
         {
           "id": "72f5520a-28f0-4be6-afe0-6bee4de5b69a",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "106c7016-9bf6-415a-a0fc-3722a1aaf2c6",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b7d03ca7-f518-4587-a54f-03896e53b167",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -2649,28 +3137,92 @@
       "related_specimen": [
         {
           "id": "8e461b7f-1bfd-476d-a948-7aadb89a41e5",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "79ec5357-3a44-40db-a1ba-ee282b484526",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "397b08f6-f560-418b-a6e6-2d953187bd5d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f040a5a4-e955-4e69-9f2e-ae9a4c78780a",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -2913,23 +3465,71 @@
       "related_specimen": [
         {
           "id": "3285f0ab-61e2-4235-b0ac-af1718ca1874",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "82db742d-885d-4788-b509-474715ae183b",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "75430612-09bb-4d6f-9304-62a5b517d424",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -3152,23 +3752,71 @@
       "related_specimen": [
         {
           "id": "4db7e146-bf2a-4729-ae80-d471370b62a0",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9adfbc71-da3c-4a8e-a72f-76690e90a8ca",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f92383bc-5869-44d6-a128-60b60043d778",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -3391,23 +4039,71 @@
       "related_specimen": [
         {
           "id": "b33eba98-6a89-4454-9a53-94999cd5003c",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7560ec6d-e0f2-4b55-88bf-62e7173126a1",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b801368a-b10a-4a42-bda8-5df8216b532f",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -3479,13 +4175,29 @@
       "related_specimen": [
         {
           "id": "7eef7c3e-d42d-4cf5-9ad1-3099b828f776",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:54:19.535598-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -3557,13 +4269,29 @@
       "related_specimen": [
         {
           "id": "b39fb248-8053-47b7-aa2c-d69335f218ce",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:20:30.865187-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -3635,13 +4363,29 @@
       "related_specimen": [
         {
           "id": "a764b89e-ad60-4316-a812-24a5eec7b9dd",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -3713,13 +4457,29 @@
       "related_specimen": [
         {
           "id": "a0deb101-019f-46d7-8cb2-ee98c9d7aa92",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -3791,13 +4551,29 @@
       "related_specimen": [
         {
           "id": "856fab11-14d9-4e8c-af8a-65684ca39418",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:13:38.880466-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -3869,13 +4645,29 @@
       "related_specimen": [
         {
           "id": "64dd4e81-f01b-4846-b306-20b7cd7d9340",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:09:54.181448-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -3947,13 +4739,29 @@
       "related_specimen": [
         {
           "id": "46f8b134-ad13-42d1-b3c7-6b2d8cf77f90",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T18:54:47.858087-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4025,13 +4833,29 @@
       "related_specimen": [
         {
           "id": "b2a64027-92cc-4961-9c27-821fff58c5ca",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:35:23.418160-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4103,13 +4927,29 @@
       "related_specimen": [
         {
           "id": "b857d450-dfaf-4407-84e8-d3bbf843cbc3",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:31:25.700438-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4181,13 +5021,29 @@
       "related_specimen": [
         {
           "id": "3c02ad20-11ec-4e71-b7e8-c29194ae502f",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.308719-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4259,13 +5115,29 @@
       "related_specimen": [
         {
           "id": "d4ba57ac-0820-4d57-85a6-06122bb4559e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:39:49.045696-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4337,13 +5209,29 @@
       "related_specimen": [
         {
           "id": "5cdc6f40-9b5f-4dc0-9082-a9500c3e5af4",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:18:10.730001-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4415,13 +5303,29 @@
       "related_specimen": [
         {
           "id": "eca4b442-f9d1-4018-94cb-158757bd3bea",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:02:01.981535-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4493,13 +5397,29 @@
       "related_specimen": [
         {
           "id": "cd31b18a-5019-4a94-8966-a1160e544684",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:46:25.150285-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4571,14 +5491,38 @@
       "related_specimen": [
         {
           "id": "a4ae0499-714f-4d0b-95b5-e085bb652117",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:47:53.195932-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4650,13 +5594,29 @@
       "related_specimen": [
         {
           "id": "bce047a2-b5b7-4ccf-8bf9-406d8c87d7a3",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:37:30.937085-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4728,13 +5688,29 @@
       "related_specimen": [
         {
           "id": "10935163-56ad-43d1-af91-1846aa5922eb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4806,13 +5782,29 @@
       "related_specimen": [
         {
           "id": "0f1ec484-9205-42f4-9696-815dae75b073",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:52:12.528526-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4884,13 +5876,29 @@
       "related_specimen": [
         {
           "id": "b1a851b3-94bf-4652-82d3-cc6133cd1565",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:12:32.615882-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -4962,13 +5970,29 @@
       "related_specimen": [
         {
           "id": "5e386079-a9c2-4c7e-80ed-9dda270249b9",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.308719-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5040,13 +6064,29 @@
       "related_specimen": [
         {
           "id": "08209047-3b7a-4295-90b0-ddc92aa1e1c9",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:07:22.808668-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5118,13 +6158,29 @@
       "related_specimen": [
         {
           "id": "475098e0-9927-42fc-adf2-e280d8aec3bb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:10:26.105156-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5196,14 +6252,38 @@
       "related_specimen": [
         {
           "id": "a1fe6dde-024f-4487-8838-24fda3505cc3",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:02:30.028866-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5275,13 +6355,29 @@
       "related_specimen": [
         {
           "id": "98e2382a-2d7b-445d-83ff-1dc53d66db12",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:26:11.717995-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5353,13 +6449,29 @@
       "related_specimen": [
         {
           "id": "35f0c152-0c87-42bb-a1b7-b306e66514f5",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:10:26.105156-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5431,13 +6543,29 @@
       "related_specimen": [
         {
           "id": "b6ddcf15-8ecb-47ca-bb29-60b9b43fa7aa",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:39:05.576558-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5509,14 +6637,38 @@
       "related_specimen": [
         {
           "id": "68742842-28e9-49db-b49d-79c73ad4ef0c",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T09:54:31.122378-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5588,14 +6740,38 @@
       "related_specimen": [
         {
           "id": "69907c44-c952-482a-a307-44efd82a16dd",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T09:58:58.753780-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5667,13 +6843,29 @@
       "related_specimen": [
         {
           "id": "60efb1a2-a8b1-40a7-b230-e4b532a8048b",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:39:49.045696-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5745,13 +6937,29 @@
       "related_specimen": [
         {
           "id": "ab9d819a-6445-4bad-a520-3d1edf413508",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-04T18:19:50.810302-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5823,13 +7031,29 @@
       "related_specimen": [
         {
           "id": "cf3feb17-3b74-4d84-8395-c4af9b8f4514",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5901,13 +7125,29 @@
       "related_specimen": [
         {
           "id": "3dc819bf-5af3-4be1-a892-974d670975c9",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -5979,13 +7219,29 @@
       "related_specimen": [
         {
           "id": "43bdb66c-6b5a-4a1c-9d44-2717ecc981ed",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6057,13 +7313,29 @@
       "related_specimen": [
         {
           "id": "53e7103c-42c4-41cc-948c-b8e23271bee9",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T18:54:47.858087-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6135,13 +7407,29 @@
       "related_specimen": [
         {
           "id": "ba40b824-5fe9-4a73-b7f0-9b371af64f65",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-27T19:26:40.896040-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6213,13 +7501,29 @@
       "related_specimen": [
         {
           "id": "c0927894-b73f-4930-b147-e079caeb60e5",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6291,13 +7595,29 @@
       "related_specimen": [
         {
           "id": "c930148f-2059-480b-960a-4efcb3c98ac1",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6369,13 +7689,29 @@
       "related_specimen": [
         {
           "id": "e868826f-a629-4839-bc5f-5383b74aac12",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:50:42.610446-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6447,13 +7783,29 @@
       "related_specimen": [
         {
           "id": "e179e193-0933-48cd-98fe-aa4e21c0ad44",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:13:38.880466-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6525,13 +7877,29 @@
       "related_specimen": [
         {
           "id": "b9b1b672-a788-46eb-bc8e-a5b401d1a430",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:06:12.185212-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6603,13 +7971,29 @@
       "related_specimen": [
         {
           "id": "d0ef535c-d0ed-471d-a1a6-3cf9600d37cb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:31:25.700438-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6681,13 +8065,29 @@
       "related_specimen": [
         {
           "id": "ab79d569-bc64-4639-a6a8-74bc2bbe0d0c",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:46:25.150285-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6759,13 +8159,29 @@
       "related_specimen": [
         {
           "id": "bb6ae997-ee6b-42e0-ab0c-c9fbc64f8d9b",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:58:03.635432-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6837,13 +8253,29 @@
       "related_specimen": [
         {
           "id": "116b69cf-c9f3-45c6-be86-c4f22a36dcf8",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-28T12:01:45.147328-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6915,14 +8347,38 @@
       "related_specimen": [
         {
           "id": "3c1903f3-2a52-46cf-872e-060ba3a092e3",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:40:08.863452-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -6994,13 +8450,29 @@
       "related_specimen": [
         {
           "id": "d7332e8a-d17d-497f-9b44-cc7992f48739",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:42:39.927651-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -7072,13 +8544,29 @@
       "related_specimen": [
         {
           "id": "87d18b2c-1241-43b3-b7aa-24442a047ade",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T18:54:47.858087-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -7150,13 +8638,29 @@
       "related_specimen": [
         {
           "id": "781e0bea-f234-496c-915c-c163fc8de24b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.308719-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -7228,14 +8732,38 @@
       "related_specimen": [
         {
           "id": "1fc039e3-94d1-4fe2-9d51-796dce543f9f",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:48:10.807261-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -7307,13 +8835,29 @@
       "related_specimen": [
         {
           "id": "02cf8f79-3109-423e-b290-9b0cf112e827",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -7385,13 +8929,29 @@
       "related_specimen": [
         {
           "id": "cd1a65bd-7bc3-4c1e-9d5e-792938c2fc5a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:06:12.185212-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -7463,13 +9023,29 @@
       "related_specimen": [
         {
           "id": "99c1a34d-ba04-462f-be28-bb5eac77b316",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:49:52.836213-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -7541,13 +9117,29 @@
       "related_specimen": [
         {
           "id": "6f3b4fcf-0519-439f-b3e9-6a0678745885",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-27T19:26:40.896040-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -7619,14 +9211,38 @@
       "related_specimen": [
         {
           "id": "b62fca52-48c3-4bea-b5f7-5794a1ed4f43",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:58:46.365657-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -7698,13 +9314,29 @@
       "related_specimen": [
         {
           "id": "c3431e69-82eb-4eef-9e13-312bfde95103",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:07:22.808668-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -7776,99 +9408,37 @@
       "related_specimen": [
         {
           "id": "f48ed568-6c4b-4746-b480-139ed3ab5794",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:46:25.150285-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "c8b3a37f-01ec-481e-9460-0bcac22cc002",
-      "identifier": [
-        {
-          "value": "GENIE-GRCC-18076aef-sample-a_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Squamous cell carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Squamous cell carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "general_tissue_morphology": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Not Reported",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
-          }
-        }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8070/3",
-            "system": "GDC"
+            "text": "Not Reported"
           }
-        ],
-        "text": "8070/3"
-      },
-      "related_specimen": [
-        {
-          "id": "960fe012-e237-42c8-a3e0-d02853ce3818",
-          "source_material_type": "Primary Tumor",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-10-02T18:01:58.729859-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
         }
       ]
     },
     {
-      "id": "9c1cd7ed-46f5-4809-a898-22cc0e15cd64",
+      "id": "c8b3a37f-01ec-481e-9460-0bcac22cc002",
       "identifier": [
         {
-          "value": "GENIE-GRCC-438c3609-sample-a_diagnosis",
+          "value": "GENIE-GRCC-18076aef-sample-a_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -7886,11 +9456,105 @@
           "site": {
             "coding": [
               {
-                "code": "Hypopharynx",
+                "code": "Oropharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Hypopharynx"
+            "text": "Oropharynx"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8070/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8070/3"
+      },
+      "related_specimen": [
+        {
+          "id": "960fe012-e237-42c8-a3e0-d02853ce3818",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2018-10-02T18:01:58.729859-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "9c1cd7ed-46f5-4809-a898-22cc0e15cd64",
+      "identifier": [
+        {
+          "value": "GENIE-GRCC-438c3609-sample-a_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Squamous cell carcinoma, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Squamous cell carcinoma, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Hypopharynx",
+                "system": "GDC"
+              }
+            ],
+            "text": "Hypopharynx"
           }
         }
       ],
@@ -7932,13 +9596,29 @@
       "related_specimen": [
         {
           "id": "bc168208-ee4f-4a50-8ddf-b72b0dd59da2",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -8010,13 +9690,29 @@
       "related_specimen": [
         {
           "id": "0ef8dcd6-8f67-4f29-a69d-d952df3d43b3",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -8088,13 +9784,29 @@
       "related_specimen": [
         {
           "id": "01b01d59-07d3-481d-b466-bf77a916a0db",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -8166,14 +9878,38 @@
       "related_specimen": [
         {
           "id": "3dac18fb-752c-42aa-bdad-9f91d54fb950",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:01:51.025011-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -8245,13 +9981,29 @@
       "related_specimen": [
         {
           "id": "25bebf87-88d5-4cd5-b2d7-3f2b7c1a0a02",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -8414,13 +10166,45 @@
       "related_specimen": [
         {
           "id": "3a24aaeb-37ce-4508-81d5-e531aac8a167",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "92173f97-b46a-4950-8cd8-6729ab9522c5",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -8643,23 +10427,71 @@
       "related_specimen": [
         {
           "id": "40583cb5-46f0-4966-82c7-4149f14581d4",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ef81caac-1fdd-43dd-80a3-4e18eb35271e",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "6766e43d-12fd-49ba-bdde-c19bb71d329d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -8822,13 +10654,45 @@
       "related_specimen": [
         {
           "id": "a26d04d0-1501-4cc7-afea-154a89cff0ff",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "dfbc5ddf-a361-4d72-ba8d-5615ca644357",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -9060,23 +10924,71 @@
       "related_specimen": [
         {
           "id": "03c9108a-5139-4bac-9641-c7dbbedef420",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a47974a3-b37e-4041-8953-5f50f8745681",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8d8ddca2-6461-4a8b-a696-da0906661b9e",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -9308,23 +11220,71 @@
       "related_specimen": [
         {
           "id": "51eeba12-4cfb-4842-ad6c-e49cfe5ef207",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b8077f12-81e6-49f1-aa69-a4b6f5825534",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "226992b4-f81f-49f5-a1da-37ab1742779b",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -9396,14 +11356,38 @@
       "related_specimen": [
         {
           "id": "0a8dd963-c724-4a77-b662-5f711ac88607",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:03:00.815411-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -9475,13 +11459,29 @@
       "related_specimen": [
         {
           "id": "cb629447-dbb7-49c7-a88a-435b6b6decda",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T17:51:39.178920-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -9553,13 +11553,29 @@
       "related_specimen": [
         {
           "id": "92e24628-56bc-4c65-9c4b-76c589943948",
-          "source_material_type": "Not Reported",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T17:51:39.178920-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -9631,13 +11647,29 @@
       "related_specimen": [
         {
           "id": "d57d8dd7-f0d5-4c3e-9ac7-cc23e2aa77d7",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:12:32.615882-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -9709,13 +11741,29 @@
       "related_specimen": [
         {
           "id": "0d696183-2cc4-4f33-9973-04537cb86276",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -9787,13 +11835,29 @@
       "related_specimen": [
         {
           "id": "cc51bca3-858a-4ac3-b48a-c4d273b2329c",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-28T12:01:45.147328-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -9865,177 +11929,225 @@
       "related_specimen": [
         {
           "id": "5349f1ac-ad8d-437f-a9e7-30b2323bd11f",
-          "source_material_type": "Primary Tumor",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-10-02T18:21:56.842750-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "08272717-6b2b-4734-9674-4bec2662bd32",
-      "identifier": [
-        {
-          "value": "GENIE-UHN-523097-ARC1_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "source_material_type": {
             "coding": [
               {
-                "code": "Nasopharynx",
+                "code": "Primary Tumor",
                 "system": "GDC"
               }
             ],
-            "text": "Nasopharynx"
-          }
-        }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8010/3",
-            "system": "GDC"
-          }
-        ],
-        "text": "8010/3"
-      },
-      "related_specimen": [
-        {
-          "id": "ffef8dac-d99c-4426-ad9e-f4e3947fe1c1",
-          "source_material_type": "Primary Tumor",
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2018-10-02T18:18:10.730001-05:00"
+              "date_time": "2018-10-02T18:21:56.842750-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "96e73819-3b05-4a68-90bb-ceb60d419d50",
-      "identifier": [
-        {
-          "value": "GENIE-DFCI-006296-6704_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Squamous cell carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Squamous cell carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "general_tissue_morphology": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Not Reported",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
+            "text": "Not Reported"
           }
         }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8070/3",
-            "system": "GDC"
-          }
-        ],
-        "text": "8070/3"
-      },
-      "related_specimen": [
-        {
-          "id": "51ca54fe-f436-4a88-a11d-ab0781666edf",
-          "source_material_type": "Primary Tumor",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-09-24T17:27:14.117499-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
-        }
       ]
     },
     {
-      "id": "ca8f5806-a2af-45ee-8217-e6dfc4d0b229",
+      "id": "08272717-6b2b-4734-9674-4bec2662bd32",
       "identifier": [
         {
-          "value": "GENIE-MSK-P-0012391-T01-IM5_diagnosis",
+          "value": "GENIE-UHN-523097-ARC1_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Carcinoma, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Carcinoma, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Nasopharynx",
+                "system": "GDC"
+              }
+            ],
+            "text": "Nasopharynx"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8010/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8010/3"
+      },
+      "related_specimen": [
+        {
+          "id": "ffef8dac-d99c-4426-ad9e-f4e3947fe1c1",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2018-10-02T18:18:10.730001-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "96e73819-3b05-4a68-90bb-ceb60d419d50",
+      "identifier": [
+        {
+          "value": "GENIE-DFCI-006296-6704_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Squamous cell carcinoma, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Squamous cell carcinoma, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Oropharynx",
+                "system": "GDC"
+              }
+            ],
+            "text": "Oropharynx"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8070/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8070/3"
+      },
+      "related_specimen": [
+        {
+          "id": "51ca54fe-f436-4a88-a11d-ab0781666edf",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2018-09-24T17:27:14.117499-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "ca8f5806-a2af-45ee-8217-e6dfc4d0b229",
+      "identifier": [
+        {
+          "value": "GENIE-MSK-P-0012391-T01-IM5_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -10099,13 +12211,29 @@
       "related_specimen": [
         {
           "id": "3c8fe733-1711-4d4a-a64c-b94788eda279",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:17:29.664139-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -10177,13 +12305,29 @@
       "related_specimen": [
         {
           "id": "f8de95dc-1011-4b86-9a46-28bc46465195",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:50:42.610446-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -10255,13 +12399,29 @@
       "related_specimen": [
         {
           "id": "71ba3119-c343-43f0-84db-4ba8787d316b",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-28T12:01:45.147328-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -10453,23 +12613,71 @@
       "related_specimen": [
         {
           "id": "f079e825-160a-40d5-97cc-1931f11c4e2e",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2f668e36-b359-488e-b0fc-fb7bb479f485",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2dc7070a-9c70-4bb1-9634-8c934bb9c8d1",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -10661,13 +12869,45 @@
       "related_specimen": [
         {
           "id": "950233c0-c1ca-4b69-8e3f-a6072dbc7e6a",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "43739161-8083-4740-a670-1a334a87ca7e",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -10910,28 +13150,92 @@
       "related_specimen": [
         {
           "id": "b4074f91-5478-4117-bee5-ed164e4d38c2",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "840d3da5-0493-460a-b5a9-4285e1a2ad37",
-          "source_material_type": "Metastatic",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "61eec5b6-925d-434b-a318-b22fc21c9ffe",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "e4439379-d930-4b9a-b498-3b75e569f8ad",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -11174,23 +13478,71 @@
       "related_specimen": [
         {
           "id": "15776f80-0722-45a8-bc97-cc209cef631b",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "56c76698-7155-4f7a-9f9e-4fb62c673599",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "90e4a976-0d97-47ef-aa29-295c2afeb31b",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -11413,23 +13765,71 @@
       "related_specimen": [
         {
           "id": "c2530f39-c334-4a38-b75b-b74d5cb95920",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5c4960e6-92f7-4576-a7d8-82a7c3d7cd5f",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2916fc1e-ba62-4494-8014-dfcc6dd358ea",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -11661,23 +14061,71 @@
       "related_specimen": [
         {
           "id": "3147ba3d-b1fd-4e40-82e1-56429f2389d6",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "6f0b02c4-6efb-4104-89e1-2e76811b6afc",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "127b2222-93b1-4870-93f2-867d8e69d015",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -11869,13 +14317,45 @@
       "related_specimen": [
         {
           "id": "c6aafc51-6295-494f-9bf2-1e4f43a72ae0",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f27e3255-bc73-4943-8201-5245b85c4ee5",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -12087,23 +14567,71 @@
       "related_specimen": [
         {
           "id": "fc3d6178-acc8-4e4f-b935-3cc1f6c0f304",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "866bc103-c5bc-4365-8ef6-40064b33046d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f844574a-cb7f-4f66-83d4-ee0ca41a63d1",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -12326,28 +14854,92 @@
       "related_specimen": [
         {
           "id": "72f98dc0-3fcb-47a4-8c7a-52a7cd9d3fdf",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "4151c76f-9dcb-4451-a99b-889e0024f8b9",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5d293d68-61ae-49ad-bfcc-e0bdb91cc29e",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5bae7161-8838-4b10-9210-02deaae4b9c1",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -12590,23 +15182,71 @@
       "related_specimen": [
         {
           "id": "ad47c17b-e21c-4aed-aac6-8a062c6b5e42",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0a64b28d-8dde-4eaf-bac5-217406cbc4c6",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b3a55bcd-1f88-4d25-9f95-5ef7393d6cf0",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -12829,13 +15469,45 @@
       "related_specimen": [
         {
           "id": "7758f04c-0e07-4e8a-882d-ece76469f433",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "34b36112-f260-4bf4-90b7-0cebc5988b59",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -13058,23 +15730,71 @@
       "related_specimen": [
         {
           "id": "2e1366b9-95b7-4a0d-81f0-7ec14e4f4592",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "10c45c93-36f6-4085-8bc8-f46dfdedca1f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "4d8bbfbd-1a39-4630-a1e5-3bc6abb01949",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -13146,13 +15866,29 @@
       "related_specimen": [
         {
           "id": "379984ec-2e8f-4c3e-9153-1ec8adc17770",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:02:01.981535-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -13224,13 +15960,29 @@
       "related_specimen": [
         {
           "id": "4e6ffe6c-feee-4dca-b56d-0f2c8b498ae6",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:02:01.981535-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -13302,177 +16054,225 @@
       "related_specimen": [
         {
           "id": "f2f48558-d331-431f-a14d-845efe0c6ce9",
-          "source_material_type": "Metastatic",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-10-03T03:35:23.418160-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "0c55f80d-c82c-4554-916f-6b117978b3fc",
-      "identifier": [
-        {
-          "value": "GENIE-MSK-P-0000454-T01-IM3_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Squamous cell carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Squamous cell carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "source_material_type": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Metastatic",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
-          }
-        }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8070/3",
-            "system": "GDC"
-          }
-        ],
-        "text": "8070/3"
-      },
-      "related_specimen": [
-        {
-          "id": "5c3a5e81-481c-430b-9c70-f2d61a77568d",
-          "source_material_type": "Metastatic",
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2018-10-03T03:31:25.700438-05:00"
+              "date_time": "2018-10-03T03:35:23.418160-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "c652d5fb-652f-485c-99cd-4e3e00af1126",
-      "identifier": [
-        {
-          "value": "GENIE-MSK-P-0000396-T01-IM3_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Squamous cell carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Squamous cell carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "general_tissue_morphology": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Not Reported",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
+            "text": "Not Reported"
           }
         }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8070/3",
-            "system": "GDC"
-          }
-        ],
-        "text": "8070/3"
-      },
-      "related_specimen": [
-        {
-          "id": "2bde1811-da29-46e9-973a-45ea43387818",
-          "source_material_type": "Metastatic",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-10-03T03:31:25.700438-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
-        }
       ]
     },
     {
-      "id": "4ac21d4b-c592-4afd-bfc1-278702612bd6",
+      "id": "0c55f80d-c82c-4554-916f-6b117978b3fc",
       "identifier": [
         {
-          "value": "GENIE-DFCI-004838-2080_diagnosis",
+          "value": "GENIE-MSK-P-0000454-T01-IM3_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Squamous cell carcinoma, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Squamous cell carcinoma, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Oropharynx",
+                "system": "GDC"
+              }
+            ],
+            "text": "Oropharynx"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8070/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8070/3"
+      },
+      "related_specimen": [
+        {
+          "id": "5c3a5e81-481c-430b-9c70-f2d61a77568d",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2018-10-03T03:31:25.700438-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "c652d5fb-652f-485c-99cd-4e3e00af1126",
+      "identifier": [
+        {
+          "value": "GENIE-MSK-P-0000396-T01-IM3_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Squamous cell carcinoma, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Squamous cell carcinoma, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Oropharynx",
+                "system": "GDC"
+              }
+            ],
+            "text": "Oropharynx"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8070/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8070/3"
+      },
+      "related_specimen": [
+        {
+          "id": "2bde1811-da29-46e9-973a-45ea43387818",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2018-10-03T03:31:25.700438-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "4ac21d4b-c592-4afd-bfc1-278702612bd6",
+      "identifier": [
+        {
+          "value": "GENIE-DFCI-004838-2080_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -13536,13 +16336,29 @@
       "related_specimen": [
         {
           "id": "10d245b5-b16d-40ee-bd41-bd08a0355894",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -13785,23 +16601,71 @@
       "related_specimen": [
         {
           "id": "3ad15aca-9197-4512-8bb9-77099ae8f049",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2a081426-e4fe-4868-adc9-c14142490b81",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9808b586-4541-42a8-a72c-0c043ff568b3",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -14024,23 +16888,71 @@
       "related_specimen": [
         {
           "id": "a2caeab5-55a4-412f-a647-0112f48bbbe7",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "feb21d9d-394f-402d-8659-eb15bb95f0db",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "fbb300fa-8793-42da-a68e-4570ae2e5186",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -14283,23 +17195,71 @@
       "related_specimen": [
         {
           "id": "75c0a7b6-3e82-4ce9-8856-dd3475affe87",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b477dfb8-c039-49d5-9a0e-912946dc3ad1",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "74606f8c-46a7-453e-acfd-91203aec6df7",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -14371,13 +17331,29 @@
       "related_specimen": [
         {
           "id": "90c9d5f2-ca54-4084-99e7-e9407e364b12",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:35:23.418160-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -14449,13 +17425,29 @@
       "related_specimen": [
         {
           "id": "ad472d22-bccd-401b-ab2d-0ab7a31c7b73",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:50:42.610446-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -14527,14 +17519,38 @@
       "related_specimen": [
         {
           "id": "97354824-7fe1-472e-ac48-74ad10e5da51",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T09:58:58.476597-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -14606,14 +17622,38 @@
       "related_specimen": [
         {
           "id": "c9bccdb4-1bd0-44e0-bfb0-7588611ab01b",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:40:26.338588-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -14685,13 +17725,29 @@
       "related_specimen": [
         {
           "id": "1291884d-38d8-49cf-b16e-aeab69d83681",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -14763,13 +17819,29 @@
       "related_specimen": [
         {
           "id": "50b8e07c-b892-4fac-bf59-9e093e2d74d3",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:26:11.717995-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -14841,13 +17913,29 @@
       "related_specimen": [
         {
           "id": "ed3acbbc-fb24-4be6-b09c-e0b6f4d9814f",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:35:23.418160-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -14919,14 +18007,38 @@
       "related_specimen": [
         {
           "id": "2bbdf4c4-88a1-4358-a88a-5daa2a9a506d",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:57:01.408534-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -14998,13 +18110,29 @@
       "related_specimen": [
         {
           "id": "9a26d9df-9ab2-48df-ada8-8bd8455cccd6",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -15076,13 +18204,29 @@
       "related_specimen": [
         {
           "id": "8fe03287-0b1e-4750-9006-58059562a243",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.308719-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -15154,13 +18298,29 @@
       "related_specimen": [
         {
           "id": "abf5cf5e-2352-4ba7-9a91-cbefe78ae28e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T18:54:47.858087-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -15232,13 +18392,29 @@
       "related_specimen": [
         {
           "id": "c862481b-aaaf-41d4-9c29-188760a43dd8",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:18:25.269226-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -15310,13 +18486,29 @@
       "related_specimen": [
         {
           "id": "e3362d03-8d6c-4be0-b1a6-5ce9c230f4f0",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:42:39.927651-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -15388,13 +18580,29 @@
       "related_specimen": [
         {
           "id": "257963cb-44bc-4946-ac72-7a1bb02f6af9",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:06:12.185212-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -15466,13 +18674,29 @@
       "related_specimen": [
         {
           "id": "104530ac-b606-41bc-93e4-5734f176d3bb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -15675,23 +18899,71 @@
       "related_specimen": [
         {
           "id": "52e0aaf1-d93b-42f8-b0e3-f6b4a3d0bd1e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c522234a-c0b1-427a-8992-84fcfc9389ef",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "387e8df2-f053-4cbe-aae8-5727d215f904",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -15934,23 +19206,71 @@
       "related_specimen": [
         {
           "id": "a118da56-784d-4b67-aade-d9a7a8b49f18",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "cff6967e-e8f7-4a25-aa31-9328e4b42816",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "1efb2d28-ac51-4d70-a24d-667a2b53467a",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -16173,23 +19493,71 @@
       "related_specimen": [
         {
           "id": "f4ed2c84-39f8-4ab3-8762-a9920acc2432",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0aaa8bba-f4a5-4158-b9b4-a02244b5f6f7",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2f9729e6-edea-4612-82b3-01251317074a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-23T13:20:20.149518-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -16432,23 +19800,71 @@
       "related_specimen": [
         {
           "id": "d452d59e-92ff-46ee-840d-df8a161ca9c5",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "3b8fd8fb-429a-47ac-8b99-ae42a3fe968d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "952f71e6-b64c-456d-8d00-45e4118fef96",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -16671,23 +20087,71 @@
       "related_specimen": [
         {
           "id": "acd6cfc3-412b-4f61-a2c7-013c61fa2efe",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a24e0ad7-668e-4bc7-ae3a-94964278a407",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "843ced6e-a9be-48ea-9313-13aa752dbbe1",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -16759,13 +20223,29 @@
       "related_specimen": [
         {
           "id": "d74d27e4-88e8-4ce3-a1ff-7658e007a49a",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:54:19.535598-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -16837,13 +20317,29 @@
       "related_specimen": [
         {
           "id": "4ec8fe70-22ad-4f62-893d-f95d77dd37f5",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:12:32.615882-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -16915,13 +20411,29 @@
       "related_specimen": [
         {
           "id": "fc3b12ce-4c74-4faa-ad8b-60ddde831901",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:12:32.615882-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -16993,13 +20505,29 @@
       "related_specimen": [
         {
           "id": "f8a73605-d802-4364-aa6e-5d23691f92cf",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -17071,13 +20599,29 @@
       "related_specimen": [
         {
           "id": "ee78495d-54c1-4d73-93d7-06034b0c7bd0",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -17309,13 +20853,45 @@
       "related_specimen": [
         {
           "id": "a17406af-2eda-4148-8a0d-ec2ae4bd9fac",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "6ced7677-159f-4e9f-b550-627ab9ea80f7",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -17478,23 +21054,71 @@
       "related_specimen": [
         {
           "id": "396f116a-bede-472e-847d-435a77dfa7dc",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f32ce523-c60e-4a86-bfa0-eeb4f3b2d83a",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0551272d-7e05-435c-92b3-918cde4d14ee",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -17717,23 +21341,71 @@
       "related_specimen": [
         {
           "id": "b86352a7-2987-4743-aa3c-1895c438641a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7a5921a4-5714-44e7-8ebd-048031b32b88",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ce0b9c55-baeb-4ca8-9235-51a836a4b58f",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -17956,23 +21628,71 @@
       "related_specimen": [
         {
           "id": "2ef80e58-961d-45d6-ac3a-a520be3728c9",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "460e7821-2712-4d74-b5a1-b2883b3197ca",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c53d6135-c614-45f4-8f41-49b20ed4a549",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -18195,23 +21915,71 @@
       "related_specimen": [
         {
           "id": "32d7cb3d-5f5a-474a-9dcc-3b5f2dc64d22",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "3901d8b6-f2f2-45e9-a40f-3ccd679f701e",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "32056265-c5fb-4544-9f99-22b34febb805",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -18414,23 +22182,71 @@
       "related_specimen": [
         {
           "id": "fb5ba525-1658-4f8b-81f8-8d7ec3727773",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "af5d22cc-87f4-4b91-97bc-7103bc07adcc",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "736c3c8c-ff9f-4892-860f-04665a1f344b",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -18653,23 +22469,71 @@
       "related_specimen": [
         {
           "id": "1477b393-8acf-4550-86a7-6570c0d7d583",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f3c568ae-ad12-4155-a652-8e16e5276bda",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "4775330f-0409-4bb2-a096-a3d1eb0180d1",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -18892,23 +22756,71 @@
       "related_specimen": [
         {
           "id": "8cc840ea-3053-41a2-a325-6e86f3deeec6",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "61380e29-a7ae-4e29-b69a-d56f234f1ba0",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "4deea4a5-4d54-48b2-9a46-68eea668283b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -19151,23 +23063,71 @@
       "related_specimen": [
         {
           "id": "59ddae84-32f9-40c0-9d9f-e3b883ab5c47",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0ebb072d-0596-4deb-8607-2548b0396fb0",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f99dc3bf-e91d-4011-b62a-2653b53417f0",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -19410,13 +23370,45 @@
       "related_specimen": [
         {
           "id": "97657453-6a97-4879-9440-fd0eea9d5f33",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "285e2354-8efd-4951-87cf-0e188d11423e",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -19639,23 +23631,71 @@
       "related_specimen": [
         {
           "id": "5bf33753-d3c4-4fbe-a8e0-af958efb6fd1",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "4f72ee1e-37e2-4845-90de-812686a25980",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ca2a45b4-1eb0-4e28-a4c8-5647bfbaa98c",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -19878,23 +23918,71 @@
       "related_specimen": [
         {
           "id": "63535469-d402-4ba2-9ab5-986e6ed80f55",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c2ef7833-c2fa-446c-a12e-f353c744b1e4",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "256d61e1-54c4-4250-bd17-5bb82496f5f4",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -20117,23 +24205,71 @@
       "related_specimen": [
         {
           "id": "7fb56f25-873d-475c-9db6-f0be3945d926",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "e723f1bb-73a3-4d65-bd25-de76138515e9",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "698f639f-c34a-4f21-8306-26002008804f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-25T15:20:17.640379-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -20376,23 +24512,71 @@
       "related_specimen": [
         {
           "id": "df66e44f-3130-4d7b-a1d9-2d90f96b4c7e",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "3a4af2fc-6443-4644-9da0-fee722e6d5c6",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5c464f43-4aa0-4203-8828-5fc4cb13cf42",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -20615,13 +24799,45 @@
       "related_specimen": [
         {
           "id": "c029272a-feef-4a11-9566-092c16b40eef",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ce469c00-b5c0-4d7c-875b-092c5b6ac289",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -20864,23 +25080,71 @@
       "related_specimen": [
         {
           "id": "3f2ed4ae-5b71-48d9-b120-4f7bfd4b34c4",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8f5a4b47-4c69-4295-a576-fd3e558754a5",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "94c71079-a453-4a4c-b52a-ab686bc83b65",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -21123,23 +25387,71 @@
       "related_specimen": [
         {
           "id": "9b9dbf11-d017-4723-a76f-c25ce4a01f09",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8da610b4-0a32-4ef8-9f55-1c969addd79f",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "e6cd0e23-4423-4ebb-b314-913419340811",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -21362,23 +25674,71 @@
       "related_specimen": [
         {
           "id": "2d8d11be-421d-4f96-b5d6-4cbc632f11f3",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c129394b-3c04-4a6a-b4ea-d56d96bf28ef",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c3c82c51-0200-44c8-b5aa-050084983398",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -21581,23 +25941,71 @@
       "related_specimen": [
         {
           "id": "cc1be5d1-ea6a-4e7d-822b-51887dab88b6",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-23T13:20:20.149518-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "e6af426a-d899-44ef-96a8-92bd76a0ea3a",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5bf05a41-3a19-445b-96bd-439b9cac01eb",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -21840,23 +26248,71 @@
       "related_specimen": [
         {
           "id": "37e8e5f5-0edb-420a-9f32-a2e167ef4cf4",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "041d7de0-fdee-4f6b-9945-058f8bab509c",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "43a91c60-f1f5-4b10-b0ee-c55afadac481",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -22099,23 +26555,71 @@
       "related_specimen": [
         {
           "id": "63b4690f-f247-4874-9923-e96375c56a01",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5f210369-1839-4f18-b081-974efc7de032",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0d0194eb-d83f-4028-9b4b-3308c0207133",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -22347,23 +26851,71 @@
       "related_specimen": [
         {
           "id": "1ac65133-fc2b-4b41-a101-eacd225f71b1",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b929bf9b-34a0-4fa3-9bd5-49f8097c573e",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "73005780-ea15-4353-b6f7-c26865d3f4d0",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -22435,13 +26987,29 @@
       "related_specimen": [
         {
           "id": "6d1a6236-3625-4300-9f12-4e666cb2694a",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:06:12.185212-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -22513,13 +27081,29 @@
       "related_specimen": [
         {
           "id": "0fd4a1fd-2313-475e-ae01-d424516e42c9",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:09:54.181448-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -22591,13 +27175,29 @@
       "related_specimen": [
         {
           "id": "6d54051a-c75c-40e6-9215-3e470f0d242e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:31:25.700438-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -22669,13 +27269,29 @@
       "related_specimen": [
         {
           "id": "fb20acec-aeb5-4591-b114-0834c6629db7",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -22747,13 +27363,29 @@
       "related_specimen": [
         {
           "id": "f198873e-fb8b-4ddb-8d79-1fcf1bb1d764",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:44:49.261364-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -22825,13 +27457,29 @@
       "related_specimen": [
         {
           "id": "37ecc052-0274-45dd-98db-fb0d5476fa16",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:06:57.341931-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -22903,13 +27551,29 @@
       "related_specimen": [
         {
           "id": "a5fa104a-bb1e-4e7d-a740-607fc803f4f3",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-28T12:05:42.341898-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -22981,14 +27645,38 @@
       "related_specimen": [
         {
           "id": "dc97ccf6-b026-45ac-a658-fb44806230a1",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:51:17.672127-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23060,13 +27748,29 @@
       "related_specimen": [
         {
           "id": "80c31730-c365-4f43-ae30-d082f4c7f67a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23138,14 +27842,38 @@
       "related_specimen": [
         {
           "id": "24318871-5bfe-4bbe-8df8-9e415558ae47",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:06:58.520537-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23217,14 +27945,38 @@
       "related_specimen": [
         {
           "id": "542b7dd6-20ad-4719-bece-768060ddab97",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:51:38.104730-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23296,13 +28048,29 @@
       "related_specimen": [
         {
           "id": "3a006479-c2eb-457a-b0a1-e3faebae25b9",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:50:42.610446-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23374,13 +28142,29 @@
       "related_specimen": [
         {
           "id": "14dd72d1-596c-42c6-a5aa-c3220dc6fc21",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:12:32.615882-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23452,13 +28236,29 @@
       "related_specimen": [
         {
           "id": "172019a6-18cf-4532-89ec-9f4ec83dee30",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:12:32.615882-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23530,14 +28330,38 @@
       "related_specimen": [
         {
           "id": "e2edc535-6fc4-4999-aa4c-932bf58d344e",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:06:53.493092-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23609,13 +28433,29 @@
       "related_specimen": [
         {
           "id": "0d989563-7a49-49e9-9417-4b607d661ab4",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:17:41.081467-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23687,13 +28527,29 @@
       "related_specimen": [
         {
           "id": "9ed6f000-4643-4f65-be84-8fd380d3bc36",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-25T12:05:51.637331-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23765,13 +28621,29 @@
       "related_specimen": [
         {
           "id": "8449ccd3-033e-4c9f-bec5-9f341264e12b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:26:11.717995-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23843,13 +28715,29 @@
       "related_specimen": [
         {
           "id": "4e763f63-0494-4b2f-9f6a-c9461c7e7b1e",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:44.678712-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23921,13 +28809,29 @@
       "related_specimen": [
         {
           "id": "8f775235-6026-40f6-b156-cc3711222412",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-25T12:05:51.637331-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -23999,13 +28903,29 @@
       "related_specimen": [
         {
           "id": "8955be34-dfc4-4a5e-9636-f27ccef4318a",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:07:22.808668-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24077,13 +28997,29 @@
       "related_specimen": [
         {
           "id": "8479ff0a-fce8-4f4e-8d00-6775d1e9cb00",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:10:26.105156-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24155,13 +29091,29 @@
       "related_specimen": [
         {
           "id": "2386e3a8-c4ea-4434-af11-e60fae9630fc",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24233,13 +29185,29 @@
       "related_specimen": [
         {
           "id": "421f819b-c4ac-445f-882d-c36766f7002a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-25T12:05:51.637331-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24311,13 +29279,29 @@
       "related_specimen": [
         {
           "id": "ae00c91b-f03b-41fa-bd2f-d6fde4338cf1",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:12:32.615882-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24389,13 +29373,29 @@
       "related_specimen": [
         {
           "id": "b480938b-4562-4d37-a280-16cd4dc700ca",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24467,13 +29467,29 @@
       "related_specimen": [
         {
           "id": "175e9244-58cb-4b1a-9614-a4fb1c0e6603",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24545,13 +29561,29 @@
       "related_specimen": [
         {
           "id": "01a0cb84-c716-4134-aa16-ef008ae30469",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24623,14 +29655,38 @@
       "related_specimen": [
         {
           "id": "97cac184-023d-4aaf-9637-cc34969471cb",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:42:22.825295-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24702,13 +29758,29 @@
       "related_specimen": [
         {
           "id": "8212fb32-9c81-4bf1-ab6b-337196acdf90",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24780,13 +29852,29 @@
       "related_specimen": [
         {
           "id": "b993e287-e823-4843-b182-3bf775dfb489",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.308719-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24858,13 +29946,29 @@
       "related_specimen": [
         {
           "id": "a3b9c3f7-8499-4c17-92f9-274b1ee52764",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:20:30.865187-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -24936,13 +30040,29 @@
       "related_specimen": [
         {
           "id": "3396e2a0-10bb-43b3-b5be-7980064889e0",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25014,14 +30134,38 @@
       "related_specimen": [
         {
           "id": "bcecf093-e764-4c32-81e5-619d0e86216e",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:50:23.633804-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25093,13 +30237,29 @@
       "related_specimen": [
         {
           "id": "933ddbda-c8bb-4e81-9342-9d7379bd6332",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.308719-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25171,14 +30331,38 @@
       "related_specimen": [
         {
           "id": "ea5776ba-c4cc-4d4b-9e33-573ea824853a",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:07:26.436903-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25250,14 +30434,38 @@
       "related_specimen": [
         {
           "id": "c54fca3a-3919-4ac7-81b6-f1cf955f47a7",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:04:01.286185-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25329,14 +30537,38 @@
       "related_specimen": [
         {
           "id": "a8ae1d5d-04b7-4012-9bf5-70a664f325ee",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:40:28.865821-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25408,13 +30640,29 @@
       "related_specimen": [
         {
           "id": "f933f399-d986-43eb-bdc0-b3faf49bf513",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25486,14 +30734,38 @@
       "related_specimen": [
         {
           "id": "712ad6f8-8c2a-4c82-a89a-10ff849e3e9e",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T09:54:12.244834-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25565,13 +30837,29 @@
       "related_specimen": [
         {
           "id": "f632701a-5242-4839-b96d-0214c7e9a73e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:27:14.117499-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25643,13 +30931,29 @@
       "related_specimen": [
         {
           "id": "536ca98b-7415-49d8-84c2-dca4b5070ff6",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25721,13 +31025,29 @@
       "related_specimen": [
         {
           "id": "dc326cf0-cb20-4f0a-968a-28c6923319dd",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:37:32.909734-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25799,13 +31119,29 @@
       "related_specimen": [
         {
           "id": "d2928928-ad9f-46d3-89a5-a00131eaec79",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:46:25.150285-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25877,13 +31213,29 @@
       "related_specimen": [
         {
           "id": "e4d9ec72-9281-4b2e-841d-06d84634968d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:39:49.045696-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -25955,13 +31307,29 @@
       "related_specimen": [
         {
           "id": "430338db-7df9-43c8-be80-6ef5a6b98899",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26033,13 +31401,29 @@
       "related_specimen": [
         {
           "id": "58a5858d-4740-4da1-8959-43d7b05ae1ea",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-25T12:05:51.637331-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26111,13 +31495,29 @@
       "related_specimen": [
         {
           "id": "fd2acd96-a021-4fd4-b0f5-1d9f6e4448bb",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:31:25.700438-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26189,13 +31589,29 @@
       "related_specimen": [
         {
           "id": "1c156e43-c8c3-4ecb-83ff-2075ebd89cd7",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:39:05.576558-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26267,13 +31683,29 @@
       "related_specimen": [
         {
           "id": "6b2d8256-f78a-4ac8-b0c3-a97a03410b59",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:27:14.117499-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26345,13 +31777,29 @@
       "related_specimen": [
         {
           "id": "7230cf9f-1930-4377-bfdb-6e07cd472bc0",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.308719-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26423,13 +31871,29 @@
       "related_specimen": [
         {
           "id": "27e33c39-2025-4573-9b0c-1bc774566bfa",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:44.678712-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26501,13 +31965,29 @@
       "related_specimen": [
         {
           "id": "e125a436-ca27-4a85-bd9d-9ca108306229",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:17:29.664139-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26579,13 +32059,29 @@
       "related_specimen": [
         {
           "id": "5f316e98-9980-4841-b297-f07b3e87004f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T18:54:47.858087-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26657,13 +32153,29 @@
       "related_specimen": [
         {
           "id": "2d54eff7-a093-4bf0-b1c2-2f9f159e6b78",
-          "source_material_type": "Not Reported",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26735,13 +32247,29 @@
       "related_specimen": [
         {
           "id": "59d43c02-f731-4a7f-97ae-c3d7dac2d5e0",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:39:05.576558-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26813,13 +32341,29 @@
       "related_specimen": [
         {
           "id": "4d69eeb9-81bd-4146-9a4a-3ca86c789272",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26891,13 +32435,29 @@
       "related_specimen": [
         {
           "id": "e331b564-d79c-446d-bff2-a732dacba6bb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -26969,13 +32529,29 @@
       "related_specimen": [
         {
           "id": "2af6ce71-3d6c-4da8-8b75-f0ae49f95bd2",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:10:26.105156-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -27047,13 +32623,29 @@
       "related_specimen": [
         {
           "id": "7128ab9a-3a2d-4df6-8604-829406ab3bed",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -27125,13 +32717,29 @@
       "related_specimen": [
         {
           "id": "c63e4630-7bb4-4f01-b9fe-94478000158a",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -27203,14 +32811,38 @@
       "related_specimen": [
         {
           "id": "4448e3e1-aeff-4ea0-82e4-1692b9b59414",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:00:26.233095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -27282,99 +32914,37 @@
       "related_specimen": [
         {
           "id": "f0afc508-eff1-4a28-b912-3705a87d607d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "366df7ed-b836-4cb0-9146-75d22e0ca019",
-      "identifier": [
-        {
-          "value": "GENIE-DFCI-009836-7821_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Squamous cell carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Squamous cell carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "general_tissue_morphology": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Not Reported",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
-          }
-        }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8070/3",
-            "system": "GDC"
+            "text": "Not Reported"
           }
-        ],
-        "text": "8070/3"
-      },
-      "related_specimen": [
-        {
-          "id": "356353d1-c8db-4f97-b1d2-0b895cb42266",
-          "source_material_type": "Metastatic",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-09-24T17:56:43.308719-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
         }
       ]
     },
     {
-      "id": "972c3046-1f6c-40fc-a83a-3b200148a683",
+      "id": "366df7ed-b836-4cb0-9146-75d22e0ca019",
       "identifier": [
         {
-          "value": "AD5830_diagnosis",
+          "value": "GENIE-DFCI-009836-7821_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -27392,11 +32962,11 @@
           "site": {
             "coding": [
               {
-                "code": "Nasopharynx",
+                "code": "Oropharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Nasopharynx"
+            "text": "Oropharynx"
           }
         }
       ],
@@ -27437,23 +33007,38 @@
       },
       "related_specimen": [
         {
-          "id": "ed2a5846-de67-40c3-9074-3adc9edfb0b0",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "id": "356353d1-c8db-4f97-b1d2-0b895cb42266",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2017-06-01T10:39:05.012118-05:00"
+              "date_time": "2018-09-24T17:56:43.308719-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "0e732992-a174-4861-8e05-a6c3e21107b3",
+      "id": "972c3046-1f6c-40fc-a83a-3b200148a683",
       "identifier": [
         {
-          "value": "GENIE-MSK-P-0001903-T01-IM3_diagnosis",
+          "value": "AD5830_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -27471,11 +33056,11 @@
           "site": {
             "coding": [
               {
-                "code": "Hypopharynx",
+                "code": "Nasopharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Hypopharynx"
+            "text": "Nasopharynx"
           }
         }
       ],
@@ -27516,22 +33101,47 @@
       },
       "related_specimen": [
         {
-          "id": "ea373411-6d3c-4ee3-b8c1-d79131847aa1",
-          "source_material_type": "Primary Tumor",
+          "id": "ed2a5846-de67-40c3-9074-3adc9edfb0b0",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2018-10-03T03:35:23.418160-05:00"
+              "date_time": "2017-06-01T10:39:05.012118-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "881c2131-1f0d-4b11-8b3a-626918ad5566",
+      "id": "0e732992-a174-4861-8e05-a6c3e21107b3",
       "identifier": [
         {
-          "value": "GENIE-MSK-P-0013652-T01-IM5_diagnosis",
+          "value": "GENIE-MSK-P-0001903-T01-IM3_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -27549,11 +33159,11 @@
           "site": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Hypopharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
+            "text": "Hypopharynx"
           }
         }
       ],
@@ -27594,22 +33204,38 @@
       },
       "related_specimen": [
         {
-          "id": "4c4f2c9b-d2db-42ab-898d-7d6c8c8e4a6e",
-          "source_material_type": "Primary Tumor",
+          "id": "ea373411-6d3c-4ee3-b8c1-d79131847aa1",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2018-10-03T03:39:05.576558-05:00"
+              "date_time": "2018-10-03T03:35:23.418160-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "c1551a30-c8b7-4ba5-b5ed-044b55587a38",
+      "id": "881c2131-1f0d-4b11-8b3a-626918ad5566",
       "identifier": [
         {
-          "value": "GENIE-DFCI-003078-318_diagnosis",
+          "value": "GENIE-MSK-P-0013652-T01-IM5_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -27672,44 +33298,60 @@
       },
       "related_specimen": [
         {
-          "id": "1647be39-e387-4457-a1c0-83483d25ea5e",
-          "source_material_type": "Primary Tumor",
+          "id": "4c4f2c9b-d2db-42ab-898d-7d6c8c8e4a6e",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2018-09-24T17:18:52.539095-05:00"
+              "date_time": "2018-10-03T03:39:05.576558-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "552900c2-144c-4340-aed9-197382fafed4",
+      "id": "c1551a30-c8b7-4ba5-b5ed-044b55587a38",
       "identifier": [
         {
-          "value": "AD17916_diagnosis",
+          "value": "GENIE-DFCI-003078-318_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
       "condition": {
         "coding": [
           {
-            "code": "Carcinoma, undifferentiated, NOS",
+            "code": "Squamous cell carcinoma, NOS",
             "system": "GDC"
           }
         ],
-        "text": "Carcinoma, undifferentiated, NOS"
+        "text": "Squamous cell carcinoma, NOS"
       },
       "metastatic_site": [
         {
           "site": {
             "coding": [
               {
-                "code": "Nasopharynx",
+                "code": "Oropharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Nasopharynx"
+            "text": "Oropharynx"
           }
         }
       ],
@@ -27742,53 +33384,68 @@
       "morphology": {
         "coding": [
           {
-            "code": "8020/3",
+            "code": "8070/3",
             "system": "GDC"
           }
         ],
-        "text": "8020/3"
+        "text": "8070/3"
       },
       "related_specimen": [
         {
-          "id": "d4c804df-7392-4267-908e-8fe8c37d00cd",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "id": "1647be39-e387-4457-a1c0-83483d25ea5e",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2017-06-01T10:57:41.511744-05:00"
+              "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "49e46e5d-46b8-41f2-954e-c3c7b563a55b",
+      "id": "552900c2-144c-4340-aed9-197382fafed4",
       "identifier": [
         {
-          "value": "GENIE-DFCI-041937-203493_diagnosis",
+          "value": "AD17916_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
       "condition": {
         "coding": [
           {
-            "code": "Squamous cell carcinoma, NOS",
+            "code": "Carcinoma, undifferentiated, NOS",
             "system": "GDC"
           }
         ],
-        "text": "Squamous cell carcinoma, NOS"
+        "text": "Carcinoma, undifferentiated, NOS"
       },
       "metastatic_site": [
         {
           "site": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Nasopharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
+            "text": "Nasopharynx"
           }
         }
       ],
@@ -27821,30 +33478,55 @@
       "morphology": {
         "coding": [
           {
-            "code": "8070/3",
+            "code": "8020/3",
             "system": "GDC"
           }
         ],
-        "text": "8070/3"
+        "text": "8020/3"
       },
       "related_specimen": [
         {
-          "id": "1108ef37-87b6-4b62-82f3-5e799fc4fb52",
-          "source_material_type": "Metastatic",
+          "id": "d4c804df-7392-4267-908e-8fe8c37d00cd",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2019-06-03T15:28:08.827884-05:00"
+              "date_time": "2017-06-01T10:57:41.511744-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "cbfef8ff-181a-4048-a571-f78fd34799ef",
+      "id": "49e46e5d-46b8-41f2-954e-c3c7b563a55b",
       "identifier": [
         {
-          "value": "GENIE-DFCI-037220-88689_diagnosis",
+          "value": "GENIE-DFCI-041937-203493_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -27907,22 +33589,38 @@
       },
       "related_specimen": [
         {
-          "id": "9f95c03c-4c29-47c7-8bff-47c3014a61b5",
-          "source_material_type": "Metastatic",
+          "id": "1108ef37-87b6-4b62-82f3-5e799fc4fb52",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2018-09-25T12:05:51.637331-05:00"
+              "date_time": "2019-06-03T15:28:08.827884-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "d5b740be-4c9a-4bec-835a-4cd0b394ded4",
+      "id": "cbfef8ff-181a-4048-a571-f78fd34799ef",
       "identifier": [
         {
-          "value": "GENIE-DFCI-006383-3525_diagnosis",
+          "value": "GENIE-DFCI-037220-88689_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -27985,22 +33683,38 @@
       },
       "related_specimen": [
         {
-          "id": "1a1294ab-79bf-4e29-b958-cd6c3b25a984",
-          "source_material_type": "Primary Tumor",
+          "id": "9f95c03c-4c29-47c7-8bff-47c3014a61b5",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2018-09-24T17:27:14.117499-05:00"
+              "date_time": "2018-09-25T12:05:51.637331-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "5c73649d-f112-401e-a47c-785337555930",
+      "id": "d5b740be-4c9a-4bec-835a-4cd0b394ded4",
       "identifier": [
         {
-          "value": "GENIE-JHU-02535-03020_diagnosis",
+          "value": "GENIE-DFCI-006383-3525_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -28063,44 +33777,60 @@
       },
       "related_specimen": [
         {
-          "id": "d34c6f0f-6b69-4820-8dc8-90d8d54ff7c4",
-          "source_material_type": "Primary Tumor",
+          "id": "1a1294ab-79bf-4e29-b958-cd6c3b25a984",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2018-10-02T23:09:11.890404-05:00"
+              "date_time": "2018-09-24T17:27:14.117499-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "ce0e772c-45e6-4686-9db5-f88e05e2f713",
+      "id": "5c73649d-f112-401e-a47c-785337555930",
       "identifier": [
         {
-          "value": "AD12118_diagnosis",
+          "value": "GENIE-JHU-02535-03020_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
       "condition": {
         "coding": [
           {
-            "code": "Carcinoma, undifferentiated, NOS",
+            "code": "Squamous cell carcinoma, NOS",
             "system": "GDC"
           }
         ],
-        "text": "Carcinoma, undifferentiated, NOS"
+        "text": "Squamous cell carcinoma, NOS"
       },
       "metastatic_site": [
         {
           "site": {
             "coding": [
               {
-                "code": "Nasopharynx",
+                "code": "Oropharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Nasopharynx"
+            "text": "Oropharynx"
           }
         }
       ],
@@ -28133,53 +33863,171 @@
       "morphology": {
         "coding": [
           {
-            "code": "8020/3",
+            "code": "8070/3",
             "system": "GDC"
           }
         ],
-        "text": "8020/3"
+        "text": "8070/3"
       },
       "related_specimen": [
         {
-          "id": "fb315485-9a4d-42a8-8e1b-8cc97c708f1d",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "id": "d34c6f0f-6b69-4820-8dc8-90d8d54ff7c4",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2017-06-01T10:00:58.377064-05:00"
+              "date_time": "2018-10-02T23:09:11.890404-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "9233f502-9580-4801-915e-732ca0f26a2c",
+      "id": "ce0e772c-45e6-4686-9db5-f88e05e2f713",
       "identifier": [
         {
-          "value": "GENIE-DFCI-050720-203425_diagnosis",
+          "value": "AD12118_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
       "condition": {
         "coding": [
           {
-            "code": "Squamous cell carcinoma, NOS",
+            "code": "Carcinoma, undifferentiated, NOS",
             "system": "GDC"
           }
         ],
-        "text": "Squamous cell carcinoma, NOS"
+        "text": "Carcinoma, undifferentiated, NOS"
       },
       "metastatic_site": [
         {
           "site": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Nasopharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
+            "text": "Nasopharynx"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8020/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8020/3"
+      },
+      "related_specimen": [
+        {
+          "id": "fb315485-9a4d-42a8-8e1b-8cc97c708f1d",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2017-06-01T10:00:58.377064-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "9233f502-9580-4801-915e-732ca0f26a2c",
+      "identifier": [
+        {
+          "value": "GENIE-DFCI-050720-203425_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Squamous cell carcinoma, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Squamous cell carcinoma, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Oropharynx",
+                "system": "GDC"
+              }
+            ],
+            "text": "Oropharynx"
           }
         }
       ],
@@ -28221,13 +34069,29 @@
       "related_specimen": [
         {
           "id": "c1353660-3a6c-4a01-8800-d52a40b6ed68",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:18:25.269226-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -28299,14 +34163,38 @@
       "related_specimen": [
         {
           "id": "50977953-c3a2-4b71-b40a-3f211a269cc5",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:54:59.697804-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -28378,13 +34266,29 @@
       "related_specimen": [
         {
           "id": "7946822e-6d72-4013-8be2-f3ffb0487d65",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T18:54:47.858087-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -28456,13 +34360,29 @@
       "related_specimen": [
         {
           "id": "075795d3-4e6e-4edb-95ee-f4d7ca56b337",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -28534,13 +34454,29 @@
       "related_specimen": [
         {
           "id": "4121fe4a-1ae9-41e4-954d-88c88d047d9c",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-25T12:05:51.637331-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -28612,13 +34548,29 @@
       "related_specimen": [
         {
           "id": "6db9d94f-7868-4a64-b9b4-a5b95747c317",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -28690,13 +34642,29 @@
       "related_specimen": [
         {
           "id": "f5e6b025-48ca-4fd5-b657-ae622bc9de02",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:11:14.458475-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -28768,13 +34736,29 @@
       "related_specimen": [
         {
           "id": "37b86231-4224-4084-a523-800e98c4fea3",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -28846,13 +34830,29 @@
       "related_specimen": [
         {
           "id": "8a8010f9-2193-4604-9425-da6e5512ebef",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:46:25.150285-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -28924,13 +34924,29 @@
       "related_specimen": [
         {
           "id": "8642c059-a648-4ced-977f-45d6e6496e7b",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29002,13 +35018,29 @@
       "related_specimen": [
         {
           "id": "c6e1507a-83f3-4c51-8275-319d0dcd8f97",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:18:25.269226-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29080,13 +35112,29 @@
       "related_specimen": [
         {
           "id": "d02e5c34-3c1e-4a7d-a67d-c2525ac3a734",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:46:25.150285-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29158,13 +35206,29 @@
       "related_specimen": [
         {
           "id": "b5793531-8ec1-4bd9-9544-57844ebee0a6",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:42:00.849990-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29236,13 +35300,29 @@
       "related_specimen": [
         {
           "id": "7c2babfc-9948-4332-8c28-096971073c2e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:09:54.181448-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29314,13 +35394,29 @@
       "related_specimen": [
         {
           "id": "78b77808-ec88-4e6b-8393-decaa7bba86d",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:50:42.610446-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29392,13 +35488,29 @@
       "related_specimen": [
         {
           "id": "162d69ba-adac-4884-9d98-3bc70cdb72a7",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:50:42.610446-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29470,13 +35582,29 @@
       "related_specimen": [
         {
           "id": "e1e98bc8-81b8-45f0-8289-6c306defeaef",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:35:23.418160-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29548,13 +35676,29 @@
       "related_specimen": [
         {
           "id": "8d24d0d3-ec37-4b8e-9c31-e23965637da9",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29626,13 +35770,29 @@
       "related_specimen": [
         {
           "id": "e0559edf-8fa9-43f1-acbb-7964ea0c33d3",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29704,14 +35864,38 @@
       "related_specimen": [
         {
           "id": "02402659-6c66-46ca-861c-e4c093a1a3d3",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:42:51.054806-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29783,14 +35967,38 @@
       "related_specimen": [
         {
           "id": "4288c5a9-610c-4b1f-b102-2b96b49a6fd8",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:06:53.493092-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29862,14 +36070,38 @@
       "related_specimen": [
         {
           "id": "8f636ed2-41a2-4c3d-bee5-40d9755bf674",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:39:12.328231-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -29941,13 +36173,29 @@
       "related_specimen": [
         {
           "id": "faf18ba4-6d92-4da3-bd43-5071bb88c5e1",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30019,14 +36267,38 @@
       "related_specimen": [
         {
           "id": "3fa16cbf-829f-4097-ac9f-d8016c40c618",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:01:59.757092-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30098,14 +36370,38 @@
       "related_specimen": [
         {
           "id": "5e91c356-4431-478f-8033-99442bcdcb95",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:46:27.877516-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30177,13 +36473,29 @@
       "related_specimen": [
         {
           "id": "d492bfd2-b37d-49c3-a8d5-40171e8442d5",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30255,13 +36567,29 @@
       "related_specimen": [
         {
           "id": "4cb8fa37-e3cd-4d7e-bb34-67ffdf228d78",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:00:11.934564-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30333,14 +36661,38 @@
       "related_specimen": [
         {
           "id": "de90601b-1eda-4d1a-aa41-29feebdcfd57",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:06:20.797099-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30412,13 +36764,29 @@
       "related_specimen": [
         {
           "id": "31be6816-e615-4939-8c64-c523db6a438e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:17:29.664139-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30490,13 +36858,29 @@
       "related_specimen": [
         {
           "id": "b5f4b393-678a-4964-b625-19c8099cde13",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:58:03.635432-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30568,13 +36952,29 @@
       "related_specimen": [
         {
           "id": "e91ef1f0-a986-44d2-8880-fbef0afe91d8",
-          "source_material_type": "Not Reported",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T17:51:39.178920-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30646,14 +37046,38 @@
       "related_specimen": [
         {
           "id": "900eabba-ab2e-4b0b-9738-db52f9203db9",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T09:59:56.723939-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30725,13 +37149,29 @@
       "related_specimen": [
         {
           "id": "12d6861e-5ad9-48f7-ae61-07c7e45be5a3",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30803,13 +37243,29 @@
       "related_specimen": [
         {
           "id": "968b2133-a7b0-4d2f-8949-f6ff299f1219",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:39:05.576558-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30881,13 +37337,29 @@
       "related_specimen": [
         {
           "id": "f71f4733-17f4-436f-b12d-bad5b99ceba3",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:06:12.185212-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -30959,14 +37431,38 @@
       "related_specimen": [
         {
           "id": "c84c230b-7953-4d86-ba93-255ab2242ce7",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:54:42.853523-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31038,14 +37534,38 @@
       "related_specimen": [
         {
           "id": "3ece7ea7-cad2-4e6d-811f-c91f63a4fca9",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:51:47.854910-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31117,13 +37637,29 @@
       "related_specimen": [
         {
           "id": "d69183b2-2961-45f3-a4db-3d32d08f6abb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:13:38.880466-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31195,14 +37731,38 @@
       "related_specimen": [
         {
           "id": "dbf24e2a-1a10-4dfb-be35-8021f82b947c",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:07:48.972608-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31274,13 +37834,29 @@
       "related_specimen": [
         {
           "id": "667948dc-d9bd-4813-922b-69468835c551",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.308719-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31352,13 +37928,29 @@
       "related_specimen": [
         {
           "id": "bbc31a15-3dc6-479c-bd5a-9c1950705ca4",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:43:52.092583-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31430,13 +38022,29 @@
       "related_specimen": [
         {
           "id": "b1a78f00-1eeb-4c1b-838f-fb8453112c5a",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31508,13 +38116,29 @@
       "related_specimen": [
         {
           "id": "5dec4e0d-afbd-4ad6-8acc-00b5ad113a03",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:09:54.181448-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31586,13 +38210,29 @@
       "related_specimen": [
         {
           "id": "0f97f0c0-2148-4c06-97a5-37a64ed1b81d",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:10:26.105156-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31664,14 +38304,38 @@
       "related_specimen": [
         {
           "id": "d3811cf5-8f54-4344-9efc-2f42c49e4e67",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:49:07.730023-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31743,14 +38407,38 @@
       "related_specimen": [
         {
           "id": "42ef0174-6a5e-4804-ae6e-5d0122cb51c5",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:01:38.093247-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31822,14 +38510,38 @@
       "related_specimen": [
         {
           "id": "32112d7c-2b29-485d-86c3-6b995450ec8c",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:41:59.431029-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31901,13 +38613,29 @@
       "related_specimen": [
         {
           "id": "9eb7cb20-106f-4668-9ef4-c0344e8df3c1",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:44.678712-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -31979,13 +38707,29 @@
       "related_specimen": [
         {
           "id": "adbb22ae-5402-4918-a4d0-b54e2f114253",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:27:14.117499-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32057,13 +38801,29 @@
       "related_specimen": [
         {
           "id": "1bee9751-cbcd-46d2-97ac-bbe9f4495f2c",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:52:12.528526-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32135,13 +38895,29 @@
       "related_specimen": [
         {
           "id": "22ef8279-1519-4099-ae13-ff430645c992",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32213,13 +38989,29 @@
       "related_specimen": [
         {
           "id": "7d368af5-dc58-4ddb-af35-cbc63bd638e4",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32291,13 +39083,29 @@
       "related_specimen": [
         {
           "id": "5103a1f3-d342-462e-9845-9703579d26f8",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:18:10.730001-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32369,13 +39177,29 @@
       "related_specimen": [
         {
           "id": "09f9d0e6-10af-4224-a875-8d1e99e90eb5",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:18:10.730001-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32447,13 +39271,29 @@
       "related_specimen": [
         {
           "id": "025ae6c3-bdbe-4db0-ac71-56df7e80ea0d",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:06:12.185212-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32525,13 +39365,29 @@
       "related_specimen": [
         {
           "id": "1303ddf5-cd55-47c9-9f93-c09d7bbf2f80",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:50:42.610446-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32603,13 +39459,29 @@
       "related_specimen": [
         {
           "id": "b3eb534b-6441-4294-809a-ab6963d9aa39",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:43:52.092583-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32681,13 +39553,29 @@
       "related_specimen": [
         {
           "id": "10e9e747-568c-4276-9275-1f1d7cb30f81",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-02T20:58:03.565619-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32759,13 +39647,29 @@
       "related_specimen": [
         {
           "id": "89fa0392-487d-4839-9c7e-cb82312941c7",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:09:54.181448-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32837,14 +39741,38 @@
       "related_specimen": [
         {
           "id": "0d4e791a-4a50-4c58-a8a5-88e5bf4d7c9c",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:51:28.078592-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32916,13 +39844,29 @@
       "related_specimen": [
         {
           "id": "ff1a3e50-533b-4228-a8fb-93af76ca4b59",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:20:07.713564-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -32994,13 +39938,29 @@
       "related_specimen": [
         {
           "id": "21a0707d-357c-4ea4-aec8-1227b8997cbb",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:37:30.937085-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -33072,14 +40032,38 @@
       "related_specimen": [
         {
           "id": "b62623cd-3d81-4e48-bba4-7df880930106",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T09:56:48.362532-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -33151,14 +40135,38 @@
       "related_specimen": [
         {
           "id": "f7b249aa-b35a-4e08-87b6-e9a79d75edbd",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:39:25.573239-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -33230,13 +40238,29 @@
       "related_specimen": [
         {
           "id": "9e503ae6-5765-4fe6-9a28-eac5a3a93a13",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -33308,13 +40332,29 @@
       "related_specimen": [
         {
           "id": "a8ec3306-0190-4e13-94d1-e269b8479a1d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -33386,13 +40426,29 @@
       "related_specimen": [
         {
           "id": "30b0ff9c-3106-4ce0-8657-3ed59c1c8fc7",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -33464,13 +40520,29 @@
       "related_specimen": [
         {
           "id": "016681b7-82cb-404f-a175-8cb6d3f6bc62",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:06:57.341931-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -33542,13 +40614,29 @@
       "related_specimen": [
         {
           "id": "2022f8c2-108a-4919-bbcf-1dd1ba4fa10b",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:10:26.105156-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -33620,13 +40708,29 @@
       "related_specimen": [
         {
           "id": "5dcad3f6-29d1-4043-8bf8-c8ceb17c5ec4",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:35:23.418160-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -33698,14 +40802,38 @@
       "related_specimen": [
         {
           "id": "14f00898-8aaa-4008-9eac-0959333c3525",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:41:09.015209-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -33948,23 +41076,71 @@
       "related_specimen": [
         {
           "id": "a6af965f-ae37-421d-98d6-a69ce62213ac",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "812b8ee1-096a-40ff-914d-9957644b7d11",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b4430e0f-983c-454d-926e-a33fcb4cd02c",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -34156,23 +41332,71 @@
       "related_specimen": [
         {
           "id": "619a1a7c-f360-4e07-aa85-812e2b1bd92f",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f1cbf326-7657-4c9b-9c8d-e2036e89fd07",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "edcbcb1d-23bb-4177-8f77-71071822cd89",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -34364,13 +41588,45 @@
       "related_specimen": [
         {
           "id": "b86e8a21-6937-4299-89f6-05f51888f5d8",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "dfdf096f-9577-4e8f-8e98-9b808e417ccc",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -34582,13 +41838,45 @@
       "related_specimen": [
         {
           "id": "4c4a6867-babe-4032-a639-a9b31cdddc6c",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "d1553b1a-bc1e-4dcf-a273-b3effabe380b",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -34811,23 +42099,71 @@
       "related_specimen": [
         {
           "id": "26243d14-e401-4ca4-92e7-aee13c9e6e47",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "698208bb-7272-4ad5-9cc0-909cb669bdaf",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ec885af4-3513-4790-ab1f-6ecc94b6115d",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -34979,13 +42315,45 @@
       "related_specimen": [
         {
           "id": "ed96ee9b-cf03-4eaa-b783-07b739e3a648",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a9e7990e-7daa-4c79-a836-ac1ad63aaa37",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -35208,13 +42576,45 @@
       "related_specimen": [
         {
           "id": "5eea7c58-96b4-426b-9685-15599e534730",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7bfdae74-2bf4-4ec7-b08c-acd9b9e0baf4",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -35457,23 +42857,71 @@
       "related_specimen": [
         {
           "id": "4210ffee-2a83-4f05-8935-2687503c83d4",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "bbee89dc-6858-45c3-a9fc-c455851f96a8",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "735334b4-6c30-4a7a-aa54-63f506b8e2bb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -35545,13 +42993,29 @@
       "related_specimen": [
         {
           "id": "8ccd1ad3-a277-468d-ae44-03e6c1964c3d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -35623,13 +43087,29 @@
       "related_specimen": [
         {
           "id": "f37609a0-84b8-4203-9497-9f60cc8be539",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:20:30.865187-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -35701,13 +43181,29 @@
       "related_specimen": [
         {
           "id": "1f6b16e8-e1f4-462a-ac25-700c915f464f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -35779,13 +43275,29 @@
       "related_specimen": [
         {
           "id": "3e441a98-f869-414d-9732-4b4037711d5e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T18:54:47.858087-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -35857,13 +43369,29 @@
       "related_specimen": [
         {
           "id": "f2c471a5-55a3-4180-be7d-c3560efade4b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -35935,13 +43463,29 @@
       "related_specimen": [
         {
           "id": "e084b5e5-05ac-4229-bbe8-f640f231e1fb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T19:11:18.668081-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -36013,13 +43557,29 @@
       "related_specimen": [
         {
           "id": "3a9e0ea1-fb4f-47bd-bf6c-831f7101b005",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:06:12.185212-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -36091,13 +43651,29 @@
       "related_specimen": [
         {
           "id": "89363cf2-b8d0-48cd-97e5-4cd68ed372d3",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:35:23.418160-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -36169,13 +43745,29 @@
       "related_specimen": [
         {
           "id": "8738d7cc-e80c-4a00-bc4e-fee451f4b19f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-02T20:58:03.565619-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -36247,13 +43839,29 @@
       "related_specimen": [
         {
           "id": "52f200af-cd9b-4d63-91fc-7bf44c67c537",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:37:32.909734-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -36325,13 +43933,29 @@
       "related_specimen": [
         {
           "id": "5c9ff077-5620-4611-a58c-fdd8ed98b2db",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:31:25.700438-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -36403,199 +44027,247 @@
       "related_specimen": [
         {
           "id": "60e15dc9-5d8b-4104-b6c3-bc0b7b3109a5",
-          "source_material_type": "Primary Tumor",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-10-02T18:01:58.729859-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "675831ed-0976-4fdb-87da-15a7a85ba6b5",
-      "identifier": [
-        {
-          "value": "GENIE-GRCC-9bb5e551-sample-a_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "source_material_type": {
             "coding": [
               {
-                "code": "Nasopharynx",
+                "code": "Primary Tumor",
                 "system": "GDC"
               }
             ],
-            "text": "Nasopharynx"
-          }
-        }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8010/3",
-            "system": "GDC"
-          }
-        ],
-        "text": "8010/3"
-      },
-      "related_specimen": [
-        {
-          "id": "b2ee3f62-a9d8-4f49-bc51-1d3f17d63b14",
-          "source_material_type": "Primary Tumor",
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "1137ba9a-12d3-4b2d-a3a4-d95de8bcf49a",
-      "identifier": [
-        {
-          "value": "GENIE-GRCC-8191e4ea-sample-a_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Squamous cell carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Squamous cell carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "general_tissue_morphology": {
             "coding": [
               {
-                "code": "Larynx",
+                "code": "Not Reported",
                 "system": "GDC"
               }
             ],
-            "text": "Larynx"
+            "text": "Not Reported"
           }
         }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8070/3",
-            "system": "GDC"
-          }
-        ],
-        "text": "8070/3"
-      },
-      "related_specimen": [
-        {
-          "id": "783e6c97-20aa-4c8b-a7e1-ae0d8f7af28d",
-          "source_material_type": "Metastatic",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-10-02T18:01:58.729859-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
-        }
       ]
     },
     {
-      "id": "52fd0265-204c-4ce3-bb51-a3cbee5aca51",
+      "id": "675831ed-0976-4fdb-87da-15a7a85ba6b5",
       "identifier": [
         {
-          "value": "GENIE-GRCC-115ef99e-sample-a_diagnosis",
+          "value": "GENIE-GRCC-9bb5e551-sample-a_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
       "condition": {
         "coding": [
           {
-            "code": "Squamous cell carcinoma, NOS",
+            "code": "Carcinoma, NOS",
             "system": "GDC"
           }
         ],
-        "text": "Squamous cell carcinoma, NOS"
+        "text": "Carcinoma, NOS"
       },
       "metastatic_site": [
         {
           "site": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Nasopharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
+            "text": "Nasopharynx"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8010/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8010/3"
+      },
+      "related_specimen": [
+        {
+          "id": "b2ee3f62-a9d8-4f49-bc51-1d3f17d63b14",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2018-10-02T18:01:58.729859-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "1137ba9a-12d3-4b2d-a3a4-d95de8bcf49a",
+      "identifier": [
+        {
+          "value": "GENIE-GRCC-8191e4ea-sample-a_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Squamous cell carcinoma, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Squamous cell carcinoma, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Larynx",
+                "system": "GDC"
+              }
+            ],
+            "text": "Larynx"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8070/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8070/3"
+      },
+      "related_specimen": [
+        {
+          "id": "783e6c97-20aa-4c8b-a7e1-ae0d8f7af28d",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2018-10-02T18:01:58.729859-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "52fd0265-204c-4ce3-bb51-a3cbee5aca51",
+      "identifier": [
+        {
+          "value": "GENIE-GRCC-115ef99e-sample-a_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Squamous cell carcinoma, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Squamous cell carcinoma, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Oropharynx",
+                "system": "GDC"
+              }
+            ],
+            "text": "Oropharynx"
           }
         }
       ],
@@ -36637,13 +44309,29 @@
       "related_specimen": [
         {
           "id": "6ba7ff9a-775d-4239-884f-4a303b42e4fd",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -36715,13 +44403,29 @@
       "related_specimen": [
         {
           "id": "36b762ea-ade4-4e7a-b824-0fdadd0e33ef",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T17:51:39.178920-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -36793,13 +44497,29 @@
       "related_specimen": [
         {
           "id": "b34b2488-73cb-480c-a1ac-c2ef5b89c5f0",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-29T19:51:14.064673-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -36871,13 +44591,29 @@
       "related_specimen": [
         {
           "id": "c65b0cad-f2f5-40f2-a523-60374faf390a",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.308719-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -36949,13 +44685,29 @@
       "related_specimen": [
         {
           "id": "baf6aa81-4b32-4d7f-8557-5942a0febb91",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -37027,13 +44779,29 @@
       "related_specimen": [
         {
           "id": "1f1c82de-2931-4f38-9caf-213d5425ded1",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-04T18:19:50.810302-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -37105,13 +44873,29 @@
       "related_specimen": [
         {
           "id": "25007740-c3ea-41f0-a9dc-52de44cb9faa",
-          "source_material_type": "Not Reported",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -37183,13 +44967,29 @@
       "related_specimen": [
         {
           "id": "75fdf08c-00e0-42dd-a21c-62cceb7bf00f",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-04T13:56:37.232985-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -37261,13 +45061,29 @@
       "related_specimen": [
         {
           "id": "cc6054a8-ec09-42af-be24-4041b7be75cc",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.308719-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -37339,13 +45155,29 @@
       "related_specimen": [
         {
           "id": "5c19b5fa-d6eb-4d7e-b617-930e19aea484",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:27:14.117499-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -37417,14 +45249,38 @@
       "related_specimen": [
         {
           "id": "9ab974e3-bc94-4f83-b7dc-82285f5b4b69",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:55:27.721574-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -37496,13 +45352,29 @@
       "related_specimen": [
         {
           "id": "c353a3fb-dad8-4a6c-acd3-4121eb21b98e",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -37574,13 +45446,29 @@
       "related_specimen": [
         {
           "id": "ab00664b-8f6a-493d-b000-89f1341dc713",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:06:57.341931-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -37652,14 +45540,38 @@
       "related_specimen": [
         {
           "id": "2b14983f-b848-45de-9881-5dc4f483f7a4",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:57:54.983619-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -37731,13 +45643,29 @@
       "related_specimen": [
         {
           "id": "9590434b-5b17-4ee8-b109-7ebb737252ef",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -37809,177 +45737,37 @@
       "related_specimen": [
         {
           "id": "5db1c5e8-ddbb-4057-a059-6acf46826258",
-          "source_material_type": "Metastatic",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-10-02T18:01:58.729859-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "664c73af-7fd8-43bf-9a1c-1109c71a303a",
-      "identifier": [
-        {
-          "value": "GENIE-GRCC-6a5b9e32-sample-a_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Squamous cell carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Squamous cell carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "source_material_type": {
             "coding": [
               {
-                "code": "Larynx",
+                "code": "Metastatic",
                 "system": "GDC"
               }
             ],
-            "text": "Larynx"
-          }
-        }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8070/3",
-            "system": "GDC"
-          }
-        ],
-        "text": "8070/3"
-      },
-      "related_specimen": [
-        {
-          "id": "e6616639-64a7-4462-9676-1b2420f371d6",
-          "source_material_type": "Primary Tumor",
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2019-06-04T18:19:50.810302-05:00"
+              "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "576b4319-20fe-4dd8-82b1-c34a70bd2182",
-      "identifier": [
-        {
-          "value": "GENIE-GRCC-596e5ce8-metastasis-a_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "general_tissue_morphology": {
             "coding": [
               {
-                "code": "Nasopharynx",
+                "code": "Not Reported",
                 "system": "GDC"
               }
             ],
-            "text": "Nasopharynx"
+            "text": "Not Reported"
           }
         }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8010/3",
-            "system": "GDC"
-          }
-        ],
-        "text": "8010/3"
-      },
-      "related_specimen": [
-        {
-          "id": "7889cf51-be9b-4193-b057-5f348fca10db",
-          "source_material_type": "Not Reported",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-10-02T18:01:58.729859-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
-        }
       ]
     },
     {
-      "id": "be59114f-e2eb-4d06-824e-7aa867673eda",
+      "id": "664c73af-7fd8-43bf-9a1c-1109c71a303a",
       "identifier": [
         {
-          "value": "GENIE-DFCI-004755-1862_diagnosis",
+          "value": "GENIE-GRCC-6a5b9e32-sample-a_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -37997,11 +45785,199 @@
           "site": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Larynx",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
+            "text": "Larynx"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8070/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8070/3"
+      },
+      "related_specimen": [
+        {
+          "id": "e6616639-64a7-4462-9676-1b2420f371d6",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2019-06-04T18:19:50.810302-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "576b4319-20fe-4dd8-82b1-c34a70bd2182",
+      "identifier": [
+        {
+          "value": "GENIE-GRCC-596e5ce8-metastasis-a_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Carcinoma, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Carcinoma, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Nasopharynx",
+                "system": "GDC"
+              }
+            ],
+            "text": "Nasopharynx"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8010/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8010/3"
+      },
+      "related_specimen": [
+        {
+          "id": "7889cf51-be9b-4193-b057-5f348fca10db",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2018-10-02T18:01:58.729859-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "be59114f-e2eb-4d06-824e-7aa867673eda",
+      "identifier": [
+        {
+          "value": "GENIE-DFCI-004755-1862_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Squamous cell carcinoma, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Squamous cell carcinoma, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Oropharynx",
+                "system": "GDC"
+              }
+            ],
+            "text": "Oropharynx"
           }
         }
       ],
@@ -38043,13 +46019,29 @@
       "related_specimen": [
         {
           "id": "255bbe44-dce0-4905-86bb-317144348172",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -38121,13 +46113,29 @@
       "related_specimen": [
         {
           "id": "43637316-5d63-491d-b4cd-2caa045d8c7d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:20:07.713564-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -38199,13 +46207,29 @@
       "related_specimen": [
         {
           "id": "2ba57cf3-fd06-4f99-9ad7-447a164b9586",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:31:25.700438-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -38428,23 +46452,71 @@
       "related_specimen": [
         {
           "id": "cc2d6cfa-7640-44dd-a200-68fd9f9ee69c",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f102aef0-94b8-4d26-8055-35b76da9dd5f",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a7257360-c4dd-4f59-bfb9-c8d593050146",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -38636,13 +46708,45 @@
       "related_specimen": [
         {
           "id": "a39131b9-e7c7-4385-a1b9-d8a0a0950337",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a0723862-62f9-4770-b415-e8f52c447e7a",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -38865,13 +46969,45 @@
       "related_specimen": [
         {
           "id": "eff60f0d-e3c1-4a93-9026-c0764c70ba9f",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f87efb5e-24f5-4d2b-b6b3-987bbda30e03",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -39063,23 +47199,71 @@
       "related_specimen": [
         {
           "id": "769f3c1c-323e-4f04-9ae7-e41f484a964c",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "cb2da33c-021a-4af5-8509-118bc1e8e0d5",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "57ea3eed-f8e2-4310-90c0-50d89f818a12",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -39311,23 +47495,71 @@
       "related_specimen": [
         {
           "id": "7202ca4b-6caf-4f4d-adc9-4c59b00cbdc3",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f9ae08e7-9166-4699-801a-4bed11f72dc2",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "fe66156a-b3ea-4ed1-a5ca-68a3664c3505",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -39559,23 +47791,71 @@
       "related_specimen": [
         {
           "id": "8d31f35c-9178-447d-9a2b-acc305fab407",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b4c02606-0f86-46e4-9daf-dc7dbcd60d78",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "11d697ec-f451-4102-a908-e44f48ab0800",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -39738,13 +48018,45 @@
       "related_specimen": [
         {
           "id": "e9a39a90-6401-4a9f-baa5-606e8b5176f6",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "04652163-a674-446f-9e86-607de19e4c34",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -39987,23 +48299,71 @@
       "related_specimen": [
         {
           "id": "a2260bc1-8aa1-442c-933e-e4a05d46d802",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "33bf2824-d873-442f-8ae6-48274fbf4a94",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8b80b922-b00f-4cda-92a2-49c357aea89d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -40206,23 +48566,71 @@
       "related_specimen": [
         {
           "id": "ad04d034-7fff-4073-8c1f-97fac3d0bbdb",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "d660bc61-4016-4f52-98c3-72de5459946a",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0469c4d4-58ff-411d-9bf4-8d8bbe31d7c5",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -40465,23 +48873,71 @@
       "related_specimen": [
         {
           "id": "03c6ac2c-c6b6-4041-a024-f2556fab62b8",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "d238e52b-b2e8-479e-b76c-a168136e0ef0",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "91e56a17-b4e8-4ef7-b587-a83bcd8c062d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -40673,23 +49129,71 @@
       "related_specimen": [
         {
           "id": "43fbb037-8ba4-4ba3-8458-71a027eda822",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "fbea64f9-b46b-4af1-bfb2-1791d93977b6",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8c925c97-a7e0-44b3-ac62-b365e89975f0",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -40912,28 +49416,92 @@
       "related_specimen": [
         {
           "id": "f2e436bd-bbc1-4b1d-9a55-e2a83a1bb510",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7f11de1e-f75d-4476-a179-b50a84a45a78",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a6c24a00-67fd-4a1c-a371-b6e387dcea61",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "267e43c1-bf99-430a-b077-147985fb7e64",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -41005,13 +49573,29 @@
       "related_specimen": [
         {
           "id": "6e2561a0-676c-4f69-9059-d49696a56c64",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:58:03.635432-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -41083,13 +49667,29 @@
       "related_specimen": [
         {
           "id": "57a1d12e-9ead-43ed-8990-0fecb573d3cf",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-28T12:01:45.147328-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -41161,200 +49761,59 @@
       "related_specimen": [
         {
           "id": "cb69d223-6e16-4e94-8a35-b1197a261b19",
-          "source_material_type": "Not Reported",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-10-02T18:01:58.729859-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "a099ae58-fa38-4a90-82b6-c97a23b317f0",
-      "identifier": [
-        {
-          "value": "GENIE-GRCC-f88a03a6-metastasis-a_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "source_material_type": {
             "coding": [
               {
-                "code": "Nasopharynx",
+                "code": "Not Reported",
                 "system": "GDC"
               }
             ],
-            "text": "Nasopharynx"
-          }
-        }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8010/3",
-            "system": "GDC"
-          }
-        ],
-        "text": "8010/3"
-      },
-      "related_specimen": [
-        {
-          "id": "a9b18808-3ee9-4274-9a83-8d2fcbc16c7f",
-          "source_material_type": "Metastatic",
+            "text": "Not Reported"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "491f9f68-fb39-4d17-a75d-90d14e801df2",
-      "identifier": [
-        {
-          "value": "AD15095_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Carcinoma, undifferentiated, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Carcinoma, undifferentiated, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "general_tissue_morphology": {
             "coding": [
               {
-                "code": "Nasopharynx",
+                "code": "Not Reported",
                 "system": "GDC"
               }
             ],
-            "text": "Nasopharynx"
+            "text": "Not Reported"
           }
         }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8020/3",
-            "system": "GDC"
-          }
-        ],
-        "text": "8020/3"
-      },
-      "related_specimen": [
-        {
-          "id": "ae6cd26b-98b2-46a9-917b-cecd94358907",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2017-06-01T10:44:57.662014-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
-        }
       ]
     },
     {
-      "id": "e7fe03ad-184c-46be-adcb-dcfc79db3492",
+      "id": "a099ae58-fa38-4a90-82b6-c97a23b317f0",
       "identifier": [
         {
-          "value": "GENIE-GRCC-d47c6375-sample-a_diagnosis",
+          "value": "GENIE-GRCC-f88a03a6-metastasis-a_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
       "condition": {
         "coding": [
           {
-            "code": "Squamous cell carcinoma, NOS",
+            "code": "Carcinoma, NOS",
             "system": "GDC"
           }
         ],
-        "text": "Squamous cell carcinoma, NOS"
+        "text": "Carcinoma, NOS"
       },
       "metastatic_site": [
         {
           "site": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Nasopharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
+            "text": "Nasopharynx"
           }
         }
       ],
@@ -41387,41 +49846,57 @@
       "morphology": {
         "coding": [
           {
-            "code": "8070/3",
+            "code": "8010/3",
             "system": "GDC"
           }
         ],
-        "text": "8070/3"
+        "text": "8010/3"
       },
       "related_specimen": [
         {
-          "id": "7512ff60-162b-41b7-a3ed-c153d7aee073",
-          "source_material_type": "Primary Tumor",
+          "id": "a9b18808-3ee9-4274-9a83-8d2fcbc16c7f",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "c1887ffe-1e7a-4584-a9cb-897604949138",
+      "id": "491f9f68-fb39-4d17-a75d-90d14e801df2",
       "identifier": [
         {
-          "value": "AD7475_diagnosis",
+          "value": "AD15095_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
       "condition": {
         "coding": [
           {
-            "code": "Squamous cell carcinoma, NOS",
+            "code": "Carcinoma, undifferentiated, NOS",
             "system": "GDC"
           }
         ],
-        "text": "Squamous cell carcinoma, NOS"
+        "text": "Carcinoma, undifferentiated, NOS"
       },
       "metastatic_site": [
         {
@@ -41465,31 +49940,55 @@
       "morphology": {
         "coding": [
           {
-            "code": "8070/3",
+            "code": "8020/3",
             "system": "GDC"
           }
         ],
-        "text": "8070/3"
+        "text": "8020/3"
       },
       "related_specimen": [
         {
-          "id": "b82784b8-217d-487f-b2f6-4435ebc09885",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "id": "ae6cd26b-98b2-46a9-917b-cecd94358907",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2017-06-01T10:48:10.807261-05:00"
+              "date_time": "2017-06-01T10:44:57.662014-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "d078cccf-6335-4c55-8d5e-a36e32dd8006",
+      "id": "e7fe03ad-184c-46be-adcb-dcfc79db3492",
       "identifier": [
         {
-          "value": "GENIE-DFCI-004034-372_diagnosis",
+          "value": "GENIE-GRCC-d47c6375-sample-a_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -41552,22 +50051,38 @@
       },
       "related_specimen": [
         {
-          "id": "7d1a8a2e-c9d3-4e1d-b183-3c82de7e2306",
-          "source_material_type": "Primary Tumor",
+          "id": "7512ff60-162b-41b7-a3ed-c153d7aee073",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2018-09-24T17:22:15.693629-05:00"
+              "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "09912a9d-8fe7-4170-89cb-f0881ba681bb",
+      "id": "c1887ffe-1e7a-4584-a9cb-897604949138",
       "identifier": [
         {
-          "value": "GENIE-DFCI-037012-88553_diagnosis",
+          "value": "AD7475_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -41585,11 +50100,11 @@
           "site": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Nasopharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
+            "text": "Nasopharynx"
           }
         }
       ],
@@ -41630,22 +50145,47 @@
       },
       "related_specimen": [
         {
-          "id": "89c7b64b-262a-440c-b2b0-b45a94097d6b",
-          "source_material_type": "Primary Tumor",
+          "id": "b82784b8-217d-487f-b2f6-4435ebc09885",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2018-09-25T12:05:51.637331-05:00"
+              "date_time": "2017-06-01T10:48:10.807261-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "73adb3fc-a3c9-487c-a0d0-fa8b09707932",
+      "id": "d078cccf-6335-4c55-8d5e-a36e32dd8006",
       "identifier": [
         {
-          "value": "GENIE-DFCI-005121-1375_diagnosis",
+          "value": "GENIE-DFCI-004034-372_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -41663,11 +50203,11 @@
           "site": {
             "coding": [
               {
-                "code": "Hypopharynx",
+                "code": "Oropharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Hypopharynx"
+            "text": "Oropharynx"
           }
         }
       ],
@@ -41708,22 +50248,38 @@
       },
       "related_specimen": [
         {
-          "id": "eadf6e9a-c6c3-444c-8e93-8ab77ed87d09",
-          "source_material_type": "Primary Tumor",
+          "id": "7d1a8a2e-c9d3-4e1d-b183-3c82de7e2306",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "22080645-9bd1-4303-ae61-8228c254dc24",
+      "id": "09912a9d-8fe7-4170-89cb-f0881ba681bb",
       "identifier": [
         {
-          "value": "GENIE-MSK-P-0002746-T01-IM3_diagnosis",
+          "value": "GENIE-DFCI-037012-88553_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -41741,11 +50297,11 @@
           "site": {
             "coding": [
               {
-                "code": "Larynx",
+                "code": "Oropharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Larynx"
+            "text": "Oropharynx"
           }
         }
       ],
@@ -41786,44 +50342,60 @@
       },
       "related_specimen": [
         {
-          "id": "c74deddd-6181-4108-baf3-4d750d877606",
-          "source_material_type": "Metastatic",
+          "id": "89c7b64b-262a-440c-b2b0-b45a94097d6b",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2018-10-03T03:50:42.610446-05:00"
+              "date_time": "2018-09-25T12:05:51.637331-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "d813126a-5e28-5c5a-8730-598f0d047584",
+      "id": "73adb3fc-a3c9-487c-a0d0-fa8b09707932",
       "identifier": [
         {
-          "value": "TARGET-52-PATBLF_diagnosis",
+          "value": "GENIE-DFCI-005121-1375_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
       "condition": {
         "coding": [
           {
-            "code": "Malignant rhabdoid tumor",
+            "code": "Squamous cell carcinoma, NOS",
             "system": "GDC"
           }
         ],
-        "text": "Malignant rhabdoid tumor"
+        "text": "Squamous cell carcinoma, NOS"
       },
       "metastatic_site": [
         {
           "site": {
             "coding": [
               {
-                "code": "Lip",
+                "code": "Hypopharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Lip"
+            "text": "Hypopharynx"
           }
         }
       ],
@@ -41843,11 +50415,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "Unknown",
+                    "code": "Not Reported",
                     "system": "GDC"
                   }
                 ],
-                "text": "unknown"
+                "text": "not reported"
               }
             }
           ]
@@ -41856,64 +50428,68 @@
       "morphology": {
         "coding": [
           {
-            "code": "8963/3",
+            "code": "8070/3",
             "system": "GDC"
           }
         ],
-        "text": "8963/3"
+        "text": "8070/3"
       },
       "related_specimen": [
         {
-          "id": "ac3e795d-69a1-57f5-9dec-5b59e2523091",
-          "source_material_type": "Blood Derived Normal",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2016-02-17T11:50:17.531058-06:00"
-            }
+          "id": "eadf6e9a-c6c3-444c-8e93-8ab77ed87d09",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
           },
-          "general_tissue_morphology": "Not Reported",
-          "specific_tissue_morphology": "Rhabdoid tumor (kidney) (RT)"
-        },
-        {
-          "id": "eb5eeeae-6bd7-511e-9f13-51531684c774",
-          "source_material_type": "Primary Tumor",
           "creation_activity": {
             "date_ended": {
-              "date_time": "2016-02-17T11:50:17.531058-06:00"
+              "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported",
-          "specific_tissue_morphology": "Rhabdoid tumor (kidney) (RT)"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "9a11a042-337d-5a91-b483-093f98b0b72f",
+      "id": "22080645-9bd1-4303-ae61-8228c254dc24",
       "identifier": [
         {
-          "value": "TARGET-52-PARKKN_diagnosis",
+          "value": "GENIE-MSK-P-0002746-T01-IM3_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
       "condition": {
         "coding": [
           {
-            "code": "Malignant rhabdoid tumor",
+            "code": "Squamous cell carcinoma, NOS",
             "system": "GDC"
           }
         ],
-        "text": "Malignant rhabdoid tumor"
+        "text": "Squamous cell carcinoma, NOS"
       },
       "metastatic_site": [
         {
           "site": {
             "coding": [
               {
-                "code": "Lip",
+                "code": "Larynx",
                 "system": "GDC"
               }
             ],
-            "text": "Lip"
+            "text": "Larynx"
           }
         }
       ],
@@ -41933,11 +50509,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "Unknown",
+                    "code": "Not Reported",
                     "system": "GDC"
                   }
                 ],
-                "text": "unknown"
+                "text": "not reported"
               }
             }
           ]
@@ -41946,31 +50522,46 @@
       "morphology": {
         "coding": [
           {
-            "code": "8963/3",
+            "code": "8070/3",
             "system": "GDC"
           }
         ],
-        "text": "8963/3"
+        "text": "8070/3"
       },
       "related_specimen": [
         {
-          "id": "ced7edc7-a9ff-5d30-a63d-dbed4edfe497",
-          "source_material_type": "Primary Tumor",
+          "id": "c74deddd-6181-4108-baf3-4d750d877606",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
-              "date_time": "2016-02-17T11:50:17.531058-06:00"
+              "date_time": "2018-10-03T03:50:42.610446-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported",
-          "specific_tissue_morphology": "Rhabdoid tumor (kidney) (RT)"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "d1368e23-4a00-5b0c-ad28-56a5a4dbd833",
+      "id": "d813126a-5e28-5c5a-8730-598f0d047584",
       "identifier": [
         {
-          "value": "TARGET-52-PATYUA_diagnosis",
+          "value": "TARGET-52-PATBLF_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -42033,23 +50624,288 @@
       },
       "related_specimen": [
         {
-          "id": "83a37c0f-ac29-558c-b7dc-a9fcfed82b61",
-          "source_material_type": "Primary Tumor",
+          "id": "ac3e795d-69a1-57f5-9dec-5b59e2523091",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2016-02-17T11:50:17.531058-06:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
+          "specific_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Rhabdoid tumor (kidney) (RT)",
+                "system": "GDC"
+              }
+            ],
+            "text": "Rhabdoid tumor (kidney) (RT)"
+          }
+        },
+        {
+          "id": "eb5eeeae-6bd7-511e-9f13-51531684c774",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2016-02-17T11:50:17.531058-06:00"
             }
           },
-          "general_tissue_morphology": "Not Reported",
-          "specific_tissue_morphology": "Rhabdoid tumor (kidney) (RT)"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
+          "specific_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Rhabdoid tumor (kidney) (RT)",
+                "system": "GDC"
+              }
+            ],
+            "text": "Rhabdoid tumor (kidney) (RT)"
+          }
         }
       ]
     },
     {
-      "id": "2e79ab38-e511-5e60-8c81-1584d28a909e",
+      "id": "9a11a042-337d-5a91-b483-093f98b0b72f",
       "identifier": [
         {
-          "value": "TARGET-52-PASVDP_diagnosis",
+          "value": "TARGET-52-PARKKN_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Malignant rhabdoid tumor",
+            "system": "GDC"
+          }
+        ],
+        "text": "Malignant rhabdoid tumor"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Lip",
+                "system": "GDC"
+              }
+            ],
+            "text": "Lip"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Unknown",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "unknown"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8963/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8963/3"
+      },
+      "related_specimen": [
+        {
+          "id": "ced7edc7-a9ff-5d30-a63d-dbed4edfe497",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2016-02-17T11:50:17.531058-06:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
+          "specific_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Rhabdoid tumor (kidney) (RT)",
+                "system": "GDC"
+              }
+            ],
+            "text": "Rhabdoid tumor (kidney) (RT)"
+          }
+        }
+      ]
+    },
+    {
+      "id": "d1368e23-4a00-5b0c-ad28-56a5a4dbd833",
+      "identifier": [
+        {
+          "value": "TARGET-52-PATYUA_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Malignant rhabdoid tumor",
+            "system": "GDC"
+          }
+        ],
+        "text": "Malignant rhabdoid tumor"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Lip",
+                "system": "GDC"
+              }
+            ],
+            "text": "Lip"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Unknown",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "unknown"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8963/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8963/3"
+      },
+      "related_specimen": [
+        {
+          "id": "83a37c0f-ac29-558c-b7dc-a9fcfed82b61",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2016-02-17T11:50:17.531058-06:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
+          "specific_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Rhabdoid tumor (kidney) (RT)",
+                "system": "GDC"
+              }
+            ],
+            "text": "Rhabdoid tumor (kidney) (RT)"
+          }
+        }
+      ]
+    },
+    {
+      "id": "2e79ab38-e511-5e60-8c81-1584d28a909e",
+      "identifier": [
+        {
+          "value": "TARGET-52-PASVDP_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -42113,25 +50969,73 @@
       "related_specimen": [
         {
           "id": "fd9ff1de-6856-5a42-ad32-2e3aa28dc2d7",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2016-02-17T11:50:17.531058-06:00"
             }
           },
-          "general_tissue_morphology": "Not Reported",
-          "specific_tissue_morphology": "Rhabdoid tumor (kidney) (RT)"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
+          "specific_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Rhabdoid tumor (kidney) (RT)",
+                "system": "GDC"
+              }
+            ],
+            "text": "Rhabdoid tumor (kidney) (RT)"
+          }
         },
         {
           "id": "a28e1682-4703-527b-bd4e-81f86fa6f35a",
-          "source_material_type": "Blood Derived Normal",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2016-02-17T11:50:17.531058-06:00"
             }
           },
-          "general_tissue_morphology": "Not Reported",
-          "specific_tissue_morphology": "Rhabdoid tumor (kidney) (RT)"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
+          "specific_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Rhabdoid tumor (kidney) (RT)",
+                "system": "GDC"
+              }
+            ],
+            "text": "Rhabdoid tumor (kidney) (RT)"
+          }
         }
       ]
     },
@@ -42203,14 +51107,38 @@
       "related_specimen": [
         {
           "id": "e5a4af40-c272-5aeb-942c-4be4614b4cfd",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2016-02-17T11:50:17.531058-06:00"
             }
           },
-          "general_tissue_morphology": "Not Reported",
-          "specific_tissue_morphology": "Rhabdoid tumor (kidney) (RT)"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
+          "specific_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Rhabdoid tumor (kidney) (RT)",
+                "system": "GDC"
+              }
+            ],
+            "text": "Rhabdoid tumor (kidney) (RT)"
+          }
         }
       ]
     },
@@ -42282,25 +51210,73 @@
       "related_specimen": [
         {
           "id": "1d3eef26-a725-51f7-95fa-139d1a7da76e",
-          "source_material_type": "Blood Derived Normal",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2016-02-17T11:50:17.531058-06:00"
             }
           },
-          "general_tissue_morphology": "Not Reported",
-          "specific_tissue_morphology": "Rhabdoid tumor (kidney) (RT)"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
+          "specific_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Rhabdoid tumor (kidney) (RT)",
+                "system": "GDC"
+              }
+            ],
+            "text": "Rhabdoid tumor (kidney) (RT)"
+          }
         },
         {
           "id": "da724216-c1fe-5420-9e73-3a9d4b52bf1c",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2016-02-17T11:50:17.531058-06:00"
             }
           },
-          "general_tissue_morphology": "Not Reported",
-          "specific_tissue_morphology": "Rhabdoid tumor (kidney) (RT)"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          },
+          "specific_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Rhabdoid tumor (kidney) (RT)",
+                "system": "GDC"
+              }
+            ],
+            "text": "Rhabdoid tumor (kidney) (RT)"
+          }
         }
       ]
     },
@@ -42372,13 +51348,29 @@
       "related_specimen": [
         {
           "id": "1853a05a-8846-4da3-9509-bff587eb6e8d",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:31:25.700438-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -42621,28 +51613,92 @@
       "related_specimen": [
         {
           "id": "069b94fd-00fe-4073-bfca-3a3a8057d1f8",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "578cf44a-2d2c-416d-a428-69547378bb9b",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "875069b7-9411-4fb1-b8a2-992a052bee49",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9b557922-d796-48bd-b194-1fba8622f254",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -42865,23 +51921,71 @@
       "related_specimen": [
         {
           "id": "cf684788-d8e6-49da-8421-b2dbf040a529",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "fb9d2ba0-7673-4587-ab69-0059fce2f671",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "bcb5da85-78d6-4519-9740-378587b1bd37",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -42953,13 +52057,29 @@
       "related_specimen": [
         {
           "id": "13654c9a-afcc-4635-9885-8418a318ac7a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -43182,28 +52302,92 @@
       "related_specimen": [
         {
           "id": "ddb758e6-20a8-4a28-ba98-798de978154f",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "e850a80d-1b50-4ab6-ab36-1d1a5e697d7e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "21152590-1224-410e-aaf7-4088302c809f",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "768e2bab-347b-4d90-887f-bf5692a91eb0",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -43426,28 +52610,92 @@
       "related_specimen": [
         {
           "id": "d7340d97-4ebd-4125-961a-9a5abe2f0ebb",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "58c15c00-ddad-4f65-9f03-1882b7f9a09b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "215c17d6-2035-48da-9d06-c54734042898",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "46be59da-3e8e-43cb-a4f4-6658b12f1fe9",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -43690,23 +52938,71 @@
       "related_specimen": [
         {
           "id": "eb25346e-0e28-4161-94c8-916b41f8d969",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "67289d96-8140-4ba1-9863-124950488c1d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "95525590-0eea-4017-be66-dc487b78299c",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -43929,28 +53225,92 @@
       "related_specimen": [
         {
           "id": "80eca6e9-b390-4878-a070-e40c1c19b1f4",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "1d594963-b5c3-496e-af52-5f6dbcd6910f",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "86b81c8d-ae15-477a-86fa-6e10f1263f87",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "bb0c2fd4-8ffd-4825-aaf2-e865090940c8",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -44193,23 +53553,71 @@
       "related_specimen": [
         {
           "id": "5d166131-946a-46de-b446-ea35d8b0e1a4",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "281693cb-2d6f-4a42-af26-d807ea67a191",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "1ce08042-34c7-450e-b1f5-8cdf9bfc5a77",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -44281,13 +53689,29 @@
       "related_specimen": [
         {
           "id": "f9e5d21f-2ee2-41c2-b864-f43d6a8357aa",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:58:03.635432-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -44359,13 +53783,29 @@
       "related_specimen": [
         {
           "id": "a3ca3ea8-6ea0-4585-8a50-294ca4c87a24",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:44.678712-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -44437,13 +53877,29 @@
       "related_specimen": [
         {
           "id": "78c3f61a-5719-4604-8ebe-c21057d3e416",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:13:38.880466-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -44515,13 +53971,29 @@
       "related_specimen": [
         {
           "id": "407047a0-1065-4e67-aee6-a3a66998deb8",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:54:19.535598-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -44753,23 +54225,71 @@
       "related_specimen": [
         {
           "id": "740cef36-1319-4096-8ba3-8e6fce6282da",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0c00768e-8b13-4b8e-80fc-b344740845f1",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9439bc03-9d26-454a-ba80-a0f5a4585656",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -45012,13 +54532,45 @@
       "related_specimen": [
         {
           "id": "69fe86c3-1e82-4583-9051-ffdb84224239",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ed5933bf-adaf-4bee-81fb-b1ec5782c248",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -45250,23 +54802,71 @@
       "related_specimen": [
         {
           "id": "617df1e0-b075-4610-b6d5-8850786fea70",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "27fb0ae5-d8a1-46ac-ad3e-2464c52d9cfd",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "88000b86-9334-41ef-847d-6668d17ec62b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -45509,23 +55109,71 @@
       "related_specimen": [
         {
           "id": "09b49e67-34d8-496e-b42a-5123fb516cc0",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8ae503f5-a283-4bdf-8c82-de63f534bc85",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "43115789-cca5-4dc0-8377-e47b90c3f16f",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -45768,23 +55416,71 @@
       "related_specimen": [
         {
           "id": "c812093b-04ce-4d3f-841d-9b81de63fc38",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "eac181d7-f8b8-4350-92aa-62d3fd1bd86b",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "6f150e98-8b4e-44ee-953b-1692d76c8868",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -45967,23 +55663,71 @@
       "related_specimen": [
         {
           "id": "0416608e-19db-43b8-ac11-87406b0164d0",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a4b8631d-80aa-4665-86b4-0caa7241da66",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "6f085b6d-6abf-4d89-a17a-89e6c7f8fcc2",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -46206,23 +55950,71 @@
       "related_specimen": [
         {
           "id": "a31ecf7e-1838-412b-ac34-6fd8810739c9",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "1737989d-8463-4761-b111-53e4fd396375",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7aa13049-917a-4d7a-bceb-3c718ec8fb7a",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -46465,13 +56257,45 @@
       "related_specimen": [
         {
           "id": "9d258494-fb84-4435-aa3a-f5778ac061c5",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2da6f33b-4a9f-4cf6-ad8f-873be656a6f8",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -46703,23 +56527,71 @@
       "related_specimen": [
         {
           "id": "50e494e8-d48a-44ec-91b3-5755b42f70ee",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "dc6d258a-dba3-4186-bf89-9efb70a32365",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0b1a1f48-c58d-447a-be06-1f4e0c1c39d2",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -46962,13 +56834,45 @@
       "related_specimen": [
         {
           "id": "a49128ea-01e4-4587-845b-6b26bafa1c29",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "16b91d52-3168-44d9-bbbd-9f6e8b2582b6",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -47191,13 +57095,45 @@
       "related_specimen": [
         {
           "id": "13348e4e-8b8e-44b5-83e6-a1159a53ea35",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "251e8544-2c3c-4b31-a2b4-29b57e6ee4fd",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -47440,23 +57376,71 @@
       "related_specimen": [
         {
           "id": "f238d98a-1b53-4aae-8bdf-f85f0b9a066c",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "68604eed-fd8f-4003-b9bf-ad0e1ecdf3b3",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "19c823d3-c15b-4a1c-9a27-6ce489f3b640",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -47699,23 +57683,71 @@
       "related_specimen": [
         {
           "id": "3b35e7e6-0e30-48be-9d22-d95fb49f1227",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "d81234fd-4e10-469a-81e6-f23a192f1ef1",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "bd97a61f-6744-455f-88cf-2a418f2458a0",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -47938,23 +57970,71 @@
       "related_specimen": [
         {
           "id": "26c67c48-00d3-4491-b761-7941415a2c6f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b480eb37-ffe0-4626-b49d-dfc514a60886",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "3f583e59-c92a-4257-8098-5d081642dea7",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -48177,23 +58257,71 @@
       "related_specimen": [
         {
           "id": "83b525ab-ad48-45fe-bbe9-54d6ce88054a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "afbf3020-1715-4e74-8224-05e316796999",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "4d620a8e-517e-43b2-ad44-d9a8467e73a7",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -48416,23 +58544,71 @@
       "related_specimen": [
         {
           "id": "3570ac4b-b585-4262-b54b-137a2515c689",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7ac8fb22-0a09-4b16-af8c-b5c2e90a968a",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a5c6b30f-2aa3-48bd-8415-bdce2444e49d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -48655,23 +58831,71 @@
       "related_specimen": [
         {
           "id": "39e3facf-6d13-4611-bcfa-90ef0350814d",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "be567c0a-3833-45d7-b846-d229a8e16e16",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8897e2b3-1863-43c7-a84f-fe53d12371f9",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -48914,23 +59138,71 @@
       "related_specimen": [
         {
           "id": "b9427fad-04aa-4e73-99ba-ccde04e4978b",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5eacbcc3-8ac1-42bc-b3dd-53bc693d3cae",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "3d9307b9-f42f-421b-bebe-ed692a5868ce",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -49173,23 +59445,71 @@
       "related_specimen": [
         {
           "id": "e0b45d74-3b6e-424f-86e7-2174d7c1245a",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "daaeaef7-3f0f-4155-908d-9aa6e536f94c",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "50cca7c4-4586-43cd-a59e-3fdc646f5aba",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -49352,23 +59672,71 @@
       "related_specimen": [
         {
           "id": "f662e970-6a51-4164-8458-61e7ff054806",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "61c82e56-e64e-4fcb-bc5f-dc4fe34b6c58",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7a94106d-5604-4b73-9c54-54a72b12f52d",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -49571,23 +59939,71 @@
       "related_specimen": [
         {
           "id": "41ec6e82-6bcd-4057-a370-bfe1801e2e94",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "19c44a45-4f80-4d5a-beac-83db256a3434",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "e22036a1-ed2f-44b4-8bca-bd9808611fd0",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -49810,28 +60226,92 @@
       "related_specimen": [
         {
           "id": "418aadda-9f2f-43be-b171-866585aab114",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b4a36114-80d3-4f28-b85a-077dc31eb485",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "3a13692e-cb77-464a-8ace-cba47f99247f",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c552cf29-896d-4a47-8022-e5c57e27e70e",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -50063,23 +60543,71 @@
       "related_specimen": [
         {
           "id": "f3e5a16f-7c16-425e-8321-b6b19fd469d3",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "111ad944-f78e-4ec6-967b-f05c49b49b1c",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "62fdf8f3-a028-453f-b27c-c2506be68cbe",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -50322,23 +60850,71 @@
       "related_specimen": [
         {
           "id": "fe1541c0-a239-428f-bf43-8b8b999d362e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0080b5ac-b9b2-4fef-ae51-6a6178325364",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "161b6a0e-0b50-41a1-bdf3-bd7666067454",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -50561,23 +61137,71 @@
       "related_specimen": [
         {
           "id": "f5589c89-0b94-4492-8a3c-84d58377e94f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b79164b1-7abb-4585-b23a-0e610734ea8b",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0d53784e-011f-4890-9cf5-59e955dd1fea",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -50769,13 +61393,45 @@
       "related_specimen": [
         {
           "id": "6e926ab9-e086-48cb-876d-d490c46cb7f0",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9c35c1ec-5ca6-4900-aa39-ab1c962b9c4d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -51018,23 +61674,71 @@
       "related_specimen": [
         {
           "id": "297ea792-1a29-44db-a14b-38513b50826f",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "e4157201-93f3-4f08-b3a9-dacb22671a57",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "87d8fec9-7ac3-4359-a6be-de270584ac1b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -51257,23 +61961,71 @@
       "related_specimen": [
         {
           "id": "f31d010d-cb3e-46da-9647-38fdb9d1bbc0",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a6748675-5433-4f39-a578-9a1ddb8bb1b3",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0e81b0ef-6f16-4a56-9f18-8acad8bf9ccf",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -51496,28 +62248,92 @@
       "related_specimen": [
         {
           "id": "dc649d39-482d-4855-b9e3-129552e5e421",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "657cf588-cca0-44c2-83b3-0e87f7a81f29",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f6130e55-1627-4d2f-bd8f-c0e778a1aa45",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "3f70e2db-b313-4f3f-89e7-cd1c0acecf9b",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -51709,13 +62525,45 @@
       "related_specimen": [
         {
           "id": "d89d46ea-9a7a-4fd8-b11e-9c9ca4780119",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "6fc08372-0d9d-4b3c-b656-9573fa532c99",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -51958,13 +62806,45 @@
       "related_specimen": [
         {
           "id": "027dedd3-bd53-420e-b7f2-eb5b8c26bcdc",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ff63290d-0644-4387-99bb-697150a7fb6b",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -52196,23 +63076,71 @@
       "related_specimen": [
         {
           "id": "e45c81dc-4143-4e97-8212-85032c760221",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c98f1b7e-5d3c-4e07-9d9c-65c5a6ac6cd6",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7fddfc05-49ef-4ebc-8572-05059a5fc363",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -52455,23 +63383,71 @@
       "related_specimen": [
         {
           "id": "09e8433c-1f86-42c5-91c0-2512fc4a7fe9",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "eee85b30-6d16-4f53-aac1-b74f36a62d9a",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "24e39735-725e-4627-82b6-c56ff33e3465",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -52634,13 +63610,45 @@
       "related_specimen": [
         {
           "id": "0c6b4631-381e-4b73-ac9e-62bbc1849ff4",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "e49031dd-14f3-4f2c-8457-d0249c491ae9",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -52863,23 +63871,71 @@
       "related_specimen": [
         {
           "id": "3f9a9578-e8e6-47b7-af7b-31d9cffbfd3a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "28780b51-0b53-4d73-b399-ec90b45de0d3",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "d773747d-fd09-4890-a436-9b212e19063b",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -53102,28 +64158,92 @@
       "related_specimen": [
         {
           "id": "24a2dd45-0453-4bfa-af4c-cde8cb0c0cfb",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5fe254fc-76cd-4081-a46f-574f2ec76d10",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "e5ab53bf-073a-49e7-9402-8e7261d385c8",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "791203c3-4192-4844-b32a-0f21944333e1",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -53355,13 +64475,45 @@
       "related_specimen": [
         {
           "id": "d84c30b6-e217-4b2c-9dc1-16428264378d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ddad5854-74a2-4db5-94d1-41196a37be5e",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -53584,28 +64736,92 @@
       "related_specimen": [
         {
           "id": "14098d2a-e40e-4f1a-bd76-f8bf7c339ee5",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "d2491655-a4a1-4e4b-8f94-f50dc1c5d64c",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "cbcd3026-9f65-45c1-8fd8-d08f1b6b065e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "78a9bb84-9d21-40d2-9b0b-1ba8d888912d",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -53848,23 +65064,71 @@
       "related_specimen": [
         {
           "id": "34c0ddaa-1fcf-4e5c-b5bf-7cfae596c09d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c25592d6-b3d3-47b6-a3c5-3cbc81803152",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "1bae9a44-1ce3-45b1-9902-40faeba58120",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -54076,23 +65340,71 @@
       "related_specimen": [
         {
           "id": "904d5793-ae7f-492b-aaed-ea6cca865d63",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b1c47b2e-ba48-4f1f-b07e-f930b1135201",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9e397756-8535-40f2-9fc8-d0f1392a5e6d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -54324,23 +65636,71 @@
       "related_specimen": [
         {
           "id": "f450dbe6-4972-4c49-af97-963bcd0d0da0",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b916fa4a-1d15-4619-9d6c-1000e96b7e0d",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9491d6f0-1e3e-48e5-aabb-87704511904b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -54572,23 +65932,71 @@
       "related_specimen": [
         {
           "id": "54fda578-dfb1-4a1b-8b01-2b7e9292f387",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "66643338-ed21-460e-a1dc-b547c5b14500",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7dc1e99f-c601-48c2-8326-389d9f084e29",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -54811,23 +66219,71 @@
       "related_specimen": [
         {
           "id": "f4a14404-3545-44fc-953d-e441139e7fda",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "4db1536b-23d0-48fb-91f8-248a03f58aa4",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "4a485f87-1a73-42ec-af0d-0b6de2b23504",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -55059,23 +66515,71 @@
       "related_specimen": [
         {
           "id": "bbcc5141-d805-457d-bc4a-d424c8c39cb7",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "01a4aa4a-f073-435c-a411-839760cbcb9f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "26026e2f-b112-4535-97ac-6956cb267e9e",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -55318,23 +66822,71 @@
       "related_specimen": [
         {
           "id": "a88696d9-b36a-4fd7-b3ed-b6b31aa4094f",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8f620b3e-2962-49da-bcaf-4ecfd9580923",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ddeeb19e-1929-488d-8e19-c6212b3b78fb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -55497,23 +67049,71 @@
       "related_specimen": [
         {
           "id": "b3a8b960-6807-42ec-b6a8-492d58de2b86",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "bfbfb315-632c-43e7-ae3b-61bcd82b0d3b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5e77db09-dc35-4cfa-ac78-0f7af0b742ec",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -55756,13 +67356,45 @@
       "related_specimen": [
         {
           "id": "b2ad9679-048c-43c4-9d78-45638ad5a493",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8f952c62-2404-484c-b8af-33ce60f4e024",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -55914,23 +67546,71 @@
       "related_specimen": [
         {
           "id": "76af13f8-fcb3-4324-b8aa-23ea1834c5d2",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "af7bb799-b091-45d9-a04e-074bb7840680",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ac4430c7-dbe4-432f-9763-81707431a0f0",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -56153,28 +67833,92 @@
       "related_specimen": [
         {
           "id": "9308d3df-4126-470f-9dae-db9362050c29",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "979324ca-d8fa-4bbd-ad7e-1c663c5a4a9b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "162ba21b-8262-4815-9e65-5b064f0e5885",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7dafe515-fefb-4656-ab96-b72e09e041f7",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -56397,23 +68141,71 @@
       "related_specimen": [
         {
           "id": "cd2a5d45-9bae-4c96-b8dd-7ad079153a49",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "904e12f8-ab59-4ad8-8096-7b82f9388d70",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "cece12a4-5f68-4a6d-8815-e88495da08f4",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -56485,13 +68277,29 @@
       "related_specimen": [
         {
           "id": "e44b074f-5e47-4faa-bd94-7375982fbd90",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:50:42.610446-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -56563,13 +68371,29 @@
       "related_specimen": [
         {
           "id": "094236a4-db5d-4e05-b020-5136ee6f4225",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -56792,28 +68616,92 @@
       "related_specimen": [
         {
           "id": "70b5b27d-3905-40de-8b70-9185cfc49d94",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5b2faa3f-c96e-42c6-81ce-a356852ea6a6",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "73d79c62-61b6-4e72-bc8d-c3fa2a344caf",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "366f8ab0-ddd8-4383-9bc1-96ef342b749c",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57045,13 +68933,45 @@
       "related_specimen": [
         {
           "id": "6697dd71-5a58-4862-b26e-ea16dcc383f2",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b72390d2-f19e-493d-9a30-cd81dd232188",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57123,13 +69043,29 @@
       "related_specimen": [
         {
           "id": "72155863-300c-4515-962a-d0c332cf5b63",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:21:56.842750-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57201,13 +69137,29 @@
       "related_specimen": [
         {
           "id": "56e9e0e1-5435-4b6b-93a0-70564fe1aa27",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57279,13 +69231,29 @@
       "related_specimen": [
         {
           "id": "59d867e0-1111-4114-b47d-39b108eecf06",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57357,13 +69325,29 @@
       "related_specimen": [
         {
           "id": "68c9aea7-2d45-4200-b2e5-02aa0ab64d09",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57435,13 +69419,29 @@
       "related_specimen": [
         {
           "id": "fbd21489-29cd-4d9b-8d7c-e04342040edc",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57513,13 +69513,29 @@
       "related_specimen": [
         {
           "id": "d2ad484e-58b3-4e29-84e3-a45abb294b3a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-25T12:05:51.637331-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57591,13 +69607,29 @@
       "related_specimen": [
         {
           "id": "8b9e009a-6ead-4105-a148-8c8a44be0658",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:06:12.185212-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57669,13 +69701,29 @@
       "related_specimen": [
         {
           "id": "afcf4bae-7e95-4306-9627-c9a9d6011dfa",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:31:25.700438-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57747,13 +69795,29 @@
       "related_specimen": [
         {
           "id": "a3eaae17-ef1a-442c-93cc-0fd82a8887bf",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:18:52.539095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57825,13 +69889,29 @@
       "related_specimen": [
         {
           "id": "fe032782-a750-46b3-a282-26e110ed063a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57903,13 +69983,29 @@
       "related_specimen": [
         {
           "id": "cc589138-6e86-49ad-8d76-857543c02842",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:22:15.693629-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -57981,13 +70077,29 @@
       "related_specimen": [
         {
           "id": "d697e728-9813-4ff5-83eb-c7d814e07bcc",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:44.678712-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -58059,13 +70171,29 @@
       "related_specimen": [
         {
           "id": "e15f8344-5f7f-4602-b2e3-8fcb0418cb8b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-28T12:05:42.341898-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -58137,14 +70265,38 @@
       "related_specimen": [
         {
           "id": "425f42d0-0349-42bb-9072-cfb0bd97e922",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:00:26.233095-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -58216,13 +70368,29 @@
       "related_specimen": [
         {
           "id": "3b018cb9-12c9-4445-b021-1fc93e0f74c2",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:37:30.937085-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -58294,13 +70462,29 @@
       "related_specimen": [
         {
           "id": "90f2519b-17ba-40ad-baee-cb711b306a91",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:46:25.150285-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -58372,13 +70556,29 @@
       "related_specimen": [
         {
           "id": "ba279369-073d-4976-8439-3a318c0f0fc3",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:17:41.081467-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -58450,13 +70650,29 @@
       "related_specimen": [
         {
           "id": "3eb1f15d-003c-42bc-8832-ea364ee8931b",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:50:42.610446-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -58528,99 +70744,37 @@
       "related_specimen": [
         {
           "id": "b33d58a0-8855-42ac-baaa-0a1e961307f4",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:42:00.849990-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "cee28001-9ebf-46a7-b387-e932076e5df8",
-      "identifier": [
-        {
-          "value": "GENIE-MSK-P-0010817-T01-IM5_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Squamous cell carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Squamous cell carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "general_tissue_morphology": {
             "coding": [
               {
-                "code": "Larynx",
+                "code": "Not Reported",
                 "system": "GDC"
               }
             ],
-            "text": "Larynx"
-          }
-        }
-      ],
-      "stage": [
-        {
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Not Reported",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "not reported"
-              }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8070/3",
-            "system": "GDC"
+            "text": "Not Reported"
           }
-        ],
-        "text": "8070/3"
-      },
-      "related_specimen": [
-        {
-          "id": "08a27a81-561d-41f1-9d99-6266c1f230c9",
-          "source_material_type": "Primary Tumor",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-10-03T04:13:38.880466-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
         }
       ]
     },
     {
-      "id": "de59133c-2442-490c-9f22-057c8a47ff70",
+      "id": "cee28001-9ebf-46a7-b387-e932076e5df8",
       "identifier": [
         {
-          "value": "GENIE-MSK-P-0008518-T01-IM5_diagnosis",
+          "value": "GENIE-MSK-P-0010817-T01-IM5_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -58638,11 +70792,105 @@
           "site": {
             "coding": [
               {
-                "code": "Oropharynx",
+                "code": "Larynx",
                 "system": "GDC"
               }
             ],
-            "text": "Oropharynx"
+            "text": "Larynx"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8070/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8070/3"
+      },
+      "related_specimen": [
+        {
+          "id": "08a27a81-561d-41f1-9d99-6266c1f230c9",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2018-10-03T04:13:38.880466-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "de59133c-2442-490c-9f22-057c8a47ff70",
+      "identifier": [
+        {
+          "value": "GENIE-MSK-P-0008518-T01-IM5_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Squamous cell carcinoma, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Squamous cell carcinoma, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Oropharynx",
+                "system": "GDC"
+              }
+            ],
+            "text": "Oropharynx"
           }
         }
       ],
@@ -58684,13 +70932,29 @@
       "related_specimen": [
         {
           "id": "f4e28471-79a4-456e-bba8-db331560bdb0",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:09:54.181448-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -58762,13 +71026,29 @@
       "related_specimen": [
         {
           "id": "2da79fb4-bd1b-4518-a6a2-6159251d65fb",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:35:23.418160-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -58840,13 +71120,29 @@
       "related_specimen": [
         {
           "id": "1bd46cb2-e563-4a48-a36e-ea4f7a15173f",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:42:39.927651-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -58918,14 +71214,38 @@
       "related_specimen": [
         {
           "id": "fc50dce3-ca12-4a52-a8fd-27dcd3887746",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:46:29.991257-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -59157,23 +71477,71 @@
       "related_specimen": [
         {
           "id": "591e99ec-46f9-442d-ac20-745dccc8a52b",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "d0161f8c-9c53-47ad-895c-40d1be3a814e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5e4e1e21-8016-4e27-8f72-2411714203e8",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -59294,11 +71662,292 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "N2c",
+                    "code": "N2c",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "N2c"
+              }
+            },
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Clinical Metastasis (M)",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Clinical Metastasis (M)"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "M0",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "M0"
+              }
+            },
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Pathological Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Pathological Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Stage III",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Stage III"
+              }
+            },
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Pathological Tumor (T)",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Pathological Tumor (T)"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "T1",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "T1"
+              }
+            },
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Pathological Node (N)",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Pathological Node (N)"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "N1",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "N1"
+              }
+            },
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Pathological Metastasis (M)",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Pathological Metastasis (M)"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "MX",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "MX"
+              }
+            }
+          ]
+        }
+      ],
+      "morphology": {
+        "coding": [
+          {
+            "code": "8072/3",
+            "system": "GDC"
+          }
+        ],
+        "text": "8072/3"
+      },
+      "related_specimen": [
+        {
+          "id": "882c6ec3-1f56-43c3-8a41-da060f9f5ee1",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        },
+        {
+          "id": "bea32bd5-4068-4351-994e-09b3bf819ebb",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        }
+      ]
+    },
+    {
+      "id": "28f3f8b9-df0c-5c03-8414-89640fa631c5",
+      "identifier": [
+        {
+          "value": "TCGA-H7-A76A_diagnosis",
+          "system": "GDC-submitter-id"
+        }
+      ],
+      "condition": {
+        "coding": [
+          {
+            "code": "Squamous cell carcinoma, keratinizing, NOS",
+            "system": "GDC"
+          }
+        ],
+        "text": "Squamous cell carcinoma, keratinizing, NOS"
+      },
+      "metastatic_site": [
+        {
+          "site": {
+            "coding": [
+              {
+                "code": "Tonsil",
+                "system": "GDC"
+              }
+            ],
+            "text": "Tonsil"
+          }
+        }
+      ],
+      "stage": [
+        {
+          "method_type": [
+            {
+              "coding": [
+                {
+                  "code": "AJCC staging system 7th edition",
+                  "system": "GDC"
+                }
+              ],
+              "text": "7th"
+            }
+          ],
+          "observations": [
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Not Reported",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "not reported"
+              }
+            },
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Clinical Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Clinical Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Stage IVA",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Stage IVA"
+              }
+            },
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Clinical Tumor (T)",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Clinical Tumor (T)"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "T2",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "T2"
+              }
+            },
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Clinical Node (N)",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Clinical Node (N)"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "N2b",
                     "system": "GDC"
                   }
                 ],
-                "text": "N2c"
+                "text": "N2b"
               }
             },
             {
@@ -59321,26 +71970,6 @@
                 "text": "M0"
               }
             },
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Pathological Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Pathological Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Stage III",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Stage III"
-              }
-            },
             {
               "observation_type": {
                 "coding": [
@@ -59354,11 +71983,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "T1",
+                    "code": "TX",
                     "system": "GDC"
                   }
                 ],
-                "text": "T1"
+                "text": "TX"
               }
             },
             {
@@ -59374,11 +72003,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "N1",
+                    "code": "N2b",
                     "system": "GDC"
                   }
                 ],
-                "text": "N1"
+                "text": "N2b"
               }
             },
             {
@@ -59407,68 +72036,115 @@
       "morphology": {
         "coding": [
           {
-            "code": "8072/3",
+            "code": "8071/3",
             "system": "GDC"
           }
         ],
-        "text": "8072/3"
+        "text": "8071/3"
       },
       "related_specimen": [
         {
-          "id": "882c6ec3-1f56-43c3-8a41-da060f9f5ee1",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "id": "78229167-1f08-416d-be98-74f757610349",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
-          "id": "bea32bd5-4068-4351-994e-09b3bf819ebb",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "id": "148ec5a3-19ed-4949-bf37-9bc4e6203966",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        },
+        {
+          "id": "452e53e7-b219-4ba7-b8ab-870e1ba4423b",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2018-05-17T12:19:46.292188-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "28f3f8b9-df0c-5c03-8414-89640fa631c5",
+      "id": "b8812861-0e19-58f0-bccf-667970cdb04c",
       "identifier": [
         {
-          "value": "TCGA-H7-A76A_diagnosis",
+          "value": "TCGA-CR-7399_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
       "condition": {
         "coding": [
           {
-            "code": "Squamous cell carcinoma, keratinizing, NOS",
+            "code": "Squamous cell carcinoma, NOS",
             "system": "GDC"
           }
         ],
-        "text": "Squamous cell carcinoma, keratinizing, NOS"
+        "text": "Squamous cell carcinoma, NOS"
       },
       "metastatic_site": [
         {
           "site": {
             "coding": [
               {
-                "code": "Tonsil",
+                "code": "Larynx",
                 "system": "GDC"
               }
             ],
-            "text": "Tonsil"
+            "text": "Larynx"
           }
         }
       ],
       "stage": [
         {
-          "method_type": [
-            {
-              "coding": [
-                {
-                  "code": "AJCC staging system 7th edition",
-                  "system": "GDC"
-                }
-              ],
-              "text": "7th"
-            }
-          ],
           "observations": [
             {
               "observation_type": {
@@ -59483,11 +72159,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "Not Reported",
+                    "code": "Stage IVA",
                     "system": "GDC"
                   }
                 ],
-                "text": "not reported"
+                "text": "stage iva"
               }
             },
             {
@@ -59523,11 +72199,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "T2",
+                    "code": "T4a",
                     "system": "GDC"
                   }
                 ],
-                "text": "T2"
+                "text": "T4a"
               }
             },
             {
@@ -59543,11 +72219,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "N2b",
+                    "code": "N2c",
                     "system": "GDC"
                   }
                 ],
-                "text": "N2b"
+                "text": "N2c"
               }
             },
             {
@@ -59570,6 +72246,26 @@
                 "text": "M0"
               }
             },
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Pathological Overall",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Pathological Overall"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "Stage IVA",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Stage IVA"
+              }
+            },
             {
               "observation_type": {
                 "coding": [
@@ -59583,11 +72279,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "TX",
+                    "code": "T3",
                     "system": "GDC"
                   }
                 ],
-                "text": "TX"
+                "text": "T3"
               }
             },
             {
@@ -59603,11 +72299,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "N2b",
+                    "code": "N2c",
                     "system": "GDC"
                   }
                 ],
-                "text": "N2b"
+                "text": "N2c"
               }
             },
             {
@@ -59623,11 +72319,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "MX",
+                    "code": "M0",
                     "system": "GDC"
                   }
                 ],
-                "text": "MX"
+                "text": "M0"
               }
             }
           ]
@@ -59636,40 +72332,62 @@
       "morphology": {
         "coding": [
           {
-            "code": "8071/3",
+            "code": "8070/3",
             "system": "GDC"
           }
         ],
-        "text": "8071/3"
+        "text": "8070/3"
       },
       "related_specimen": [
         {
-          "id": "78229167-1f08-416d-be98-74f757610349",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
-        },
-        {
-          "id": "148ec5a3-19ed-4949-bf37-9bc4e6203966",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "id": "3dd4255a-7359-4b51-8a0b-44d9e249956b",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
-          "id": "452e53e7-b219-4ba7-b8ab-870e1ba4423b",
-          "source_material_type": "Primary Tumor",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-05-17T12:19:46.292188-05:00"
-            }
+          "id": "05c3d8a0-47a2-44b2-b0c3-144ec0cb2673",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "b8812861-0e19-58f0-bccf-667970cdb04c",
+      "id": "843f33f9-e390-52bc-90c8-fba0a4557916",
       "identifier": [
         {
-          "value": "TCGA-CR-7399_diagnosis",
+          "value": "TCGA-UF-A7JV_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -59687,16 +72405,27 @@
           "site": {
             "coding": [
               {
-                "code": "Larynx",
+                "code": "Hypopharynx",
                 "system": "GDC"
               }
             ],
-            "text": "Larynx"
+            "text": "Hypopharynx"
           }
         }
       ],
       "stage": [
         {
+          "method_type": [
+            {
+              "coding": [
+                {
+                  "code": "AJCC staging system 7th edition",
+                  "system": "GDC"
+                }
+              ],
+              "text": "7th"
+            }
+          ],
           "observations": [
             {
               "observation_type": {
@@ -59831,11 +72560,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "T3",
+                    "code": "T4a",
                     "system": "GDC"
                   }
                 ],
-                "text": "T3"
+                "text": "T4a"
               }
             },
             {
@@ -59851,11 +72580,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "N2c",
+                    "code": "N2b",
                     "system": "GDC"
                   }
                 ],
-                "text": "N2c"
+                "text": "N2b"
               }
             },
             {
@@ -59892,22 +72621,80 @@
       },
       "related_specimen": [
         {
-          "id": "3dd4255a-7359-4b51-8a0b-44d9e249956b",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "id": "c312a7a4-ba29-49a9-b4dc-876505a6a6c4",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "creation_activity": {
+            "date_ended": {
+              "date_time": "2018-05-17T12:19:46.292188-05:00"
+            }
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
-          "id": "05c3d8a0-47a2-44b2-b0c3-144ec0cb2673",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "id": "eed0dcf3-36a2-4890-bb02-e8b56ba4d8d8",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        },
+        {
+          "id": "a1d62ba6-696c-4693-9067-d4226a4e6316",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "843f33f9-e390-52bc-90c8-fba0a4557916",
+      "id": "b1c3bd39-9f13-5dba-aeeb-86271bf64b8d",
       "identifier": [
         {
-          "value": "TCGA-UF-A7JV_diagnosis",
+          "value": "TCGA-CV-7242_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -59925,11 +72712,11 @@
           "site": {
             "coding": [
               {
-                "code": "Hypopharynx",
+                "code": "Larynx",
                 "system": "GDC"
               }
             ],
-            "text": "Hypopharynx"
+            "text": "Larynx"
           }
         }
       ],
@@ -59960,11 +72747,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "Stage IVA",
+                    "code": "Stage II",
                     "system": "GDC"
                   }
                 ],
-                "text": "stage iva"
+                "text": "stage ii"
               }
             },
             {
@@ -59980,11 +72767,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "Stage IVA",
+                    "code": "Stage III",
                     "system": "GDC"
                   }
                 ],
-                "text": "Stage IVA"
+                "text": "Stage III"
               }
             },
             {
@@ -60000,11 +72787,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "T4a",
+                    "code": "T3",
                     "system": "GDC"
                   }
                 ],
-                "text": "T4a"
+                "text": "T3"
               }
             },
             {
@@ -60020,11 +72807,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "N2c",
+                    "code": "N0",
                     "system": "GDC"
                   }
                 ],
-                "text": "N2c"
+                "text": "N0"
               }
             },
             {
@@ -60060,11 +72847,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "Stage IVA",
+                    "code": "Stage II",
                     "system": "GDC"
                   }
                 ],
-                "text": "Stage IVA"
+                "text": "Stage II"
               }
             },
             {
@@ -60080,11 +72867,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "T4a",
+                    "code": "T2",
                     "system": "GDC"
                   }
                 ],
-                "text": "T4a"
+                "text": "T2"
               }
             },
             {
@@ -60100,31 +72887,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "N2b",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "N2b"
-              }
-            },
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Pathological Metastasis (M)",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Pathological Metastasis (M)"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "M0",
+                    "code": "N0",
                     "system": "GDC"
                   }
                 ],
-                "text": "M0"
+                "text": "N0"
               }
             }
           ]
@@ -60141,32 +72908,101 @@
       },
       "related_specimen": [
         {
-          "id": "c312a7a4-ba29-49a9-b4dc-876505a6a6c4",
-          "source_material_type": "Primary Tumor",
+          "id": "4fdddf85-30de-4666-89d2-0683e9264d6d",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
+        },
+        {
+          "id": "6b4b146e-e6c5-454d-9c4f-66a6f851c3fe",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
-          "id": "eed0dcf3-36a2-4890-bb02-e8b56ba4d8d8",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "id": "a45efd70-9bee-4c18-82b1-666d2c1eb781",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
-          "id": "a1d62ba6-696c-4693-9067-d4226a4e6316",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "id": "f9dea7a5-e9d2-48a6-bbc1-c5c1f8e7ee67",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "b1c3bd39-9f13-5dba-aeeb-86271bf64b8d",
+      "id": "de41284b-65f5-592e-99bb-9157a9509c36",
       "identifier": [
         {
-          "value": "TCGA-CV-7242_diagnosis",
+          "value": "TCGA-T3-A92M_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -60219,11 +73055,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "Stage II",
+                    "code": "Stage IVA",
                     "system": "GDC"
                   }
                 ],
-                "text": "stage ii"
+                "text": "stage iva"
               }
             },
             {
@@ -60239,11 +73075,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "Stage III",
+                    "code": "Stage IVA",
                     "system": "GDC"
                   }
                 ],
-                "text": "Stage III"
+                "text": "Stage IVA"
               }
             },
             {
@@ -60259,11 +73095,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "T3",
+                    "code": "T4a",
                     "system": "GDC"
                   }
                 ],
-                "text": "T3"
+                "text": "T4a"
               }
             },
             {
@@ -60279,11 +73115,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "N0",
+                    "code": "N2c",
                     "system": "GDC"
                   }
                 ],
-                "text": "N0"
+                "text": "N2c"
               }
             },
             {
@@ -60319,11 +73155,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "Stage II",
+                    "code": "Stage IVA",
                     "system": "GDC"
                   }
                 ],
-                "text": "Stage II"
+                "text": "Stage IVA"
               }
             },
             {
@@ -60339,11 +73175,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "T2",
+                    "code": "T4a",
                     "system": "GDC"
                   }
                 ],
-                "text": "T2"
+                "text": "T4a"
               }
             },
             {
@@ -60359,11 +73195,31 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "N0",
+                    "code": "N2c",
                     "system": "GDC"
                   }
                 ],
-                "text": "N0"
+                "text": "N2c"
+              }
+            },
+            {
+              "observation_type": {
+                "coding": [
+                  {
+                    "code": "Pathological Metastasis (M)",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "Pathological Metastasis (M)"
+              },
+              "value_codeable_concept": {
+                "coding": [
+                  {
+                    "code": "MX",
+                    "system": "GDC"
+                  }
+                ],
+                "text": "MX"
               }
             }
           ]
@@ -60380,37 +73236,80 @@
       },
       "related_specimen": [
         {
-          "id": "4fdddf85-30de-4666-89d2-0683e9264d6d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "id": "86c72a0c-24c8-4d55-9f87-6b7198a10890",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
-          "id": "6b4b146e-e6c5-454d-9c4f-66a6f851c3fe",
-          "source_material_type": "Primary Tumor",
+          "id": "cdefaeb2-3a2b-4094-b25e-0c509b62c13b",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
-        },
-        {
-          "id": "a45efd70-9bee-4c18-82b1-666d2c1eb781",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
-          "id": "f9dea7a5-e9d2-48a6-bbc1-c5c1f8e7ee67",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "id": "d22843cb-8a14-4592-b339-a04cf1514205",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
     {
-      "id": "de41284b-65f5-592e-99bb-9157a9509c36",
+      "id": "6bbf8ace-0b17-57e5-bf9e-2c164cb28e53",
       "identifier": [
         {
-          "value": "TCGA-T3-A92M_diagnosis",
+          "value": "TCGA-F7-A50I_diagnosis",
           "system": "GDC-submitter-id"
         }
       ],
@@ -60470,86 +73369,6 @@
                 "text": "stage iva"
               }
             },
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Clinical Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Clinical Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Stage IVA",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Stage IVA"
-              }
-            },
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Clinical Tumor (T)",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Clinical Tumor (T)"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "T4a",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "T4a"
-              }
-            },
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Clinical Node (N)",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Clinical Node (N)"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "N2c",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "N2c"
-              }
-            },
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Clinical Metastasis (M)",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Clinical Metastasis (M)"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "M0",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "M0"
-              }
-            },
             {
               "observation_type": {
                 "coding": [
@@ -60603,11 +73422,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "N2c",
+                    "code": "N0",
                     "system": "GDC"
                   }
                 ],
-                "text": "N2c"
+                "text": "N0"
               }
             },
             {
@@ -60623,11 +73442,11 @@
               "value_codeable_concept": {
                 "coding": [
                   {
-                    "code": "MX",
+                    "code": "M0",
                     "system": "GDC"
                   }
                 ],
-                "text": "MX"
+                "text": "M0"
               }
             }
           ]
@@ -60644,203 +73463,72 @@
       },
       "related_specimen": [
         {
-          "id": "86c72a0c-24c8-4d55-9f87-6b7198a10890",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
-        },
-        {
-          "id": "cdefaeb2-3a2b-4094-b25e-0c509b62c13b",
-          "source_material_type": "Primary Tumor",
-          "creation_activity": {
-            "date_ended": {
-              "date_time": "2018-05-17T12:19:46.292188-05:00"
-            }
-          },
-          "general_tissue_morphology": "Not Reported"
-        },
-        {
-          "id": "d22843cb-8a14-4592-b339-a04cf1514205",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
-        }
-      ]
-    },
-    {
-      "id": "6bbf8ace-0b17-57e5-bf9e-2c164cb28e53",
-      "identifier": [
-        {
-          "value": "TCGA-F7-A50I_diagnosis",
-          "system": "GDC-submitter-id"
-        }
-      ],
-      "condition": {
-        "coding": [
-          {
-            "code": "Squamous cell carcinoma, NOS",
-            "system": "GDC"
-          }
-        ],
-        "text": "Squamous cell carcinoma, NOS"
-      },
-      "metastatic_site": [
-        {
-          "site": {
+          "id": "5eb175ff-1b47-463a-8f16-4b59914457bc",
+          "source_material_type": {
             "coding": [
               {
-                "code": "Larynx",
+                "code": "Primary Tumor",
                 "system": "GDC"
               }
             ],
-            "text": "Larynx"
-          }
-        }
-      ],
-      "stage": [
-        {
-          "method_type": [
-            {
-              "coding": [
-                {
-                  "code": "AJCC staging system 7th edition",
-                  "system": "GDC"
-                }
-              ],
-              "text": "7th"
-            }
-          ],
-          "observations": [
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Stage IVA",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "stage iva"
-              }
-            },
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Pathological Overall",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Pathological Overall"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "Stage IVA",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Stage IVA"
-              }
-            },
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Pathological Tumor (T)",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Pathological Tumor (T)"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "T4a",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "T4a"
-              }
-            },
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Pathological Node (N)",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Pathological Node (N)"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "N0",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "N0"
-              }
-            },
-            {
-              "observation_type": {
-                "coding": [
-                  {
-                    "code": "Pathological Metastasis (M)",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "Pathological Metastasis (M)"
-              },
-              "value_codeable_concept": {
-                "coding": [
-                  {
-                    "code": "M0",
-                    "system": "GDC"
-                  }
-                ],
-                "text": "M0"
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
               }
-            }
-          ]
-        }
-      ],
-      "morphology": {
-        "coding": [
-          {
-            "code": "8070/3",
-            "system": "GDC"
+            ],
+            "text": "Not Reported"
           }
-        ],
-        "text": "8070/3"
-      },
-      "related_specimen": [
-        {
-          "id": "5eb175ff-1b47-463a-8f16-4b59914457bc",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
         },
         {
           "id": "384902a7-fa03-4083-9baf-7ce114694c9d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ccd8f2ed-5a6a-460f-b692-ee7d78e29b18",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -61003,23 +73691,71 @@
       "related_specimen": [
         {
           "id": "fce64b88-8be6-4710-83be-18c9afdf13ed",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ec7fe5e6-74af-4bd2-9ecb-8e302f763b22",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "77b774a4-9456-4907-86e6-9ff2dd87b8fd",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -61171,13 +73907,45 @@
       "related_specimen": [
         {
           "id": "f1e46036-7b4f-4cca-a150-f2d8e599fdf7",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c226c7c5-64e6-4790-a420-c2f4e0196453",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -61400,23 +74168,71 @@
       "related_specimen": [
         {
           "id": "6e767fc9-0f5a-49ec-999a-cda2daeba6ff",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "47e7b839-bde5-4b66-98da-7ed6e3e7c29b",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "60c8633c-16f9-4066-8aad-311b04b935e5",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -61659,23 +74475,71 @@
       "related_specimen": [
         {
           "id": "d278f388-2a5f-407f-886d-961272ca28eb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "dbea2268-ac62-4ab7-aa7d-86f029fcb2df",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "76240522-a39e-48c7-80e0-241277fdb705",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -61747,13 +74611,29 @@
       "related_specimen": [
         {
           "id": "151f2c1e-f448-4fa5-9b61-81dc5c339f58",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-27T19:26:40.896040-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -61905,23 +74785,71 @@
       "related_specimen": [
         {
           "id": "2027ede3-13f5-40f6-bef6-16704981d676",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "3423d96f-4c5a-40f7-8e66-3dd4b9818f52",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "25b0ae1d-2add-49b9-a5ae-99702a5c48f4",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -62164,23 +75092,71 @@
       "related_specimen": [
         {
           "id": "c03b3dfa-7b9b-4a21-9274-d174bc14440b",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "343c1ea3-2785-465f-b01a-2d609b486ef9",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "d9095c8b-414f-41d4-a478-ee54d2728762",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -62252,13 +75228,29 @@
       "related_specimen": [
         {
           "id": "271c4064-6b2e-4971-853f-e3f2a1cdd74a",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:35:23.418160-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -62330,13 +75322,29 @@
       "related_specimen": [
         {
           "id": "34487c7a-5f9a-41b0-8ced-d7c2ce3653e2",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:54:19.535598-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -62408,13 +75416,29 @@
       "related_specimen": [
         {
           "id": "b882dbe8-5494-4092-8bad-ccca6b119775",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:09:54.181448-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -62486,13 +75510,29 @@
       "related_specimen": [
         {
           "id": "b9d46cb7-1679-4998-853f-03e5827cbb53",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:35:23.418160-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -62564,13 +75604,29 @@
       "related_specimen": [
         {
           "id": "fbb548d6-a035-43c3-99a4-7fb2892ade49",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:58:03.635432-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -62813,23 +75869,71 @@
       "related_specimen": [
         {
           "id": "7ce8968e-f693-4fa2-945a-0cea27c96ede",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f4e12699-7e71-42ba-994a-c3a9a71a95cb",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f4cf2a66-8872-41ee-8270-296d5f76265f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -63072,23 +76176,71 @@
       "related_specimen": [
         {
           "id": "f7831fa0-1f1d-4623-aba0-8117b925a1ee",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b99fa26a-da90-4b98-bea0-f0c71a1b6ea3",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8aa78dee-bc22-4d4b-86d6-60fb80358da8",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -63311,28 +76463,92 @@
       "related_specimen": [
         {
           "id": "aaa6607c-e333-4f99-b1dc-390c3cad4f1b",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "d455327a-a947-4a67-8fb5-44438abe5976",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f0684e03-2d91-4e9b-9d11-a3063ccc2f34",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c8ac9749-82ff-4348-8d91-5ce677697a15",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -63555,23 +76771,71 @@
       "related_specimen": [
         {
           "id": "d018cd44-6b01-44f2-9181-81153225aab8",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8b510bc8-7b3c-4861-9a40-c2c30b7099e0",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c0c84016-117e-498c-9ed9-52e279e89e33",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -63794,23 +77058,71 @@
       "related_specimen": [
         {
           "id": "e7a7e296-3f1b-49f5-bbaa-082f918d080d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7b56068d-21e9-4879-b747-c99943e40e50",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b0d4b16c-cc81-405f-83a1-de57cb488166",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -64042,23 +77354,71 @@
       "related_specimen": [
         {
           "id": "cc710f34-9fb5-4474-84df-5427b59aa062",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ae3f666a-0c18-41c1-b00e-90cd85a2f987",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "65b091e0-fd47-4f4c-87f1-b2ba9c2766c5",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -64301,23 +77661,71 @@
       "related_specimen": [
         {
           "id": "b67c34c3-8e4e-41cc-865d-43ee8c9d3d78",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "410b2727-8446-41b1-92b9-42671d118a39",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "6d2f2d82-2fa5-44ea-a714-85c05b5bd255",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -64560,23 +77968,71 @@
       "related_specimen": [
         {
           "id": "a9ebdedd-056f-4bc1-abc2-7089544a1549",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "4a339708-153a-4780-a265-70557765a754",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "e62166c3-871d-4b0f-999a-4f033d7cb6c7",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -64808,23 +78264,71 @@
       "related_specimen": [
         {
           "id": "ae1a6096-8d51-482a-8c44-cbfdc7dd6458",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0bc27973-621c-4011-bcbd-3b7f3464389e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5e42be68-8865-4c69-8684-0f6e5c6c9b94",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -65047,28 +78551,92 @@
       "related_specimen": [
         {
           "id": "76de8a78-90b8-4928-8dc1-bf3b8157382f",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "37f4a944-d427-4f41-9d27-982a910103e8",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "05aa5c47-cbde-491e-b8d7-a60cfe1ca2d9",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "6883e88c-05a5-4ae7-a43f-40d4f35a3a2d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -65291,23 +78859,71 @@
       "related_specimen": [
         {
           "id": "f70fece0-2fb1-4d8f-955b-7b9bbfeb9755",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "746322c7-fe75-4b9f-9309-93e9cfa4cb5a",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "4863312a-043e-418e-812d-2ae2a1f66f29",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -65550,13 +79166,45 @@
       "related_specimen": [
         {
           "id": "7d93ba42-9e87-4a6c-8b0d-6f185645a90a",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9ca906ce-18f9-41c5-afcc-353b26fdebaa",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -65799,23 +79447,71 @@
       "related_specimen": [
         {
           "id": "5be42d60-80c3-486f-8717-801fec0c89d3",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "fbceb407-e7f8-4942-8689-854f8999672c",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5df6c457-baef-451d-b1cf-eb7fa6adc602",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -66038,23 +79734,71 @@
       "related_specimen": [
         {
           "id": "7c56b9e6-8fd8-4d39-92f0-a24c80270dda",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2920ca1c-6035-4350-ada4-c60d485dbfff",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "99ca3c12-0d63-428f-8b1b-03e4a3e8e233",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -66246,13 +79990,45 @@
       "related_specimen": [
         {
           "id": "339524bc-bc1f-403c-a12f-6e8ce72fba50",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0e357973-d52d-4fc7-8099-7b87458745e2",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -66495,13 +80271,45 @@
       "related_specimen": [
         {
           "id": "81bbc439-0c8c-4d39-bef2-03901b31c50e",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a76bfc3e-fa46-4a65-88e7-c644c8b20098",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -66724,23 +80532,71 @@
       "related_specimen": [
         {
           "id": "63bdeeca-a7b1-47fb-9945-c24f7513c56c",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2c2db97c-8c8d-4f1e-ab73-469238609d61",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9e25f49c-cd83-4171-9e07-51aca3fb1019",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -66932,23 +80788,71 @@
       "related_specimen": [
         {
           "id": "c807171a-4433-4246-a454-c5cf768da8aa",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5b2581d8-c087-4caa-b9ce-bc0168fbfefa",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2877214f-4aab-46cf-b052-b6e7d2662ff5",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -67140,13 +81044,45 @@
       "related_specimen": [
         {
           "id": "a4dca71f-e53a-4bd0-9d1b-3381ed188a41",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "0771e98b-4e65-450d-afc2-33d4e30b3df2",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -67369,23 +81305,71 @@
       "related_specimen": [
         {
           "id": "5f14a8c0-f19e-4a67-b6dc-907196ab34f6",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "33c19ae3-107a-4b64-9906-5b775025cd8f",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "bb90f8e2-c872-4ded-9d10-5110f023762f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -67628,13 +81612,45 @@
       "related_specimen": [
         {
           "id": "77234a56-cad6-4b84-aabb-032be68f7dea",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8e00c51b-cc4e-4de3-ad9d-8ffe30f2ab0b",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -67866,13 +81882,45 @@
       "related_specimen": [
         {
           "id": "ac9f5493-c06b-40dd-b80d-7be718d27289",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5a5005d4-6cd9-431a-89ec-ce6d34b0fc7d",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -68095,23 +82143,71 @@
       "related_specimen": [
         {
           "id": "b4c9a3aa-151e-478b-bc18-ce793b68ae09",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "00a721c6-6cb7-4408-a63a-6dae9310a3fe",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8b73f661-e1ec-4bcb-9eea-a5e66237229a",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -68334,23 +82430,71 @@
       "related_specimen": [
         {
           "id": "adb496a1-07eb-45b9-8690-00184143300e",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "3fb86c71-0f8b-4022-b19f-d394401df9fe",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "97d5f4b1-b8a5-4fb1-8af6-f0e6cfc302f6",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-23T13:20:20.149518-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -68593,23 +82737,71 @@
       "related_specimen": [
         {
           "id": "1e8ad4ff-09db-44f6-9527-b10ac22453d6",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "661cafd9-0cf9-4c6f-b541-293bdecf3ede",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "434adba3-549a-45f7-b89b-76737678ae0e",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -68841,13 +83033,45 @@
       "related_specimen": [
         {
           "id": "6237b644-9903-4f45-8b07-6c610b1342b8",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "887261fe-5b99-4722-aca7-4e63a0b63336",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -68919,13 +83143,29 @@
       "related_specimen": [
         {
           "id": "eddc8197-6d13-4eef-bb1d-06d1b8df5395",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-28T12:05:42.341898-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -68997,13 +83237,29 @@
       "related_specimen": [
         {
           "id": "f02ce49d-85b8-4704-9dbb-8e012090fbd5",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:27:14.117499-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69075,13 +83331,29 @@
       "related_specimen": [
         {
           "id": "b5da1115-1fe3-49a4-892b-ef43e64dbee4",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:13:38.880466-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69153,13 +83425,29 @@
       "related_specimen": [
         {
           "id": "2bd6f2fa-881f-4287-a616-d43d33a5e551",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:07:22.808668-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69231,13 +83519,29 @@
       "related_specimen": [
         {
           "id": "a7b07575-200a-4a32-8faa-075ded8667cc",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T19:07:22.808668-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69309,13 +83613,29 @@
       "related_specimen": [
         {
           "id": "ea42167d-71c9-4eda-8153-2b207208d97d",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:13:38.880466-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69387,13 +83707,29 @@
       "related_specimen": [
         {
           "id": "5007e321-c75c-45c2-b4a7-0d3cbde5280a",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-05-31T18:42:00.849990-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69465,14 +83801,38 @@
       "related_specimen": [
         {
           "id": "fe72277e-ae77-486d-b5a9-844c483267eb",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:41:38.922504-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69544,13 +83904,29 @@
       "related_specimen": [
         {
           "id": "7aa50a3f-dd6c-496c-89e2-2d8d6d136acf",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-02T18:01:58.729859-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69622,14 +83998,38 @@
       "related_specimen": [
         {
           "id": "9f4929bc-09a7-47b8-9720-d6f829b51a13",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T10:39:05.012118-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69701,14 +84101,38 @@
       "related_specimen": [
         {
           "id": "7f5f0ba4-3eb5-462a-8db8-31faca9d0d27",
-          "source_material_type": "Metastatic",
-          "tumor_status_at_collection": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
+          "tumor_status_at_collection": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2017-06-01T09:54:06.130101-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69780,13 +84204,29 @@
       "related_specimen": [
         {
           "id": "8a18a085-a8a0-4fd0-9468-33e10fe1c55d",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:46:25.150285-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69858,13 +84298,29 @@
       "related_specimen": [
         {
           "id": "97064320-d382-4d87-a302-72490d7577d6",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:27:14.117499-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -69936,13 +84392,29 @@
       "related_specimen": [
         {
           "id": "a75ac689-6228-4806-b699-874f8ec28ae1",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:50:42.610446-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -70014,13 +84486,29 @@
       "related_specimen": [
         {
           "id": "f2ec974c-b952-4450-947b-11c39bbaf248",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T03:39:05.576558-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -70092,13 +84580,29 @@
       "related_specimen": [
         {
           "id": "28cb9e1d-c34b-4909-a387-5a5c60bcd6e3",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:06:12.185212-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -70170,13 +84674,29 @@
       "related_specimen": [
         {
           "id": "b1d7b582-2302-44fb-a98f-13372ca17247",
-          "source_material_type": "Metastatic",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Metastatic",
+                "system": "GDC"
+              }
+            ],
+            "text": "Metastatic"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-10-03T04:06:12.185212-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -70248,13 +84768,29 @@
       "related_specimen": [
         {
           "id": "678dfc0e-f085-4c85-b444-8fc1604bdcfe",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2019-06-03T15:37:30.937085-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -70326,13 +84862,29 @@
       "related_specimen": [
         {
           "id": "7894955b-ac0e-46ee-a5b3-c023cd1e87b6",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -70404,13 +84956,29 @@
       "related_specimen": [
         {
           "id": "52beca45-8506-41fa-b0a0-3a8c24c9d7fe",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:06:57.341931-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -70482,13 +85050,29 @@
       "related_specimen": [
         {
           "id": "e01da120-9c9d-4ef7-8568-525f74222dd5",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:40.150348-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -70731,23 +85315,71 @@
       "related_specimen": [
         {
           "id": "44c64654-0e37-4c13-b4fa-aaf9c6644445",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "936a8a93-6559-4bf8-9c51-e81ec4f2aff7",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "17a0a479-3b48-4852-ab06-dd33d6f7788a",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -70819,13 +85451,29 @@
       "related_specimen": [
         {
           "id": "85fa5941-b6df-4eea-97e1-a7b4ae310bdb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:06:57.341931-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -71017,13 +85665,45 @@
       "related_specimen": [
         {
           "id": "ece42fcc-b771-42af-92c4-39fd74b645c5",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "77be0d91-0525-439f-bb34-3a0702c81085",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -71266,23 +85946,71 @@
       "related_specimen": [
         {
           "id": "6b690841-3ad9-4919-8913-8f291ee95868",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "25588932-d586-4a17-b18e-4ede4292ce9e",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "7206e2ea-ad1d-45d4-ba3c-fc1f39fc52ea",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -71505,28 +86233,92 @@
       "related_specimen": [
         {
           "id": "2e5b2590-4227-4265-a837-8175920e4d01",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "26eac019-6e9b-4ab1-aa1b-323f76d9aef3",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ccd7a7be-3065-4f30-8d21-94bfdc0b4703",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "cc37f4d1-d8ae-4367-8abf-7c6da579d09e",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -71749,28 +86541,92 @@
       "related_specimen": [
         {
           "id": "13da732f-058d-4635-a2f0-81e73c725b8d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f84ae44b-4bb7-4841-aee0-139cd79b9680",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2e9cdad5-53ec-4b5e-8a1e-4f8abee04149",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5ec51826-98c1-49d2-a990-7a95ee636753",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -71993,23 +86849,71 @@
       "related_specimen": [
         {
           "id": "091478b2-f8c5-4ad8-9c89-06a48728fa2d",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a61be572-405b-4b16-b554-7fa6c12a48a4",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "fbf59d12-7047-49b1-9002-00030c797438",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -72252,23 +87156,71 @@
       "related_specimen": [
         {
           "id": "980726e2-9e0c-4212-b5aa-69e139fc3be7",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "1c9d867a-6fba-49a1-99ba-63bd01942397",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2b803b39-f13c-4335-9845-05bb61830015",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -72511,23 +87463,71 @@
       "related_specimen": [
         {
           "id": "c4aabbde-a46a-403e-b974-7b61b964a1b8",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "99404948-9837-40eb-bf38-c1cfe1b9a88c",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "ccc0e6ba-cf8b-45e4-9f0b-dd2422b3e470",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -72759,23 +87759,71 @@
       "related_specimen": [
         {
           "id": "3f5cd265-0dd3-40c3-94b8-e92d18ce87b0",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2e1b4cf3-61fe-452c-b800-f9bc53333713",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "3b3502ab-ab9f-49d7-be08-243a7022463f",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -72998,23 +88046,71 @@
       "related_specimen": [
         {
           "id": "1169973a-8575-4d2b-8da8-36a83aa5f947",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f1367475-a5f1-4a0f-aa73-5a703a3accaf",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9fbf3123-c654-4f2c-b41a-ac4dc029a5d9",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -73257,23 +88353,71 @@
       "related_specimen": [
         {
           "id": "50df1144-990e-4357-8a15-132289bce0d8",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "412fe306-9755-4efe-abb0-9af695b5691e",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "cdc66ca4-8864-4f22-bc4e-8fb5e073937f",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -73496,28 +88640,92 @@
       "related_specimen": [
         {
           "id": "3e6bc216-301a-4f24-911c-8c3610e4a015",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "6f55766a-d980-414a-be4a-369e93ec3436",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "b4f8ddc9-0ab4-447e-8292-5dcf8a9085ee",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "f5472b70-32c8-48b0-9051-f9b33272ffd6",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -73760,23 +88968,71 @@
       "related_specimen": [
         {
           "id": "de8517e0-d7ad-41a2-9468-bdf0106c905c",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "392cbac9-ed5a-4f0c-9270-f45278476c73",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "408c2c68-2f92-421e-b797-ecada0bfedc7",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -74008,23 +89264,71 @@
       "related_specimen": [
         {
           "id": "903ed81a-057c-41ad-93de-aaa9d9c082c5",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "d30d7d4c-0acf-4b61-9d7e-2c15e20d73a8",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "2e51af26-4d06-4b66-be71-0bebed2e4557",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -74247,23 +89551,71 @@
       "related_specimen": [
         {
           "id": "a2dd87a8-e0d1-47c1-a8d1-70b9730aa4ba",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "53450297-c715-4c54-ad7e-3152a1e16c45",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "8c099f45-3fd6-4966-8cdb-ca4b9288b1a2",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -74506,23 +89858,71 @@
       "related_specimen": [
         {
           "id": "4bed3ece-2350-4c99-bec9-3d652fbe8c9b",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "3c09f5ba-a4af-4384-948a-d6e943613f7a",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "a590a632-55b4-4be6-b2d8-6c8afbbe99ac",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -74765,23 +90165,71 @@
       "related_specimen": [
         {
           "id": "462748e0-b611-44d3-b3fd-efb762ba317b",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9b60705b-95c4-4079-a907-e4a4b65a3cf4",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "30ad1a00-b48a-47bb-8cfa-d65e4c4ba125",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -75013,23 +90461,71 @@
       "related_specimen": [
         {
           "id": "8277e744-0508-47d5-9cea-11dcf7f56d35",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "51622170-a903-43cb-bc38-4d40c7ea170f",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "fb06ae75-8516-4cdc-ba9e-093444907fc7",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -75101,13 +90597,29 @@
       "related_specimen": [
         {
           "id": "6f9eeaa3-8bd1-479c-a0fc-98317eb458dc",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-09-24T17:56:43.873530-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -75350,23 +90862,71 @@
       "related_specimen": [
         {
           "id": "4a0d79fe-9eb9-456c-b483-ccf956597a3d",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "9c02fd4a-a29a-4a44-ba96-5acb6ff11f7f",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "1077bf93-cf23-41db-925c-c633921894cc",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -75609,23 +91169,71 @@
       "related_specimen": [
         {
           "id": "4467ee1a-7188-49d6-a0d1-c8e395e6cabb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "5c2b4403-cdd4-4550-ba01-d8ebad9fcbc8",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "589cdde1-ecd5-4a7b-9cbc-3186916822ab",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     },
@@ -75848,34 +91456,98 @@
       "related_specimen": [
         {
           "id": "0e0af838-3a62-44a6-9e8e-0f9ba07730fa",
-          "source_material_type": "Primary Tumor",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "c22e9fe0-a052-4c6f-9fb2-e58289277e2a",
-          "source_material_type": "Solid Tissue Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Solid Tissue Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Solid Tissue Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "6bd53676-487f-4661-8e01-739b3b856cee",
-          "source_material_type": "Blood Derived Normal",
-          "general_tissue_morphology": "Not Reported"
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Blood Derived Normal",
+                "system": "GDC"
+              }
+            ],
+            "text": "Blood Derived Normal"
+          },
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         },
         {
           "id": "da9132d5-4a55-4d7a-bb7f-7990af380dcb",
-          "source_material_type": "Primary Tumor",
+          "source_material_type": {
+            "coding": [
+              {
+                "code": "Primary Tumor",
+                "system": "GDC"
+              }
+            ],
+            "text": "Primary Tumor"
+          },
           "creation_activity": {
             "date_ended": {
               "date_time": "2018-05-17T12:19:46.292188-05:00"
             }
           },
-          "general_tissue_morphology": "Not Reported"
+          "general_tissue_morphology": {
+            "coding": [
+              {
+                "code": "Not Reported",
+                "system": "GDC"
+              }
+            ],
+            "text": "Not Reported"
+          }
         }
       ]
     }
   ],
   "@context": {
-    "_comments": "Auto generated from crdch_model.yaml by jsonldcontextgen.py version: 0.1.1\n    Generation date: 2021-11-18T18:20:30\n    Schema: CRDC-H\n    \n    id: https://example.org/crdch\n    description: \n    license: https://creativecommons.org/publicdomain/zero/1.0/\n    ",
+    "_comments": "Auto generated from crdch_model.yaml by jsonldcontextgen.py version: 0.1.1\n    Generation date: 2021-11-18T18:29:32\n    Schema: CRDC-H\n    \n    id: https://example.org/crdch\n    description: \n    license: https://creativecommons.org/publicdomain/zero/1.0/\n    ",
     "@context": {
       "GDC": "http://example.org/gdc/",
       "HTAN": "http://example.org/htan/",
diff --git a/head-and-mouth/diagnoses.ttl b/head-and-mouth/diagnoses.ttl
index f326bb1..7b2d716 100644
--- a/head-and-mouth/diagnoses.ttl
+++ b/head-and-mouth/diagnoses.ttl
@@ -1,23142 +1,27060 @@
-@prefix : <https://example.org/ccdh/> .
-@prefix ccdh: <https://example.org/ccdh/> .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "bbbf3549-d0cf-4dcc-bc92-32d12cd2c96b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD10083_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T09:54:12.244834-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "712ad6f8-8c2a-4c82-a89a-10ff849e3e9e" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2b3b0e72-0926-5ed2-89c8-ffa1585d111f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-A6K1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "09b49e67-34d8-496e-b42a-5123fb516cc0" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "43115789-cca5-4dc0-8377-e47b90c3f16f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8ae503f5-a283-4bdf-8c82-de63f534bc85" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
-    ccdh:id "00ed54be-bd0c-5950-9165-b08535ef9f18" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-TN-A7HI_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8072/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8072/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3ad15aca-9197-4512-8bb9-77099ae8f049" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2a081426-e4fe-4868-adc9-c14142490b81" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9808b586-4541-42a8-a72c-0c043ff568b3" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e7fe03ad-184c-46be-adcb-dcfc79db3492" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-d47c6375-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7512ff60-162b-41b7-a3ed-c153d7aee073" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d284c064-ed2c-5741-b1ad-2f9fd34b6636" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-5153_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2f668e36-b359-488e-b0fc-fb7bb479f485" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f079e825-160a-40d5-97cc-1931f11c4e2e" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2dc7070a-9c70-4bb1-9634-8c934bb9c8d1" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Malignant rhabdoid tumor" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Malignant rhabdoid tumor" ] ;
-    ccdh:id "9a11a042-337d-5a91-b483-093f98b0b72f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TARGET-52-PARKKN_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Lip" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Lip" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8963/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8963/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2016-02-17T11:50:17.531058-06:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ced7edc7-a9ff-5d30-a63d-dbed4edfe497" ;
-            ccdh:source_material_type "Primary Tumor" ;
-            ccdh:specific_tissue_morphology "Rhabdoid tumor (kidney) (RT)" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Unknown" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "unknown" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9808f3d0-16f0-519d-8e0a-9061968bc749" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-6023_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5e42be68-8865-4c69-8684-0f6e5c6c9b94" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0bc27973-621c-4011-bcbd-3b7f3464389e" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ae1a6096-8d51-482a-8c44-cbfdc7dd6458" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0b96cae3-d332-4e5e-ba59-e0a6bc6573df" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0017105-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:17:41.081467-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ba279369-073d-4976-8439-3a318c0f0fc3" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0b8731f0-363a-4989-ac32-3ad093d433c4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0003031-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:50:42.610446-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e44b074f-5e47-4faa-bd94-7375982fbd90" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "6176f8de-0835-4f23-9ce1-85511ac4e1f9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD7774_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:50:23.633804-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bcecf093-e764-4c32-81e5-619d0e86216e" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "4679b4bd-c891-5a60-9b12-1e6bf1bb7675" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-A4IF_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5eea7c58-96b4-426b-9685-15599e534730" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7bfdae74-2bf4-4ec7-b08c-acd9b9e0baf4" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "18d11972-ed5f-4c5b-9511-18b00bca7f7d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-8036-18260_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:10:26.105156-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "475098e0-9927-42fc-adf2-e280d8aec3bb" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4176108f-948d-5715-afbb-cc21f3cbfaf5" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-5363_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5e4e1e21-8016-4e27-8f72-2411714203e8" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "591e99ec-46f9-442d-ac20-745dccc8a52b" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d0161f8c-9c53-47ad-895c-40d1be3a814e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ivb" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVB" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVB" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c97d4793-3b4b-521d-a274-2d1dfeda79ae" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7398_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "251e8544-2c3c-4b31-a2b4-29b57e6ee4fd" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "13348e4e-8b8e-44b5-83e6-a1159a53ea35" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "c9269eb1-ab75-4719-8cd9-e9efd32f7d7e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-5245-16353_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:07:22.808668-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "08209047-3b7a-4295-90b0-ddc92aa1e1c9" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "fc0ee2ab-b738-49c2-b645-4b6851be5e8b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-49d6a6ea-metastasis-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c63e4630-7bb4-4f01-b9fe-94478000158a" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f0b5d732-2466-4d9a-90cb-ec3084606849" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0010677-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T19:11:18.668081-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e084b5e5-05ac-4229-bbe8-f640f231e1fb" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d113feec-68eb-4294-b6b4-6b8e22ce56bb" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0016562-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:49:52.836213-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "99c1a34d-ba04-462f-be28-bb5eac77b316" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "dc412cff-36a3-4721-b1f3-8e16ed74489d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0001186-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:31:25.700438-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1853a05a-8846-4da3-9509-bff587eb6e8d" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cee28001-9ebf-46a7-b387-e932076e5df8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0010817-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:13:38.880466-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "08a27a81-561d-41f1-9d99-6266c1f230c9" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5b91d8ab-6ed3-4c0a-a56b-8f0e151eaf5a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-000195-4559_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:06:57.341931-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "52beca45-8506-41fa-b0a0-3a8c24c9d7fe" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "18d9c548-2f10-5116-bf59-05cc53b3b5c6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7410_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a24e0ad7-668e-4bc7-ae3a-94964278a407" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "843ced6e-a9be-48ea-9313-13aa752dbbe1" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "acd6cfc3-412b-4f61-a2c7-013c61fa2efe" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "6f840d0f-a369-413c-baf1-35200313c274" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-a679ee35-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "60e15dc9-5d8b-4104-b6c3-bc0b7b3109a5" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9e0b865b-296f-481f-8bc2-7bfe4642d805" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0001912-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:35:23.418160-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "271c4064-6b2e-4971-853f-e3f2a1cdd74a" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "98a4badd-be86-5ac9-b0d9-9099d5bdcdef" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7247_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5ec51826-98c1-49d2-a990-7a95ee636753" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2e9cdad5-53ec-4b5e-8a1e-4f8abee04149" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f84ae44b-4bb7-4841-aee0-139cd79b9680" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "13da732f-058d-4635-a2f0-81e73c725b8d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0e732992-a174-4861-8e05-a6c3e21107b3" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0001903-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:35:23.418160-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ea373411-6d3c-4ee3-b8c1-d79131847aa1" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2e4427b7-e557-49c7-85ef-39a02c4a441c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-050738-234120_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:18:25.269226-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c6e1507a-83f3-4c51-8275-319d0dcd8f97" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1214a9ed-2d43-50a7-9a94-85eaa002670b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-A6DA_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a2260bc1-8aa1-442c-933e-e4a05d46d802" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8b80b922-b00f-4cda-92a2-49c357aea89d" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "33bf2824-d873-442f-8ae6-48274fbf4a94" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "a2cd4aae-5655-4082-956c-f5bbc733c576" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-UHN-221761-ARC1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:18:10.730001-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5103a1f3-d342-462e-9845-9703579d26f8" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "af6475d1-2529-4772-9e9e-ce83e3dc0cf8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008645-7086_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "30b0ff9c-3106-4ce0-8657-3ed59c1c8fc7" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "83e6c6d4-83d7-55d8-ab82-aba8f3e543f5" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-6988_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5bf33753-d3c4-4fbe-a8e0-af958efb6fd1" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ca2a45b4-1eb0-4e28-a4c8-5647bfbaa98c" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4f72ee1e-37e2-4845-90de-812686a25980" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "de3c2719-988d-4266-98cd-c1139a2cc412" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0006641-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:02:01.981535-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4e6ffe6c-feee-4dca-b56d-0f2c8b498ae6" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c5df4db4-06f3-4596-98d2-3ab0e5df45b6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0003711-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:54:19.535598-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7eef7c3e-d42d-4cf5-9ad1-3099b828f776" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Basaloid squamous cell carcinoma" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Basaloid squamous cell carcinoma" ] ;
-    ccdh:id "35c83c03-b2ab-5f6b-a231-66a3f879a217" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-P3-A5Q5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8083/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8083/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3b3502ab-ab9f-49d7-be08-243a7022463f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3f5cd265-0dd3-40c3-94b8-e92d18ce87b0" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2e1b4cf3-61fe-452c-b800-f9bc53333713" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0be93ffc-ad62-42bb-892a-ba10c4da6f39" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0017332-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:20:07.713564-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "43637316-5d63-491d-b4cd-2caa045d8c7d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "7c0c3290-5b41-50b4-b37d-536ebbac2af8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7101_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "397b08f6-f560-418b-a6e6-2d953187bd5d" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8e461b7f-1bfd-476d-a948-7aadb89a41e5" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f040a5a4-e955-4e69-9f2e-ae9a4c78780a" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "79ec5357-3a44-40db-a1ba-ee282b484526" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f9a0b1dd-a13b-4a14-ac22-c9570e02ca60" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0008792-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:09:54.181448-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b882dbe8-5494-4092-8bad-ccca6b119775" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "826319f7-67b5-481a-998b-781e3ded01c1" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-22f8acca-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7aa50a3f-dd6c-496c-89e2-2d8d6d136acf" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d1841d22-3350-4037-918a-bb399ed85963" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-005202-1165_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:27:14.117499-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "97064320-d382-4d87-a302-72490d7577d6" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "dcc6b724-3a6f-43bc-9a7a-eb031a031212" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0000433-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:31:25.700438-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "afcf4bae-7e95-4306-9627-c9a9d6011dfa" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1d13cc0a-da04-5925-8930-693f09cd6432" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-T2-A6X0_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a4b8631d-80aa-4665-86b4-0caa7241da66" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6f085b6d-6abf-4d89-a17a-89e6c7f8fcc2" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0416608e-19db-43b8-ac11-87406b0164d0" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a00585d3-91dc-4976-87b6-d00c7caf5f5d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0008528-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:09:54.181448-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "89fa0392-487d-4839-9c7e-cb82312941c7" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
-    ccdh:id "3ddf3ff8-b8b0-5525-8425-dbe1c27753b6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-IQ-A61I_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8072/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8072/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "19c823d3-c15b-4a1c-9a27-6ce489f3b640" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f238d98a-1b53-4aae-8bdf-f85f0b9a066c" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "68604eed-fd8f-4003-b9bf-ad0e1ecdf3b3" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "37b4b703-52d6-51dd-9cd7-3f759862a78c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A63W_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8da610b4-0a32-4ef8-9f55-1c969addd79f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e6cd0e23-4423-4ebb-b314-913419340811" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9b9dbf11-d017-4723-a76f-c25ce4a01f09" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "bd3b2bda-4737-50bb-863a-334134a31156" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-QK-A8ZA_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4db7e146-bf2a-4729-ae80-d471370b62a0" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9adfbc71-da3c-4a8e-a72f-76690e90a8ca" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f92383bc-5869-44d6-a128-60b60043d778" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "35adcfa2-f4ae-4aec-8362-097fab231545" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-000205-461_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:06:57.341931-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ab00664b-8f6a-493d-b000-89f1341dc713" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c652d5fb-652f-485c-99cd-4e3e00af1126" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0000396-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:31:25.700438-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2bde1811-da29-46e9-973a-45ea43387818" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4ac21d4b-c592-4afd-bfc1-278702612bd6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-004838-2080_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "10d245b5-b16d-40ee-bd41-bd08a0355894" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2707217b-5a4b-404b-97de-921526581d45" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-2b4655c3-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "56e9e0e1-5435-4b6b-93a0-70564fe1aa27" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a8a92864-8cd0-5e1b-8451-ca6f3e84a857" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-QK-A6V9_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9b60705b-95c4-4079-a907-e4a4b65a3cf4" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "30ad1a00-b48a-47bb-8cfa-d65e4c4ba125" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "462748e0-b611-44d3-b3fd-efb762ba317b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "25fb47b9-2f00-4140-92bc-462b1e8447c4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-4wf609jo-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0ef8dcd6-8f67-4f29-a69d-d952df3d43b3" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "605addeb-a295-4bd2-ab90-347c41e9b1ad" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0008105-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:06:12.185212-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b9b1b672-a788-46eb-bc8e-a5b401d1a430" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6459d972-a02b-5a11-a7ef-12f699047036" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-5248_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0771e98b-4e65-450d-afc2-33d4e30b3df2" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a4dca71f-e53a-4bd0-9d1b-3381ed188a41" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "562417d9-1094-45a9-9621-7fc5ce203ac3" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD2564_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:00:26.233095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4448e3e1-aeff-4ea0-82e4-1692b9b59414" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "40954a8e-e4c2-5604-937b-0a79ac7489d2" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7261_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a7692585-a129-4671-bfe5-98342a326776" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "69a89590-eb61-41d5-b33e-e7bc5adb92bf" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b069c55b-496a-4a57-a507-1b2e1b4201ae" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "00f7bc3c-c0e7-42bf-84d7-87a8a539bd4a" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c8cffdf6-7c37-5146-9bff-2cbd5a6f5bbd" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7364_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6ced7677-159f-4e9f-b550-627ab9ea80f7" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a17406af-2eda-4148-8a0d-ec2ae4bd9fac" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "05d9d8f7-c21d-47ea-bb12-7de5f6709096" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD14142_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:42:51.054806-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "02402659-6c66-46ca-861c-e4c093a1a3d3" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "09912a9d-8fe7-4170-89cb-f0881ba681bb" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-037012-88553_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-25T12:05:51.637331-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "89c7b64b-262a-440c-b2b0-b45a94097d6b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "b62e9fa2-da66-5eb2-b390-96985bc92b6b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-H7-A6C5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "875069b7-9411-4fb1-b8a2-992a052bee49" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9b557922-d796-48bd-b194-1fba8622f254" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "069b94fd-00fe-4073-bfca-3a3a8057d1f8" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "578cf44a-2d2c-416d-a428-69547378bb9b" ;
-            ccdh:source_material_type "Solid Tissue Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "bf8ae40c-068c-44c4-b09e-954969e83369" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0016039-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:46:25.150285-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ab79d569-bc64-4639-a6a8-74bc2bbe0d0c" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d078cccf-6335-4c55-8d5e-a36e32dd8006" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-004034-372_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7d1a8a2e-c9d3-4e1d-b183-3c82de7e2306" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d7d13cee-ba1b-4e36-a0a5-3f925c871020" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0013833-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:39:05.576558-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b6ddcf15-8ecb-47ca-bb29-60b9b43fa7aa" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "52fd0265-204c-4ce3-bb51-a3cbee5aca51" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-115ef99e-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6ba7ff9a-775d-4239-884f-4a303b42e4fd" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d0678ad6-4a4a-4ec8-9e5f-352c1347efc2" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-a8pxs0u6-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-04T18:19:50.810302-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ab9d819a-6445-4bad-a520-3d1edf413508" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "8f722b2d-eb3e-5b8b-8b36-429137cb0a3f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7383_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "887261fe-5b99-4722-aca7-4e63a0b63336" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6237b644-9903-4f45-8b07-6c610b1342b8" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage i" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a3c1a290-626e-5e1a-b120-0153a79fadd1" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-4741_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Gum" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Gum" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "03c9108a-5139-4bac-9641-c7dbbedef420" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8d8ddca2-6461-4a8b-a696-da0906661b9e" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a47974a3-b37e-4041-8953-5f50f8745681" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "509526cc-f60a-4e6d-8a18-2f76ba8e995c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0000586-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:31:25.700438-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6d54051a-c75c-40e6-9215-3e470f0d242e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f543ba05-0134-4222-bc49-da336358e2e0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0005862-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:58:03.635432-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fbb548d6-a035-43c3-99a4-7fb2892ade49" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "130676ad-54bc-4d20-9ec5-129d4688296d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD1478_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:54:59.697804-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "50977953-c3a2-4b71-b40a-3f211a269cc5" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cae73de1-65ae-48fb-a08c-355e6921dca5" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-006462-4354_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:27:14.117499-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f632701a-5242-4839-b96d-0214c7e9a73e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4a315682-7cd0-4c42-9fd0-50ec841a059f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-004723-1663_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1291884d-38d8-49cf-b16e-aeab69d83681" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6ca9116f-412c-41d9-872b-1775f3d9464c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD11803_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:01:51.025011-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3dac18fb-752c-42aa-bdad-9f91d54fb950" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b725e6d2-92c0-5585-9de7-14bb623b472e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-4738_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "51622170-a903-43cb-bc38-4d40c7ea170f" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8277e744-0508-47d5-9cea-11dcf7f56d35" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fb06ae75-8516-4cdc-ba9e-093444907fc7" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "a099ae58-fa38-4a90-82b6-c97a23b317f0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-f88a03a6-metastasis-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a9b18808-3ee9-4274-9a83-8d2fcbc16c7f" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "6f1ab30c-67b7-4a7f-b4ef-22b1221bec7d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0012422-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:17:29.664139-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e125a436-ca27-4a85-bd9d-9ca108306229" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5d448af8-7478-4252-9043-772077929480" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-023766-23966_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:44.678712-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a3ca3ea8-6ea0-4585-8a50-294ca4c87a24" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6579daca-0ec7-49e8-92e5-6a6b7c379b8d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-h39utsgs-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-04T18:19:50.810302-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1f1c82de-2931-4f38-9caf-213d5425ded1" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a0943f40-a682-4318-bc07-eea80150867b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-037288-116439_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:26:11.717995-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8449ccd3-033e-4c9f-bec5-9f341264e12b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "49cde226-3d69-415f-ad98-02d190dbf75c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-006446-3455_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:27:14.117499-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5c19b5fa-d6eb-4d7e-b617-930e19aea484" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0a622048-699a-55f4-ba31-6c9e95e1cabd" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-DQ-7590_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b8eb9edb-fce8-4e72-9cbf-c4868c04965c" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "95018dba-f23d-4af0-b774-c28be60007f7" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "36fb3f52-714b-4b86-a7a5-ca4b017fd182" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "60d7b883-bf64-4777-9f6a-efaf4c4a40c4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003875-1298_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c930148f-2059-480b-960a-4efcb3c98ac1" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5a687c66-0c8c-5e23-bd7c-6988abb14d66" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-6021_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "edcbcb1d-23bb-4177-8f77-71071822cd89" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f1cbf326-7657-4c9b-9c8d-e2036e89fd07" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "619a1a7c-f360-4e07-aa85-812e2b1bd92f" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9e30aa6c-91e6-5dd3-9512-75c162a89913" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-QK-A8Z8_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cff6967e-e8f7-4a25-aa31-9328e4b42816" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1efb2d28-ac51-4d70-a24d-667a2b53467a" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a118da56-784d-4b67-aade-d9a7a8b49f18" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVC" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVC" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVC" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ivc" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVC" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVC" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1b2f7aa9-bc17-4cfa-8d93-b5a7bdd68bfe" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0015451-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:46:25.150285-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8a18a085-a8a0-4fd0-9468-33e10fe1c55d" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cb7a6350-80e2-4b6e-9b86-05632255db52" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003213-4767_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a764b89e-ad60-4316-a812-24a5eec7b9dd" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f29e70db-e331-5bcb-82fc-f2e15cad5985" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7433_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5c4960e6-92f7-4576-a7d8-82a7c3d7cd5f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c2530f39-c334-4a38-b75b-b74d5cb95920" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2916fc1e-ba62-4494-8014-dfcc6dd358ea" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "6fdb9066-4bcf-42aa-81d1-585b2f2fdaf9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-6209-17288_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:10:26.105156-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0f97f0c0-2148-4c06-97a5-37a64ed1b81d" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "8764fb2b-e701-53db-b137-03efa2c52637" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-A6DI_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b0d4b16c-cc81-405f-83a1-de57cb488166" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7b56068d-21e9-4879-b747-c99943e40e50" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e7a7e296-3f1b-49f5-bbaa-082f918d080d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b4c405c4-ece9-4cd9-b11c-cb1f863021cb" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003788-772_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f933f399-d986-43eb-bdc0-b3faf49bf513" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "83347eee-7d6a-4848-a139-a71f053e92c9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0000768-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:31:25.700438-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fd2acd96-a021-4fd4-b0f5-1d9f6e4448bb" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cf93d012-b0b8-57b3-8a55-7575dfde2b1d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-6989_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7ac8fb22-0a09-4b16-af8c-b5c2e90a968a" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a5c6b30f-2aa3-48bd-8415-bdce2444e49d" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3570ac4b-b585-4262-b54b-137a2515c689" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9be1751f-17dd-5748-a489-1b4eb3235e17" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-MZ-A5BI_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f1e46036-7b4f-4cca-a150-f2d8e599fdf7" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c226c7c5-64e6-4790-a420-c2f4e0196453" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "da5ce97d-de12-5384-a88d-a9874b39b7dc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-QK-A64Z_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Palate" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Palate" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "eb25346e-0e28-4161-94c8-916b41f8d969" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "67289d96-8140-4ba1-9863-124950488c1d" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "95525590-0eea-4017-be66-dc487b78299c" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "38c088b1-bab2-4d5c-8f45-80280d1c309b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-010800-9387_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b480938b-4562-4d37-a280-16cd4dc700ca" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "92f6368e-51fb-56bf-a72d-7ccc16eafb44" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-5434_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "657cf588-cca0-44c2-83b3-0e87f7a81f29" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f6130e55-1627-4d2f-bd8f-c0e778a1aa45" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "dc649d39-482d-4855-b9e3-129552e5e421" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3f70e2db-b313-4f3f-89e7-cd1c0acecf9b" ;
-            ccdh:source_material_type "Solid Tissue Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "8d28ba70-052a-42c0-9a4e-f06ea143f381" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0001195-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:31:25.700438-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b857d450-dfaf-4407-84e8-d3bbf843cbc3" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0501e7a7-232b-58be-9425-92f1ccd697a4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-4727_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cc2d6cfa-7640-44dd-a200-68fd9f9ee69c" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a7257360-c4dd-4f59-bfb9-c8d593050146" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f102aef0-94b8-4d26-8055-35b76da9dd5f" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "230d872b-0206-409c-988e-6485dae90db9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-p8qm5k95-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2d54eff7-a093-4bf0-b1c2-2f9f159e6b78" ;
-            ccdh:source_material_type "Not Reported" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "203f4d20-b796-4745-9bc0-6385c28ff0ba" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0003320-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:50:42.610446-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3a006479-c2eb-457a-b0a1-e3faebae25b9" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ac0363ed-feba-5584-802a-a8bd096fb07c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-6022_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d452d59e-92ff-46ee-840d-df8a161ca9c5" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3b8fd8fb-429a-47ac-8b99-ae42a3fe968d" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "952f71e6-b64c-456d-8d00-45e4118fef96" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cbdf0116-28d4-42a0-ba6e-43a8587de68f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008605-9620_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "faf18ba4-6d92-4da3-bd43-5071bb88c5e1" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "842d6984-7c03-4ab6-95db-42fa2ea699db" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-010671-11105_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6f9eeaa3-8bd1-479c-a0fc-98317eb458dc" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3adce70b-ce30-4b21-beeb-2a7bda73ca3d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008134-5168_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "37b86231-4224-4084-a523-800e98c4fea3" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f87fc232-ea15-4a26-a863-8604cdb8bb06" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-037287-88492_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-25T12:05:51.637331-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "421f819b-c4ac-445f-882d-c36766f7002a" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "51ca5228-56c7-5d68-9285-1bbfbe8b4492" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7370_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0e357973-d52d-4fc7-8099-7b87458745e2" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "339524bc-bc1f-403c-a12f-6e8ce72fba50" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "693a7e67-099e-5382-b7e2-e70d6d15406f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-6962_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "73d79c62-61b6-4e72-bc8d-c3fa2a344caf" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5b2faa3f-c96e-42c6-81ce-a356852ea6a6" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "366f8ab0-ddd8-4383-9bc1-96ef342b749c" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "70b5b27d-3905-40de-8b70-9185cfc49d94" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "915d0d2e-63da-4723-909a-4bece5afab90" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0018175-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:39:49.045696-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d4ba57ac-0820-4d57-85a6-06122bb4559e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cb8fb063-f8b5-4748-b937-5efb6fefecfc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-004149-1026_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e331b564-d79c-446d-bff2-a732dacba6bb" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "d75594bb-d5e3-496f-b1c9-1743ae942c53" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008027-5967_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f0afc508-eff1-4a28-b912-3705a87d607d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "28f3f8b9-df0c-5c03-8414-89640fa631c5" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-H7-A76A_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "148ec5a3-19ed-4949-bf37-9bc4e6203966" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "452e53e7-b219-4ba7-b8ab-870e1ba4423b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "78229167-1f08-416d-be98-74f757610349" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5ddc8873-1487-4787-8a1d-3b116a2db42a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0010816-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:13:38.880466-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e179e193-0933-48cd-98fe-aa4e21c0ad44" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5606079e-0d29-5f59-acc3-d6de7b479a24" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-A461_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "af7bb799-b091-45d9-a04e-074bb7840680" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "76af13f8-fcb3-4324-b8aa-23ea1834c5d2" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ac4430c7-dbe4-432f-9763-81707431a0f0" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ca8d9936-f4d9-465a-8640-66a91f735a60" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0018419-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:39:49.045696-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "60efb1a2-a8b1-40a7-b230-e4b532a8048b" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "96053970-fb5c-4b79-b1bd-8eb8690def1c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD1118_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:39:12.328231-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8f636ed2-41a2-4c3d-bee5-40d9755bf674" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "73adb3fc-a3c9-487c-a0d0-fa8b09707932" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-005121-1375_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "eadf6e9a-c6c3-444c-8e93-8ab77ed87d09" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "cdd012e7-6539-5ffe-a4b7-b36a6233b1ec" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-A6DJ_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Gum" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Gum" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4210ffee-2a83-4f05-8935-2687503c83d4" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "735334b4-6c30-4a7a-aa54-63f506b8e2bb" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bbee89dc-6858-45c3-a9fc-c455851f96a8" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "7a67eecc-6f46-5181-8b64-c022d0fd0060" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BB-A5HY_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "589cdde1-ecd5-4a7b-9cbc-3186916822ab" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4467ee1a-7188-49d6-a0d1-c8e395e6cabb" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5c2b4403-cdd4-4550-ba01-d8ebad9fcbc8" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "552900c2-144c-4340-aed9-197382fafed4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD17916_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:57:41.511744-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d4c804df-7392-4267-908e-8fe8c37d00cd" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9b75ffac-0af8-40a0-9cc6-8472fbe942ef" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0015763-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:46:25.150285-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d02e5c34-3c1e-4a7d-a67d-c2525ac3a734" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "b0113a66-8202-482a-ad65-dc55cdca3c27" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD8711_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:51:47.854910-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3ece7ea7-cad2-4e6d-811f-c91f63a4fca9" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "fb0593eb-d74f-436d-9bc3-37f8d8285296" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-009648-9028_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.308719-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3c02ad20-11ec-4e71-b7e8-c29194ae502f" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f09803e3-8795-5077-84ae-bf0666bedc35" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-5435_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cbcd3026-9f65-45c1-8fd8-d08f1b6b065e" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "14098d2a-e40e-4f1a-bd76-f8bf7c339ee5" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d2491655-a4a1-4e4b-8f94-f50dc1c5d64c" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "78a9bb84-9d21-40d2-9b0b-1ba8d888912d" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f0cdd17d-5db9-4c58-84f5-f9efcc94dcb5" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0004492-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:54:19.535598-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d74d27e4-88e8-4ce3-a1ff-7658e007a49a" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d234a346-038c-58a0-824d-22bfabb73218" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-MT-A51W_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "03c6ac2c-c6b6-4041-a024-f2556fab62b8" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d238e52b-b2e8-479e-b76c-a168136e0ef0" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "91e56a17-b4e8-4ef7-b587-a83bcd8c062d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage i" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e7f08842-7c61-469c-829a-feff82339bee" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0008328-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:06:12.185212-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6d1a6236-3625-4300-9f12-4e666cb2694a" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5b518f0a-dbef-4346-b463-b59bd735a311" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-009367-8081_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.308719-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7230cf9f-1930-4377-bfdb-6e07cd472bc0" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Adenocarcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Adenocarcinoma, NOS" ] ;
-    ccdh:id "25182ec3-0d7b-44ca-82e4-f1a8d7de4a28" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD18004_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8140/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8140/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:58:46.365657-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b62fca52-48c3-4bea-b5f7-5794a1ed4f43" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9223ac2b-219b-423b-bd4f-5d28e84c8d89" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-001409-5066_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:12:32.615882-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fc3b12ce-4c74-4faa-ad8b-60ddde831901" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ad86791e-dc2b-4a82-9c74-674bc6baf268" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-009352-7151_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.308719-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5e386079-a9c2-4c7e-80ed-9dda270249b9" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "91287016-0fd4-5434-a010-e392bd679282" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-A45Y_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "26026e2f-b112-4535-97ac-6956cb267e9e" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bbcc5141-d805-457d-bc4a-d424c8c39cb7" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "01a4aa4a-f073-435c-a411-839760cbcb9f" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c127a1e6-f25a-525b-949d-013bac98b38a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-DQ-5629_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cb2da33c-021a-4af5-8509-118bc1e8e0d5" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "769f3c1c-323e-4f04-9ae7-e41f484a964c" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "57ea3eed-f8e2-4310-90c0-50d89f818a12" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d20b4711-8757-5d39-a8cc-b8ece86592cd" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7430_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6bd53676-487f-4661-8e01-739b3b856cee" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "da9132d5-4a55-4d7a-bb7f-7990af380dcb" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c22e9fe0-a052-4c6f-9fb2-e58289277e2a" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0e0af838-3a62-44a6-9e8e-0f9ba07730fa" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "64bd8ea3-d4cf-4e2c-9d2e-77dcadd5364b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008227-5962_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2386e3a8-c4ea-4434-af11-e60fae9630fc" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "523155c1-e181-4d6f-9873-9449a8e3c289" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-036955-74886_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-25T12:05:51.637331-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9ed6f000-4643-4f65-be84-8fd380d3bc36" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f068b7ad-5b43-44f0-95b3-33ead995b8cb" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0010161-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:13:38.880466-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ea42167d-71c9-4eda-8153-2b207208d97d" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6ce57628-3cd7-5cfd-8317-cadf76a37f43" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BB-7870_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f5589c89-0b94-4492-8a3c-84d58377e94f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b79164b1-7abb-4585-b23a-0e610734ea8b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0d53784e-011f-4890-9cf5-59e955dd1fea" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c58ca3ba-23a8-472b-aab3-94382be12940" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-010867-8727_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d492bfd2-b37d-49c3-a8d5-40171e8442d5" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b8812861-0e19-58f0-bccf-667970cdb04c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7399_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "05c3d8a0-47a2-44b2-b0c3-144ec0cb2673" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3dd4255a-7359-4b51-8a0b-44d9e249956b" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "56566536-d3a4-4103-bd5b-550ceaad2a6b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD5017_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:06:53.493092-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e2edc535-6fc4-4999-aa4c-932bf58d344e" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e3d5bf4e-2856-5604-a086-3e4464a68c05" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-UF-A7JF_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f4cf2a66-8872-41ee-8270-296d5f76265f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7ce8968e-f693-4fa2-945a-0cea27c96ede" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f4e12699-7e71-42ba-994a-c3a9a71a95cb" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "740bf7b0-dfdd-4930-9cc7-3790cb8808c1" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0005212-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:58:03.635432-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6e2561a0-676c-4f69-9059-d49696a56c64" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2ba98ec4-5cc5-43d5-8de3-ab33d0d6779b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003996-1286_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "12d6861e-5ad9-48f7-ae61-07c7e45be5a3" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2fcaff59-bc46-4971-9a75-dcbf2c85a5ca" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0013498-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:39:05.576558-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1c156e43-c8c3-4ecb-83ff-2075ebd89cd7" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "40d016b6-27a3-4e33-ad6b-f50eaa54e2fa" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0008097-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:06:12.185212-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f71f4733-17f4-436f-b12d-bad5b99ceba3" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "faf259c7-d577-5ef8-9075-9a42f1083260" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-F7-A622_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "32056265-c5fb-4544-9f99-22b34febb805" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3901d8b6-f2f2-45e9-a40f-3ccd679f701e" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "32d7cb3d-5f5a-474a-9dcc-3b5f2dc64d22" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6fdc7de3-3d2e-459a-94ea-1dba9572f47d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-VICC-480293-unk-1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-28T12:01:45.147328-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "116b69cf-c9f3-45c6-be86-c4f22a36dcf8" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "18cabf3d-233d-5ad2-a5d3-a2a10677c99a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-A4II_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a76bfc3e-fa46-4a65-88e7-c644c8b20098" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "81bbc439-0c8c-4d39-bef2-03901b31c50e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0b151db5-f3df-4cc8-9bf3-049308634116" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0001794-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:35:23.418160-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2da79fb4-bd1b-4518-a6a2-6159251d65fb" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0584ee86-f589-5812-9bad-03855a31693b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-4076_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d6f48bb2-379a-448d-b13d-2dfc5da91d0c" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5fe1ae56-74a5-44a9-b8d1-7f05a569bb34" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fd99fd83-4040-4738-8a5a-e42d36ecfe0e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Adenocarcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Adenocarcinoma, NOS" ] ;
-    ccdh:id "1c3027a0-7ae3-4ee6-a71d-b357ad841b3c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD4542_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8140/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8140/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:06:20.797099-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "de90601b-1eda-4d1a-aa41-29feebdcfd57" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
-    ccdh:id "424f3fdd-09f1-57a2-99de-10c13b9be653" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-D6-A6EP_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8072/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8072/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "661cafd9-0cf9-4c6f-b541-293bdecf3ede" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1e8ad4ff-09db-44f6-9527-b10ac22453d6" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "434adba3-549a-45f7-b89b-76737678ae0e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "6739697d-d536-5d38-813f-5a4973a97cb9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A49A_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Palate" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Palate" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8e00c51b-cc4e-4de3-ad9d-8ffe30f2ab0b" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "77234a56-cad6-4b84-aabb-032be68f7dea" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ivb" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVB" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1e1fa97c-cb95-5810-9f22-9af6a0a42ce2" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-6480_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0c6b4631-381e-4b73-ac9e-62bbc1849ff4" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e49031dd-14f3-4f2c-8457-d0249c491ae9" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c1dc41f5-0fea-42e8-afdb-fabc542d0548" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0005869-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:58:03.635432-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bb6ae997-ee6b-42e0-ab0c-c9fbc64f8d9b" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "8bd7b118-92b1-4443-8753-f779c82ef116" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-035615-74950_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-27T19:26:40.896040-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "151f2c1e-f448-4fa5-9b61-81dc5c339f58" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d4b595ef-5e2f-4722-bf4e-48bb831bc057" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-002065-124_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:12:32.615882-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "172019a6-18cf-4532-89ec-9f4ec83dee30" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "28979d39-3da1-556a-9b82-2a9953b57989" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-P3-A5QF_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Gum" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Gum" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "903ed81a-057c-41ad-93de-aaa9d9c082c5" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2e51af26-4d06-4b66-be71-0bebed2e4557" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d30d7d4c-0acf-4b61-9d7e-2c15e20d73a8" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c0bc6849-2b35-4465-9d65-38c3a21a9a25" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0019226-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:42:00.849990-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b33d58a0-8855-42ac-baaa-0a1e961307f4" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "de41284b-65f5-592e-99bb-9157a9509c36" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-T3-A92M_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "86c72a0c-24c8-4d55-9f87-6b7198a10890" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d22843cb-8a14-4592-b339-a04cf1514205" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cdefaeb2-3a2b-4094-b25e-0c509b62c13b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b8f93296-f293-4af4-83bd-6ae35aebe59c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-010368-9817_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "094236a4-db5d-4e05-b020-5136ee6f4225" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "85d63c6e-a6c1-47a5-92a9-216719073a4a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-004072-413_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9a26d9df-9ab2-48df-ada8-8bd8455cccd6" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9233f502-9580-4801-915e-732ca0f26a2c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-050720-203425_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:18:25.269226-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c1353660-3a6c-4a01-8800-d52a40b6ed68" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1ad86ae6-e1df-4578-9639-e768e6711e61" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0008033-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:06:12.185212-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "28cb9e1d-c34b-4909-a387-5a5c60bcd6e3" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "706b1290-3a85-54ea-a123-e8bd14b085bc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-6012_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "badeaed0-2625-4a4d-bb95-d295e2c32c01" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8b2588c8-4261-492b-b173-2490a5de668f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e23c7006-1a13-4211-8920-47548641e574" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d2a0bb97-195f-422a-969f-0342485cf8c6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-010743-8938_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1f6b16e8-e1f4-462a-ac25-700c915f464f" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9e74f3f5-ab22-55d9-a79e-9884f3b0f109" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-5374_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "88000b86-9334-41ef-847d-6668d17ec62b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "617df1e0-b075-4610-b6d5-8850786fea70" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "27fb0ae5-d8a1-46ac-ad3e-2464c52d9cfd" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "491f9f68-fb39-4d17-a75d-90d14e801df2" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD15095_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:44:57.662014-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ae6cd26b-98b2-46a9-917b-cecd94358907" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "0e8b9b8f-041a-4d83-8af0-503b7d84e00a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD4383_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:07:26.436903-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ea5776ba-c4cc-4d4b-9e33-573ea824853a" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f14b2d60-39ff-428e-bfb9-a33f4d3242ee" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0002193-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:35:23.418160-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f2f48558-d331-431f-a14d-845efe0c6ce9" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1dc5e826-3f32-4d4d-8e2c-00fdbd76b393" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0010503-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:13:38.880466-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "78c3f61a-5719-4604-8ebe-c21057d3e416" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "10fdde54-4aab-4498-925c-38ccd8df431d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0015591-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:46:25.150285-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d2928928-ad9f-46d3-89a5-a00131eaec79" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "8723983c-94ff-55df-8165-6fd5937b5462" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A63T_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b477dfb8-c039-49d5-9a0e-912946dc3ad1" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "74606f8c-46a7-453e-acfd-91203aec6df7" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "75c0a7b6-3e82-4ce9-8856-dd3475affe87" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "47de90b5-a5ed-5ce0-ada8-7f2c8e621913" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A641_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0c14d932-3b44-48fa-8974-db6e01464851" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cc3866fe-2690-4354-a548-10189054b85d" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "744cbf84-554d-4cba-aa4f-4c1e5e28a1ee" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e61558f0-d90a-5bd0-8485-ba159dba3010" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BB-7862_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "091478b2-f8c5-4ad8-9c89-06a48728fa2d" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fbf59d12-7047-49b1-9002-00030c797438" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a61be572-405b-4b16-b554-7fa6c12a48a4" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Basaloid squamous cell carcinoma" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Basaloid squamous cell carcinoma" ] ;
-    ccdh:id "fb148e0b-2d1c-57ff-acd6-4f2208af3ce3" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-A4IH_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8083/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8083/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "eff60f0d-e3c1-4a93-9026-c0764c70ba9f" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f87efb5e-24f5-4d2b-b6b3-987bbda30e03" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "f904a635-80a1-579a-8f1f-0aa288492b45" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-A8YP_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a9ebdedd-056f-4bc1-abc2-7089544a1549" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4a339708-153a-4780-a265-70557765a754" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e62166c3-871d-4b0f-999a-4f033d7cb6c7" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVB" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ivb" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVB" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "dac87ff6-12f3-553f-a6cb-fae679002ff0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-4722_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "47e7b839-bde5-4b66-98da-7ed6e3e7c29b" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "60c8633c-16f9-4066-8aad-311b04b935e5" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6e767fc9-0f5a-49ec-999a-cda2daeba6ff" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "87e9b232-8b59-573b-9758-c7b5456d6fc0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7248_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "24a2dd45-0453-4bfa-af4c-cde8cb0c0cfb" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5fe254fc-76cd-4081-a46f-574f2ec76d10" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e5ab53bf-073a-49e7-9402-8e7261d385c8" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "791203c3-4192-4844-b32a-0f21944333e1" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "26bc85c7-5376-467d-a880-4c415ba3b3a5" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0014015-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:39:05.576558-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "968b2133-a7b0-4d2f-8949-f6ff299f1219" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "430602f6-cd8b-48d1-b519-dee691fc9c20" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0003106-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:50:42.610446-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "78b77808-ec88-4e6b-8393-decaa7bba86d" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "247e1e60-27cf-4f37-9a1c-8db3284dcb56" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008904-6911_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "075795d3-4e6e-4edb-95ee-f4d7ca56b337" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1906d9ae-58dd-4b92-892f-6ff61788d171" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-005398-2604_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:27:14.117499-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "adbb22ae-5402-4918-a4d0-b54e2f114253" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "155ca101-ad45-4f50-b9ac-45908daffab8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0003009-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:50:42.610446-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f8de95dc-1011-4b86-9a46-28bc46465195" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "1674c3b2-c0b1-4395-9822-81016a649ad8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-4664-11636_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:07:22.808668-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2bd6f2fa-881f-4287-a616-d43d33a5e551" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "8a0ce16a-46ec-433a-9679-e76ca74240fc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD5506_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:41:09.015209-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "14f00898-8aaa-4008-9eac-0959333c3525" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3f0b65d8-182e-57af-87b9-29e59fcdaab4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-F7-8298_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "94c71079-a453-4a4c-b52a-ab686bc83b65" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8f5a4b47-4c69-4295-a576-fd3e558754a5" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3f2ed4ae-5b71-48d9-b120-4f7bfd4b34c4" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage i" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "72d80059-302c-57fe-89fa-10045543f0ad" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A6V1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b2ad9679-048c-43c4-9d78-45638ad5a493" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8f952c62-2404-484c-b8af-33ce60f4e024" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e980228b-ecef-406e-91da-09bc06d5ad04" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-000968-1363_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:06:57.341931-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "37ecc052-0274-45dd-98db-fb0d5476fa16" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "78608de5-dd5b-43da-8934-e0b6fa924ab4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-4493-11651_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:07:22.808668-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8955be34-dfc4-4a5e-9636-f27ccef4318a" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "415b0c86-82b5-46c1-b51b-00e701add732" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008675-7728_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b1a78f00-1eeb-4c1b-838f-fb8453112c5a" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "be59114f-e2eb-4d06-824e-7aa867673eda" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-004755-1862_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "255bbe44-dce0-4905-86bb-317144348172" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b588dad7-169a-5ecf-885b-580be11d01cb" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-6992_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ce0b9c55-baeb-4ca8-9235-51a836a4b58f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b86352a7-2987-4743-aa3c-1895c438641a" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7a5921a4-5714-44e7-8ebd-048031b32b88" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "20b2ca7d-bce3-44c1-a0db-ef271aca97bc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD2717_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T09:58:58.753780-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "69907c44-c952-482a-a307-44efd82a16dd" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "23193585-2a17-41cb-b577-8044058658ea" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-8k5ygy35-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5db1c5e8-ddbb-4057-a059-6acf46826258" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "7c9e489a-67bb-5aef-92cb-b776ab07f413" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-D6-A6EQ_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "041d7de0-fdee-4f6b-9945-058f8bab509c" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "43a91c60-f1f5-4b10-b0ee-c55afadac481" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "37e8e5f5-0edb-420a-9f32-a2e167ef4cf4" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "86e71958-485e-53c6-831a-c456ec617b7b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-HD-7229_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9fbf3123-c654-4f2c-b41a-ac4dc029a5d9" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f1367475-a5f1-4a0f-aa73-5a703a3accaf" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1169973a-8575-4d2b-8da8-36a83aa5f947" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "dabe6d0e-8f19-43d7-9e3d-02a6a24556c8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0002411-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:35:23.418160-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e1e98bc8-81b8-45f0-8289-6c306defeaef" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a71bc3c7-5807-5766-8487-c3dbc27484cb" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-5243_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6fc08372-0d9d-4b3c-b656-9573fa532c99" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d89d46ea-9a7a-4fd8-b11e-9c9ca4780119" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "664c73af-7fd8-43bf-9a1c-1109c71a303a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-6a5b9e32-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-04T18:19:50.810302-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e6616639-64a7-4462-9676-1b2420f371d6" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3cd3b53e-38ff-454f-8b3a-d7942696429f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0015915-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:46:25.150285-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f48ed568-6c4b-4746-b480-139ed3ab5794" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "80571628-74cc-4067-b16e-40cc5b040560" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0020147-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-02T20:58:03.565619-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "10e9e747-568c-4276-9275-1f1d7cb30f81" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f6106a03-d94d-5b31-969b-ddd1d6ac23f7" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BB-8596_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "226992b4-f81f-49f5-a1da-37ab1742779b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "51eeba12-4cfb-4842-ad6c-e49cfe5ef207" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b8077f12-81e6-49f1-aa69-a4b6f5825534" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "afec3d92-5a3c-5b04-a2f1-49031942cc1d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-QK-A6IH_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Gum" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Gum" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5f210369-1839-4f18-b081-974efc7de032" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0d0194eb-d83f-4028-9b4b-3308c0207133" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "63b4690f-f247-4874-9923-e96375c56a01" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ivb" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVB" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "7c2fbcc8-56e0-508a-84f8-97fb3ad6a8ab" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-6011_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Gum" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Gum" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "afbf3020-1715-4e74-8224-05e316796999" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "83b525ab-ad48-45fe-bbe9-54d6ce88054a" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4d620a8e-517e-43b2-ad44-d9a8467e73a7" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
-    ccdh:id "8d12f0ed-6345-50f9-aad6-68ae3ab8dbb1" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-RS-A6TP_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8072/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8072/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "281693cb-2d6f-4a42-af26-d807ea67a191" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1ce08042-34c7-450e-b1f5-8cdf9bfc5a77" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5d166131-946a-46de-b446-ea35d8b0e1a4" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4a037aae-de5b-5ac6-875f-b86b71ff50ee" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-4078_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2027ede3-13f5-40f6-bef6-16704981d676" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "25b0ae1d-2add-49b9-a5ae-99702a5c48f4" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3423d96f-4c5a-40f7-8e66-3dd4b9818f52" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1fdbf271-8b0c-5d7b-bacf-d883e0d0d054" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-5360_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0c00768e-8b13-4b8e-80fc-b344740845f1" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9439bc03-9d26-454a-ba80-a0f5a4585656" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "740cef36-1319-4096-8ba3-8e6fce6282da" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b5616ad7-8322-44c9-8b64-01314decc5a5" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-9df16b49-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3dc819bf-5af3-4be1-a892-974d670975c9" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0ab5d8a1-108f-450c-89bd-efd0c4d285ea" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0003059-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:50:42.610446-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1303ddf5-cd55-47c9-9f93-c09d7bbf2f80" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5a82f834-a2f8-4d61-a816-c410213556b4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0000319-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:31:25.700438-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d0ef535c-d0ed-471d-a1a6-3cf9600d37cb" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "35b1cfb8-bac8-5abb-85dc-1761cd25e90c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-P3-A5Q6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b929bf9b-34a0-4fa3-9bd5-49f8097c573e" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "73005780-ea15-4353-b6f7-c26865d3f4d0" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1ac65133-fc2b-4b41-a101-eacd225f71b1" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "696fd614-355c-42d4-b318-9d4a0d23ee17" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-001641-3996_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:12:32.615882-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "14dd72d1-596c-42c6-a5aa-c3220dc6fc21" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "576b4319-20fe-4dd8-82b1-c34a70bd2182" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-596e5ce8-metastasis-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7889cf51-be9b-4193-b057-5f348fca10db" ;
-            ccdh:source_material_type "Not Reported" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "eac797ee-ffad-5c80-8f0a-7e95590e118d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7389_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6e926ab9-e086-48cb-876d-d490c46cb7f0" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9c35c1ec-5ca6-4900-aa39-ab1c962b9c4d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "48e8dd81-ed4d-5c54-af66-84e86477d5c8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-A6DL_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "256469d0-5f36-4966-bf4f-3b4297e55f43" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bd90f967-84dd-48cd-aec0-9de9a76df7a9" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "dc102dcf-3f48-49e2-8a6f-cfdc34f8ed0f" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "bd3c4df6-90f0-58df-8713-51ca36d74124" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A6V3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "97657453-6a97-4879-9440-fd0eea9d5f33" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "285e2354-8efd-4951-87cf-0e188d11423e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
-    ccdh:id "dd691506-83cb-50c1-ae0a-2583d57079d3" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A499_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8072/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8072/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9ca906ce-18f9-41c5-afcc-353b26fdebaa" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7d93ba42-9e87-4a6c-8b0d-6f185645a90a" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4c9f5000-dbac-4497-b434-57036c18a022" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008669-7093_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c0927894-b73f-4930-b147-e079caeb60e5" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "73fd5157-4aa2-5b2e-852b-889d058a6f8f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-5366_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "62fdf8f3-a028-453f-b27c-c2506be68cbe" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f3e5a16f-7c16-425e-8321-b6b19fd469d3" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "111ad944-f78e-4ec6-967b-f05c49b49b1c" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "fc929f30-0322-43c4-b12f-ddff9d8a2335" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-010590-8636_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "175e9244-58cb-4b1a-9614-a4fb1c0e6603" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "e89ecbde-44e3-5db5-be20-af6cddaa4e92" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-T2-A6X2_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Gum" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Gum" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fe1541c0-a239-428f-bf43-8b8b999d362e" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "161b6a0e-0b50-41a1-bdf3-bd7666067454" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0080b5ac-b9b2-4fef-ae51-6a6178325364" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6cba02c0-48e0-4424-964c-a104a6652d07" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-007903-6035_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fbd21489-29cd-4d9b-8d7c-e04342040edc" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "1fdf9d03-4341-4aaa-b47a-98f1221816ea" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD3249_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:00:26.233095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "425f42d0-0349-42bb-9072-cfb0bd97e922" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "589f8f36-79a2-513f-a83e-cd707818b834" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-HD-A634_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c25592d6-b3d3-47b6-a3c5-3cbc81803152" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1bae9a44-1ce3-45b1-9902-40faeba58120" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "34c0ddaa-1fcf-4e5c-b5bf-7cfae596c09d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c061cf11-1e3a-5906-b58b-2b5530a456fd" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-6870_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5bf05a41-3a19-445b-96bd-439b9cac01eb" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-23T13:20:20.149518-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cc1be5d1-ea6a-4e7d-822b-51887dab88b6" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e6af426a-d899-44ef-96a8-92bd76a0ea3a" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVC" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVC" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "39076d27-3e66-4f32-a646-08d8e866bb8c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-5201a20a-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "68c9aea7-2d45-4200-b2e5-02aa0ab64d09" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "60a003d8-42fa-4981-8fa8-a96a6f4205ad" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0019316-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:43:52.092583-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b3eb534b-6441-4294-809a-ab6963d9aa39" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "82cf8f30-edc0-444a-9607-498f1f4fc6a5" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-NKI-ETWO-SK3U_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T17:51:39.178920-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "92e24628-56bc-4c65-9c4b-76c589943948" ;
-            ccdh:source_material_type "Not Reported" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5a157d1d-a316-4b42-8444-63e22ee704ec" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-065d55ae-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7128ab9a-3a2d-4df6-8604-829406ab3bed" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "43aa2ba4-d59e-4e9f-9b1f-009fba8ee08a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-4754-15863_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:07:22.808668-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c3431e69-82eb-4eef-9e13-312bfde95103" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "309da786-ca2c-4c3a-8907-5e690f375f54" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0008800-T02-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:09:54.181448-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5dec4e0d-afbd-4ad6-8acc-00b5ad113a03" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2a826dce-5a83-46e6-8ff0-9c7597ff54d4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-VICC-673077-unk-1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-28T12:05:42.341898-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a5fa104a-bb1e-4e7d-a740-607fc803f4f3" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "094085f3-01f3-4992-b559-832c897a704f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0003374-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:50:42.610446-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e868826f-a629-4839-bc5f-5383b74aac12" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "be57683f-0245-4929-89d2-98740dc99b8c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-011271-11674_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fe032782-a750-46b3-a282-26e110ed063a" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c7db86f3-b6c1-59db-961c-534b91393b19" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-6010_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cece12a4-5f68-4a6d-8815-e88495da08f4" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cd2a5d45-9bae-4c96-b8dd-7ad079153a49" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "904e12f8-ab59-4ad8-8096-7b82f9388d70" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ] ] .
-
-[] a ccdh:dict .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0722d8c6-5481-4736-a9ea-24253edffa93" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-005284-2016_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:27:14.117499-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f02ce49d-85b8-4704-9dbb-8e012090fbd5" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5fddab5d-aebe-4b6a-9812-a6edc05c51cc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008897-6910_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f8a73605-d802-4364-aa6e-5d23691f92cf" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3439abcc-0169-490c-8794-73e53b937d7c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-037577-74790_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-25T12:05:51.637331-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4121fe4a-1ae9-41e4-954d-88c88d047d9c" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b0f16df9-9556-4ff1-b8b8-afabece2fd14" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-UHN-071596-ARC1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:18:10.730001-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5cdc6f40-9b5f-4dc0-9082-a9500c3e5af4" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c239680c-7353-50f5-a155-33973562e904" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-A45W_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7202ca4b-6caf-4f4d-adc9-4c59b00cbdc3" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f9ae08e7-9166-4699-801a-4bed11f72dc2" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fe66156a-b3ea-4ed1-a5ca-68a3664c3505" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0bf30179-24b0-4b0e-856d-7226a72eb3e0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-052973-173599_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:20:30.865187-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b39fb248-8053-47b7-aa2c-d69335f218ce" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "acb41bec-39c8-477f-8cc2-b8c982bf5b2a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD9755_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:57:54.983619-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2b14983f-b848-45de-9881-5dc4f483f7a4" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "fe440219-2351-41cb-a0d1-e22bc73d4aa0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD941_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:46:27.877516-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5e91c356-4431-478f-8033-99442bcdcb95" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6c55b480-1444-4ae1-a079-72287e8794a4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0017687-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:37:32.909734-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "52f200af-cd9b-4d63-91fc-7bf44c67c537" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "54c68cb3-653c-5035-829e-11c7b3853119" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7089_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f2e436bd-bbc1-4b1d-9a55-e2a83a1bb510" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "267e43c1-bf99-430a-b077-147985fb7e64" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7f11de1e-f75d-4476-a179-b50a84a45a78" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a6c24a00-67fd-4a1c-a371-b6e387dcea61" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cbfef8ff-181a-4048-a571-f78fd34799ef" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-037220-88689_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-25T12:05:51.637331-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9f95c03c-4c29-47c7-8bff-47c3014a61b5" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3f8fca8c-e8c8-4032-a0ac-488e49fd623d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-023359-23864_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:44.678712-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9eb7cb20-106f-4668-9ef4-c0344e8df3c1" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
-    ccdh:id "11688639-0783-576d-ac58-40e8e3a19be6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A49C_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8072/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8072/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7758f04c-0e07-4e8a-882d-ece76469f433" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "34b36112-f260-4bf4-90b7-0cebc5988b59" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e978fb2f-2b7c-4ac7-b4c0-fa527f8c4ffb" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-090186-282458_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:52:12.528526-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1bee9751-cbcd-46d2-97ac-bbe9f4495f2c" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e7406302-5dd6-45b1-ae98-a8094c495943" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD13780_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:40:26.338588-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c9bccdb4-1bd0-44e0-bfb0-7588611ab01b" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ada2a9ee-43ec-4198-b1e4-bb0c62102973" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003061-9096_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7d368af5-dc58-4ddb-af35-cbc63bd638e4" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "99aa5d5b-c650-47f5-b485-da3d78661529" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0018925-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:42:00.849990-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5007e321-c75c-45c2-b4a7-0d3cbde5280a" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e769c390-13f6-4054-8182-017360bcfdca" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-004469-15_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ee78495d-54c1-4d73-93d7-06034b0c7bd0" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b7c4b294-1897-5001-8494-cedac0a7f991" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-5440_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "28780b51-0b53-4d73-b399-ec90b45de0d3" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d773747d-fd09-4890-a436-9b212e19063b" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3f9a9578-e8e6-47b7-af7b-31d9cffbfd3a" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2457e378-c4bb-516f-8966-82e1453eafd7" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-A460_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b1c47b2e-ba48-4f1f-b07e-f930b1135201" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9e397756-8535-40f2-9fc8-d0f1392a5e6d" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "904d5793-ae7f-492b-aaed-ea6cca865d63" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2b051980-b5b7-4b1d-900c-9705c24b2a78" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-009287-6605_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.308719-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "781e0bea-f234-496c-915c-c163fc8de24b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "39fa27e5-b36f-50e5-b173-1bb73a1ba5ba" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-D6-6826_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7aa13049-917a-4d7a-bceb-3c718ec8fb7a" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a31ecf7e-1838-412b-ac34-6fd8810739c9" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1737989d-8463-4761-b111-53e4fd396375" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "99aab93f-633d-4ce6-8ccf-36cb05c5d2cc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0007575-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:06:12.185212-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b1d7b582-2302-44fb-a98f-13372ca17247" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c1cb359f-50c5-527d-941f-328d1d34f062" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-IQ-7630_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bd97a61f-6744-455f-88cf-2a418f2458a0" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d81234fd-4e10-469a-81e6-f23a192f1ef1" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3b35e7e6-0e30-48be-9d22-d95fb49f1227" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Adenocarcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Adenocarcinoma, NOS" ] ;
-    ccdh:id "78daf8d2-f74b-4d9e-9ffe-79e90425ad3c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD7638_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8140/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8140/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:47:53.195932-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a4ae0499-714f-4d0b-95b5-e085bb652117" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Basaloid squamous cell carcinoma" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Basaloid squamous cell carcinoma" ] ;
-    ccdh:id "b4c1dd26-92ca-5bf7-b861-bff7f68e8436" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-P3-A6SW_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8083/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8083/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "50e494e8-d48a-44ec-91b3-5755b42f70ee" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0b1a1f48-c58d-447a-be06-1f4e0c1c39d2" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "dc6d258a-dba3-4186-bf89-9efb70a32365" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ivb" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVB" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "96e73819-3b05-4a68-90bb-ceb60d419d50" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-006296-6704_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:27:14.117499-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "51ca54fe-f436-4a88-a11d-ab0781666edf" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "fac833bd-36d8-5306-b322-92106575bfe1" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-5430_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5bae7161-8838-4b10-9210-02deaae4b9c1" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5d293d68-61ae-49ad-bfcc-e0bdb91cc29e" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "72f98dc0-3fcb-47a4-8c7a-52a7cd9d3fdf" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4151c76f-9dcb-4451-a99b-889e0024f8b9" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e4e39ca9-5e45-497f-b616-8e4d9edf9431" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-3876b32c-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "59d867e0-1111-4114-b47d-39b108eecf06" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ad265c45-3ba4-4f8a-afcd-70d7f2e79751" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-009344-6546_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.308719-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b993e287-e823-4843-b182-3bf775dfb489" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5976f296-bcb7-49a6-8db6-8620875f12e3" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0008036-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:06:12.185212-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "257963cb-44bc-4946-ac72-7a1bb02f6af9" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d4b70019-403e-5a16-b7aa-5ed71d54a517" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-6473_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ed96ee9b-cf03-4eaa-b783-07b739e3a648" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a9e7990e-7daa-4c79-a836-ac1ad63aaa37" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "274578bf-55cd-4807-9c8e-573db026da1d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0002592-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:50:42.610446-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a75ac689-6228-4806-b699-874f8ec28ae1" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e792cf88-dfe7-5130-ab9d-df59b3ed1b3b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7421_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6766e43d-12fd-49ba-bdde-c19bb71d329d" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "40583cb5-46f0-4966-82c7-4149f14581d4" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ef81caac-1fdd-43dd-80a3-4e18eb35271e" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6ea3680f-baf2-53a3-8308-ae9dfd6ceb1e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-5355_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "256d61e1-54c4-4250-bd17-5bb82496f5f4" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "63535469-d402-4ba2-9ab5-986e6ed80f55" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c2ef7833-c2fa-446c-a12e-f353c744b1e4" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cf36baf2-10e8-523f-9dd9-0f9c938be574" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BB-4223_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3285f0ab-61e2-4235-b0ac-af1718ca1874" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "75430612-09bb-4d6f-9304-62a5b517d424" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "82db742d-885d-4788-b509-474715ae183b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6b76278a-cb58-4308-bfef-fa1902a02375" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-010467-10870_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "02cf8f79-3109-423e-b290-9b0cf112e827" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "4228d736-f7fe-4ef9-8bce-39b8c6c3bc70" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0010459-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:13:38.880466-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d69183b2-2961-45f3-a4db-3d32d08f6abb" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "396ba806-81a2-43e2-be95-276cdeee09e3" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0003049-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:50:42.610446-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "162d69ba-adac-4884-9d98-3bc70cdb72a7" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f8933756-4001-4c7b-94c7-2d8964ffda9e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-005118-1198_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "430338db-7df9-43c8-be80-6ef5a6b98899" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9461c5ae-cbec-5810-b0a6-9644168accb4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-4723_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f4a14404-3545-44fc-953d-e441139e7fda" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4a485f87-1a73-42ec-af0d-0b6de2b23504" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4db1536b-23d0-48fb-91f8-248a03f58aa4" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ea23b8a9-c2fd-5392-8625-a26662cdf0ef" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7404_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a0723862-62f9-4770-b415-e8f52c447e7a" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a39131b9-e7c7-4385-a1b9-d8a0a0950337" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "47d4038e-908a-40b8-8a91-7bdcc4421624" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-007857-7172_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "01a0cb84-c716-4134-aa16-ef008ae30469" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5baa4771-eb6d-56d1-821a-33157bf79573" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BB-7866_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fb5ba525-1658-4f8b-81f8-8d7ec3727773" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "736c3c8c-ff9f-4892-860f-04665a1f344b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "af5d22cc-87f4-4b91-97bc-7103bc07adcc" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e1518a49-5ef2-41ca-ac88-edc88e8ec241" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-e8aa0080-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "baf6aa81-4b32-4d7f-8557-5942a0febb91" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "9b998038-9a23-4348-a5f7-e2d3126e118c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD14936_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:46:29.991257-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fc50dce3-ca12-4a52-a8fd-27dcd3887746" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "fd3fbe29-2fa3-41f7-99c9-51d3d05ff5b4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003147-99_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "13654c9a-afcc-4635-9885-8418a318ac7a" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "583cb32e-5e1c-4f3a-bdef-035629e3eb57" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD5451_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:40:28.865821-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a8ae1d5d-04b7-4012-9bf5-70a664f325ee" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2c09a792-df0e-513e-a9a2-7e363de6435e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-F7-A623_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bb90f8e2-c872-4ded-9d10-5110f023762f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "33c19ae3-107a-4b64-9906-5b775025cd8f" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5f14a8c0-f19e-4a67-b6dc-907196ab34f6" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "11781aec-74e7-44bc-86ce-9941aa62b6f7" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-1594-3307_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:00:11.934564-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4cb8fa37-e3cd-4d7e-bb34-67ffdf228d78" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "6284d2ec-e8b6-5cce-957d-f55704379de9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-TN-A7HJ_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cdc66ca4-8864-4f22-bc4e-8fb5e073937f" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "412fe306-9755-4efe-abb0-9af695b5691e" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "50df1144-990e-4357-8a15-132289bce0d8" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "07feaa02-95ec-48b9-83ff-ddd765c8ca9d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0006098-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:02:01.981535-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "eca4b442-f9d1-4018-94cb-158757bd3bea" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "24e37f06-2587-52ee-bcb3-40688978538e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BB-A6UM_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c4aabbde-a46a-403e-b974-7b61b964a1b8" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "99404948-9837-40eb-bf38-c1cfe1b9a88c" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ccc0e6ba-cf8b-45e4-9f0b-dd2422b3e470" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6dd63ec3-e88a-4da9-be07-0d11a1768dbf" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0004416-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:54:19.535598-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "34487c7a-5f9a-41b0-8ced-d7c2ce3653e2" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "fcd7326c-3bf2-425a-b117-f1e5f6910db9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-c9c06784-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "43bdb66c-6b5a-4a1c-9d44-2717ecc981ed" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "bad7f79b-abec-4d69-8c30-3abd1a5f31d9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-UHN-700007-ARC1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:21:56.842750-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "72155863-300c-4515-962a-d0c332cf5b63" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
-    ccdh:id "43cceeb5-008a-58cb-b219-34c3ac43e86f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A497_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8072/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8072/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bea32bd5-4068-4351-994e-09b3bf819ebb" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "882c6ec3-1f56-43c3-8a41-da060f9f5ee1" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1fe06c82-aa43-44ac-a091-8dec17e796ba" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-037687-158970_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:26:11.717995-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "98e2382a-2d7b-445d-83ff-1dc53d66db12" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "d0d35a5e-572f-4cae-a0df-67ce30803048" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD14308_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:41:59.431029-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "32112d7c-2b29-485d-86c3-6b995450ec8c" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f0a3480b-d52a-5db1-b03f-693a9bad5cfc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-5559_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8c925c97-a7e0-44b3-ac62-b365e89975f0" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fbea64f9-b46b-4af1-bfb2-1791d93977b6" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "43fbb037-8ba4-4ba3-8458-71a027eda822" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "90bcf4eb-dd05-5d4d-b666-6947b36143d8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-D6-A6ES_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "59ddae84-32f9-40c0-9d9f-e3b883ab5c47" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0ebb072d-0596-4deb-8607-2548b0396fb0" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f99dc3bf-e91d-4011-b62a-2653b53417f0" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "36009b16-600e-42f9-9509-783c76c5b88d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-034499-159099_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:37:30.937085-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bce047a2-b5b7-4ccf-8bf9-406d8c87d7a3" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "95d85e5a-b82c-59f8-b7ad-710e019cdebc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-TN-A7HL_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1077bf93-cf23-41db-925c-c633921894cc" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9c02fd4a-a29a-4a44-ba96-5acb6ff11f7f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4a0d79fe-9eb9-456c-b483-ccf956597a3d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "bddca644-5ced-5789-8d31-c00df9f776ad" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-D6-A74Q_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "343c1ea3-2785-465f-b01a-2d609b486ef9" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d9095c8b-414f-41d4-a478-ee54d2728762" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c03b3dfa-7b9b-4a21-9274-d174bc14440b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6d395db6-3f58-4c4a-82dd-9b3b9c35fc8f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-004670-873_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3396e2a0-10bb-43b3-b5be-7980064889e0" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "45ebf5cb-a072-582b-8ace-7cd198806bc2" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-F7-7848_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b99fa26a-da90-4b98-bea0-f0c71a1b6ea3" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8aa78dee-bc22-4d4b-86d6-60fb80358da8" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f7831fa0-1f1d-4623-aba0-8117b925a1ee" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "18a6869d-fcbd-526c-a71f-7f5145b12278" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7440_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bb0c2fd4-8ffd-4825-aaf2-e865090940c8" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "86b81c8d-ae15-477a-86fa-6e10f1263f87" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1d594963-b5c3-496e-af52-5f6dbcd6910f" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "80eca6e9-b390-4878-a070-e40c1c19b1f4" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d5b740be-4c9a-4bec-835a-4cd0b394ded4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-006383-3525_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:27:14.117499-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1a1294ab-79bf-4e29-b958-cd6c3b25a984" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f41a7343-e52e-5f4b-b902-ccd3275b00b9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-DQ-7589_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e22036a1-ed2f-44b4-8bca-bd9808611fd0" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "41ec6e82-6bcd-4057-a370-bfe1801e2e94" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "19c44a45-4f80-4d5a-beac-83db256a3434" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVC" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVC" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M1" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "59b73fbd-93ab-5cbb-b052-82d5e66a4c16" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-5249_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6697dd71-5a58-4862-b26e-ea16dcc383f2" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b72390d2-f19e-493d-9a30-cd81dd232188" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "4f1912bc-3704-49b0-b916-6d0e99463553" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD5075_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:07:48.972608-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "dbf24e2a-1a10-4dfb-be35-8021f82b947c" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "d50387b2-938c-480c-8287-6c8754e06278" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-6686-17868_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:10:26.105156-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2022f8c2-108a-4919-bbcf-1dd1ba4fa10b" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "556216dd-a648-5f7e-a4b1-8f8688a354b6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BB-4217_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5eacbcc3-8ac1-42bc-b3dd-53bc693d3cae" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b9427fad-04aa-4e73-99ba-ccde04e4978b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3d9307b9-f42f-421b-bebe-ed692a5868ce" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ce63ab25-f6d3-475c-abca-986d8d91b869" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0019055-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:42:00.849990-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b5793531-8ec1-4bd9-9544-57844ebee0a6" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "1d93a53e-6030-43c7-b479-9faa6fc8febf" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-002633-5917_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a8ec3306-0190-4e13-94d1-e269b8479a1d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "7ed3e77f-cc81-56cb-b573-cc6df309ff48" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BB-4227_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0e81b0ef-6f16-4a56-9f18-8acad8bf9ccf" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a6748675-5433-4f39-a578-9a1ddb8bb1b3" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f31d010d-cb3e-46da-9647-38fdb9d1bbc0" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c18fbc5a-880d-5f56-8466-527763c437d6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-A45Z_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f844574a-cb7f-4f66-83d4-ee0ca41a63d1" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "866bc103-c5bc-4365-8ef6-40064b33046d" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fc3d6178-acc8-4e4f-b935-3cc1f6c0f304" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c1111640-7729-436a-9b46-88c0ab534b96" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-832679ee-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9590434b-5b17-4ee8-b109-7ebb737252ef" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "57e78d94-5a02-499e-953f-e5539884009b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-036456-74857_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-27T19:26:40.896040-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6f3b4fcf-0519-439f-b3e9-6a0678745885" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "601e60c5-25a1-41e7-a47e-2a069cb8e099" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD11228_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T09:56:48.362532-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b62623cd-3d81-4e48-bba4-7df880930106" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "126d74e6-2981-5aea-80e7-62ec5cff609a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-4739_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b916fa4a-1d15-4619-9d6c-1000e96b7e0d" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9491d6f0-1e3e-48e5-aabb-87704511904b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f450dbe6-4972-4c49-af97-963bcd0d0da0" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "bd9d72bf-8331-5bd7-a4bc-1522518d3fb7" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-A468_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Lip" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Lip" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7dc1e99f-c601-48c2-8326-389d9f084e29" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "54fda578-dfb1-4a1b-8b01-2b7e9292f387" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "66643338-ed21-460e-a1dc-b547c5b14500" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ea9b7e18-cbc5-4588-8b59-d32af85db2c0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-052774-173461_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:20:30.865187-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f37609a0-84b8-4203-9497-9f60cc8be539" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b7c8a51e-1403-54ce-a94e-ca7cfc05c21b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-HD-7754_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3fb86c71-0f8b-4022-b19f-d394401df9fe" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-23T13:20:20.149518-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "97d5f4b1-b8a5-4fb1-8af6-f0e6cfc302f6" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "adb496a1-07eb-45b9-8690-00184143300e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "675831ed-0976-4fdb-87da-15a7a85ba6b5" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-9bb5e551-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b2ee3f62-a9d8-4f49-bc51-1d3f17d63b14" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a37311af-d40e-5c8f-ba14-b3b2ae22e486" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-6997_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b4c9a3aa-151e-478b-bc18-ce793b68ae09" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "00a721c6-6cb7-4408-a63a-6dae9310a3fe" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8b73f661-e1ec-4bcb-9eea-a5e66237229a" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ed6cd70d-8278-4da3-9067-ab74bc051381" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-007474-4132_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T18:54:47.858087-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7946822e-6d72-4013-8be2-f3ffb0487d65" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "48994484-82cc-51ba-a8b6-6f4663599d40" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-6478_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "dfbc5ddf-a361-4d72-ba8d-5615ca644357" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a26d04d0-1501-4cc7-afea-154a89cff0ff" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d7acd35e-0ca1-42f0-932c-a3cdd6f8d09b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-037833-36073_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-25T12:05:51.637331-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8f775235-6026-40f6-b156-cc3711222412" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b23327de-182a-555c-9323-77d5bd3dd453" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7415_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b7d03ca7-f518-4587-a54f-03896e53b167" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "72f5520a-28f0-4be6-afe0-6bee4de5b69a" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "106c7016-9bf6-415a-a0fc-3722a1aaf2c6" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "52d5ae11-4bb0-53aa-bff7-31190888f8ff" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-5247_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "950233c0-c1ca-4b69-8e3f-a6072dbc7e6a" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "43739161-8083-4740-a670-1a334a87ca7e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "64881717-bcb2-532a-b0af-395ba5c62c2e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-6481_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e9a39a90-6401-4a9f-baa5-606e8b5176f6" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "04652163-a674-446f-9e86-607de19e4c34" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f9e5f978-310f-4011-86bd-f468da998bd3" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0015030-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:42:39.927651-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e3362d03-8d6c-4be0-b1a6-5ce9c230f4f0" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "066a4a47-3b4a-582d-984d-476fa8a4fc57" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7422_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9e25f49c-cd83-4171-9e07-51aca3fb1019" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2c2db97c-8c8d-4f1e-ab73-469238609d61" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "63bdeeca-a7b1-47fb-9945-c24f7513c56c" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "28fc2416-e276-4a4c-963f-1ff59d64fb44" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-a947c792-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cb69d223-6e16-4e94-8a35-b1197a261b19" ;
-            ccdh:source_material_type "Not Reported" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "982f892f-104c-4948-8788-6c77775e53a7" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-013165-23146_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:44.678712-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "27e33c39-2025-4573-9b0c-1bc774566bfa" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "22e091bf-8af8-5910-9664-c73e7b5f44fb" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-6487_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "027dedd3-bd53-420e-b7f2-eb5b8c26bcdc" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ff63290d-0644-4387-99bb-697150a7fb6b" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage i" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2edff908-b791-5c44-b0ed-cdbad3c1a249" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7418_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "26eac019-6e9b-4ab1-aa1b-323f76d9aef3" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2e5b2590-4227-4265-a837-8175920e4d01" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ccd7a7be-3065-4f30-8d21-94bfdc0b4703" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cc37f4d1-d8ae-4367-8abf-7c6da579d09e" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "bb2f0211-8bd8-5667-a49f-0e507f10e863" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7424_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "162ba21b-8262-4815-9e65-5b064f0e5885" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7dafe515-fefb-4656-ab96-b72e09e041f7" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9308d3df-4126-470f-9dae-db9362050c29" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "979324ca-d8fa-4bbd-ad7e-1c663c5a4a9b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4f08ca0e-bd9c-425c-9137-a8bc3654ff09" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0004619-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:54:19.535598-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "407047a0-1065-4e67-aee6-a3a66998deb8" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b9143400-abdf-5f03-9771-ebafe5bb5d43" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7371_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ac9f5493-c06b-40dd-b80d-7be718d27289" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5a5005d4-6cd9-431a-89ec-ce6d34b0fc7d" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Malignant rhabdoid tumor" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Malignant rhabdoid tumor" ] ;
-    ccdh:id "cbc897af-ab20-50cf-b397-5bdaeadb4691" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TARGET-52-PASAMZ_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Lip" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Lip" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8963/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8963/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2016-02-17T11:50:17.531058-06:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e5a4af40-c272-5aeb-942c-4be4614b4cfd" ;
-            ccdh:source_material_type "Primary Tumor" ;
-            ccdh:specific_tissue_morphology "Rhabdoid tumor (kidney) (RT)" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Unknown" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "unknown" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "972c3046-1f6c-40fc-a83a-3b200148a683" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD5830_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:39:05.012118-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ed2a5846-de67-40c3-9074-3adc9edfb0b0" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4e9b9fad-2d73-4867-b7f8-8e42769ea41e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-009088-5942_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.308719-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cc6054a8-ec09-42af-be24-4041b7be75cc" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "58498007-02e8-41fb-b884-2383b5eb1414" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-007582-3990_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:44:49.261364-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f198873e-fb8b-4ddb-8d79-1fcf1bb1d764" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1da5c51a-ee25-51a6-a4c2-27d8fdcbe24e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-5365_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "665d4bff-603c-497b-816f-c98784665d0f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "665d66ad-54ee-478e-bdd0-85d77980fb3e" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1ed245de-fea4-42c9-9197-773bcd12d2a8" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVC" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVC" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ivb" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVB" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "e2403080-b7b5-4d13-b62e-9b7293a45058" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0002484-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:35:23.418160-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "89363cf2-b8d0-48cd-97e5-4cd68ed372d3" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "748313dd-50be-45e2-9d94-75752dd6e783" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD10965_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T09:58:58.476597-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "97354824-7fe1-472e-ac48-74ad10e5da51" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3f296a63-9ea9-4648-a621-c8fe8a6d631e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-cbxznf5u-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e0559edf-8fa9-43f1-acbb-7964ea0c33d3" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c4b50b5a-dee5-481b-8c34-5584abba267f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-UHN-614933-ARC1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:18:10.730001-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "09f9d0e6-10af-4224-a875-8d1e99e90eb5" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5c73649d-f112-401e-a47c-785337555930" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-JHU-02535-03020_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T23:09:11.890404-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d34c6f0f-6b69-4820-8dc8-90d8d54ff7c4" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "37ac68db-02ec-42d2-92bc-d7d2f4c33bf8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008078-6166_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f2c471a5-55a3-4180-be7d-c3560efade4b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "8932404c-6adc-4b1d-81fb-fdb4dbb32ddd" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0008185-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:06:12.185212-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3a9e0ea1-fb4f-47bd-bf6c-831f7101b005" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "becd7cb0-9352-5c38-856c-fcfa539fdea3" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-5431_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "39e3facf-6d13-4611-bcfa-90ef0350814d" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8897e2b3-1863-43c7-a84f-fe53d12371f9" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "be567c0a-3833-45d7-b846-d229a8e16e16" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d68e9ec8-d562-49e0-abf1-ebc41a0f439a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-006509-3496_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T18:54:47.858087-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3e441a98-f869-414d-9732-4b4037711d5e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c8d65c8c-9299-49bc-bfe0-97c19ff35fd2" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-037050-88705_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-25T12:05:51.637331-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "58a5858d-4740-4da1-8959-43d7b05ae1ea" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f7e49651-4dc5-50d9-af24-de743caf866b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-6482_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "92173f97-b46a-4950-8cd8-6729ab9522c5" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3a24aaeb-37ce-4508-81d5-e531aac8a167" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c2494ea4-5db2-5716-9afd-096e152b592c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-5356_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fb9d2ba0-7673-4587-ab69-0059fce2f671" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cf684788-d8e6-49da-8421-b2dbf040a529" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bcb5da85-78d6-4519-9740-378587b1bd37" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "e71fe2d8-2dc3-45b4-bc48-25b118a6f909" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD2206_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T09:54:31.122378-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "68742842-28e9-49db-b49d-79c73ad4ef0c" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "b03c5a4b-9dd8-4186-b8d5-a65acb317474" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD3459_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:04:01.286185-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c54fca3a-3919-4ac7-81b6-f1cf955f47a7" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a08be31b-24b0-5fb3-b49d-955fcce7603c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-D6-6827_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Lip" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Lip" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c53d6135-c614-45f4-8f41-49b20ed4a549" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2ef80e58-961d-45d6-ac3a-a520be3728c9" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "460e7821-2712-4d74-b5a1-b2883b3197ca" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage i" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "da37f4a4-3f09-4771-a1a0-9b2ce6e0df03" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD2161_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T09:54:06.130101-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7f5f0ba4-3eb5-462a-8db8-31faca9d0d27" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d2b0be44-b12f-443f-9d48-3e26ea1ed386" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD7867_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:48:10.807261-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1fc039e3-94d1-4fe2-9d51-796dce543f9f" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d9cc35a1-8103-5f6b-8d97-cc64c564c677" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-UF-A7JH_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1c9d867a-6fba-49a1-99ba-63bd01942397" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "980726e2-9e0c-4212-b5aa-69e139fc3be7" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2b803b39-f13c-4335-9845-05bb61830015" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "27b201c5-0310-4f7a-835c-31fde311cde6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0020040-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-02T20:58:03.565619-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8738d7cc-e80c-4a00-bc4e-fee451f4b19f" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Malignant rhabdoid tumor" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Malignant rhabdoid tumor" ] ;
-    ccdh:id "d1368e23-4a00-5b0c-ad28-56a5a4dbd833" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TARGET-52-PATYUA_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Lip" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Lip" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8963/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8963/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2016-02-17T11:50:17.531058-06:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "83a37c0f-ac29-558c-b7dc-a9fcfed82b61" ;
-            ccdh:source_material_type "Primary Tumor" ;
-            ccdh:specific_tissue_morphology "Rhabdoid tumor (kidney) (RT)" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Unknown" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "unknown" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "efe7297e-9961-4ac3-b247-a9322e18240c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD16071_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:51:38.104730-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "542b7dd6-20ad-4719-bece-768060ddab97" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "12b8aa2a-5f0f-4d64-9cc0-ff4a65619c10" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003438-7875_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8ccd1ad3-a277-468d-ae44-03e6c1964c3d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "530535a6-b47e-48ce-b312-54c3003c14ad" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0002854-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:50:42.610446-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ad472d22-bccd-401b-ab2d-0ab7a31c7b73" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cf19d9da-2868-599e-9281-91b9e064078d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7374_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "77be0d91-0525-439f-bb34-3a0702c81085" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ece42fcc-b771-42af-92c4-39fd74b645c5" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "89e61c6e-3fb5-494b-81b3-7280119fefc9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-011185-11116_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "25bebf87-88d5-4cd5-b2d7-3f2b7c1a0a02" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "00fbc722-7387-437d-b859-3d35c86e02fc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-040b2fef-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "25007740-c3ea-41f0-a9dc-52de44cb9faa" ;
-            ccdh:source_material_type "Not Reported" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "366df7ed-b836-4cb0-9146-75d22e0ca019" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-009836-7821_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.308719-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "356353d1-c8db-4f97-b1d2-0b895cb42266" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c508644c-d496-4647-a065-4e0077d99b67" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008357-5599_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "80c31730-c365-4f43-ae30-d082f4c7f67a" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "fa79bd3b-f6c7-48c1-93af-5b6fb08de876" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003292-1283_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a3eaae17-ef1a-442c-93cc-0fd82a8887bf" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0b894a71-55ca-4246-bdf3-4d36622b203c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0007622-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:06:12.185212-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8b9e009a-6ead-4105-a148-8c8a44be0658" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "6252ba82-08cf-4a88-892e-bd2847842225" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0009588-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:09:54.181448-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0fd4a1fd-2313-475e-ae01-d424516e42c9" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "155420b6-0bc4-42f0-a28d-863e56f9e200" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD864_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:06:58.520537-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "24318871-5bfe-4bbe-8df8-9e415558ae47" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4c3c3952-6e85-4fd3-bc05-81c91ce3faef" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003978-789_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "10935163-56ad-43d1-af91-1846aa5922eb" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d55686fe-0423-4b01-9719-ade00bed3004" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0009761-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:09:54.181448-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "64dd4e81-f01b-4846-b306-20b7cd7d9340" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b1c3bd39-9f13-5dba-aeeb-86271bf64b8d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7242_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4fdddf85-30de-4666-89d2-0683e9264d6d" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f9dea7a5-e9d2-48a6-bbc1-c5c1f8e7ee67" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a45efd70-9bee-4c18-82b1-666d2c1eb781" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6b4b146e-e6c5-454d-9c4f-66a6f851c3fe" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f50b7ab8-f114-470f-81b0-35ddd9246c46" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-034356-130499_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:37:30.937085-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "21a0707d-357c-4ea4-aec8-1227b8997cbb" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "26a2438a-f914-4865-9784-a9a47150cb4e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-010260-9348_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0d696183-2cc4-4f33-9973-04537cb86276" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "7c7482aa-6349-58c9-ab17-6c69acbd579e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7388_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c6aafc51-6295-494f-9bf2-1e4f43a72ae0" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f27e3255-bc73-4943-8201-5245b85c4ee5" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "de59133c-2442-490c-9f22-057c8a47ff70" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0008518-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:09:54.181448-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f4e28471-79a4-456e-bba8-db331560bdb0" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3896106f-2770-565a-b872-0d61198bb107" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-5442_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Palate" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Palate" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ec885af4-3513-4790-ab1f-6ecc94b6115d" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "26243d14-e401-4ca4-92e7-aee13c9e6e47" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "698208bb-7272-4ad5-9cc0-909cb669bdaf" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d852d062-d7e0-559b-8492-da2b0abe8415" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-6470_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "afb7ea63-2959-4e53-95ea-7a032dcb5a8b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "aa121605-a2c9-43fc-a836-8ec6c42b99de" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "b0179bcd-bda0-42ff-8654-61f3fe576e73" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD12050_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:03:00.815411-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0a8dd963-c724-4a77-b662-5f711ac88607" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a69046f9-49c2-4846-a394-ffebf61b0340" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-001847-1155_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:12:32.615882-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ae00c91b-f03b-41fa-bd2f-d6fde4338cf1" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5db2900f-3088-48fa-ad1c-8dbba6bedbef" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0017777-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:37:32.909734-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "dc326cf0-cb20-4f0a-968a-28c6923319dd" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0099f9fb-0d9a-46a0-a86f-c10dd58ad440" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD8066_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:51:17.672127-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "dc97ccf6-b026-45ac-a658-fb44806230a1" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "68a8cfd1-e890-4bd7-931b-33636e8cf10b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0000668-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:31:25.700438-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5c9ff077-5620-4611-a58c-fdd8ed98b2db" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cf507905-7cf2-408b-a08e-b703df54147f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-NKI-DYRQ-CX3U_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T17:51:39.178920-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "36b762ea-ade4-4e7a-b824-0fdadd0e33ef" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9c1cd7ed-46f5-4809-a898-22cc0e15cd64" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-438c3609-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bc168208-ee4f-4a50-8ddf-b72b0dd59da2" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "30984445-18bb-4b5a-be50-8bed548e6e00" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-007662-3905_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T18:54:47.858087-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "46f8b134-ad13-42d1-b3c7-6b2d8cf77f90" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "155a3146-d68b-4058-abe2-3ae8713641ce" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-5361-16435_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:07:22.808668-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a7b07575-200a-4a32-8faa-075ded8667cc" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "fac35228-e5eb-403f-a9fd-c88a2518c7c1" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-009544-8452_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.308719-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "933ddbda-c8bb-4e81-9342-9d7379bd6332" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "81f6058e-7aef-4ed0-b7c4-a0f1ff8a52b6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-036373-130403_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:37:30.937085-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3b018cb9-12c9-4445-b021-1fc93e0f74c2" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0c55f80d-c82c-4554-916f-6b117978b3fc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0000454-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:31:25.700438-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5c3a5e81-481c-430b-9c70-f2d61a77568d" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "21b7042c-de33-572f-a77e-98db817efd44" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-6492_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Palate" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Palate" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2da6f33b-4a9f-4cf6-ad8f-873be656a6f8" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9d258494-fb84-4435-aa3a-f5778ac061c5" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cde79cd2-3aab-48ed-81a1-259a3cd21002" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-VICC-122614-unk-1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-28T12:01:45.147328-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "71ba3119-c343-43f0-84db-4ba8787d316b" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4dbbefaa-8e8e-4a44-943b-48687f123673" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0010088-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:13:38.880466-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b5da1115-1fe3-49a4-892b-ef43e64dbee4" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e68bc170-6152-4c90-9b9b-e31856495716" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0005506-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:58:03.635432-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b5f4b393-678a-4964-b625-19c8099cde13" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "7bfa067f-69be-4a58-a8a7-98963ee8c589" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-VICC-493620-unk-1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-28T12:01:45.147328-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "57a1d12e-9ead-43ed-8990-0fecb573d3cf" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4b90baa1-cf87-5186-9101-0464aec143d3" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-A4IG_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c029272a-feef-4a11-9566-092c16b40eef" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ce469c00-b5c0-4d7c-875b-092c5b6ac289" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "20846d6c-1a34-5e01-a531-f9c783416c3e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-MZ-A6I9_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0551272d-7e05-435c-92b3-918cde4d14ee" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f32ce523-c60e-4a86-bfa0-eeb4f3b2d83a" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "396f116a-bede-472e-847d-435a77dfa7dc" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "022d6f9b-38da-5bfb-8bd9-e800361481a0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-D6-A6EK_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ad47c17b-e21c-4aed-aac6-8a062c6b5e42" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b3a55bcd-1f88-4d25-9f95-5ef7393d6cf0" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0a64b28d-8dde-4eaf-bac5-217406cbc4c6" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "f773f13c-c661-46fd-8bd1-56dae4502465" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-8057-18231_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:10:26.105156-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2af6ce71-3d6c-4da8-8b75-f0ae49f95bd2" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "e071dcbc-10af-49bd-86cb-b1c8ec549487" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0017414-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:20:07.713564-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ff1a3e50-533b-4228-a8fb-93af76ca4b59" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "310c112e-7e2f-4987-a515-fe213ae70986" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0002198-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:35:23.418160-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b9d46cb7-1679-4998-853f-03e5827cbb53" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "22080645-9bd1-4303-ae61-8228c254dc24" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0002746-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:50:42.610446-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c74deddd-6181-4108-baf3-4d750d877606" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "640dafcd-ca8f-4305-bd40-240ff476b75e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-006707-2784_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T18:54:47.858087-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "53e7103c-42c4-41cc-948c-b8e23271bee9" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "53ddd4d3-8e0e-4e6f-9cd1-fe6c9c5eb114" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0006525-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:02:01.981535-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "379984ec-2e8f-4c3e-9153-1ec8adc17770" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cf973339-e31d-4fb3-833e-f954634d95ee" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0014965-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:42:39.927651-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1bd46cb2-e563-4a48-a36e-ea4f7a15173f" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a433a5fa-fd34-4ab5-a117-29614a2c7f9a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0013513-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:39:05.576558-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f2ec974c-b952-4450-947b-11c39bbaf248" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f351c260-09d7-594c-8347-292ae6f65f1f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A49B_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "16b91d52-3168-44d9-bbbd-9f6e8b2582b6" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a49128ea-01e4-4587-845b-6b26bafa1c29" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "cecde3bd-c011-5cd9-8071-912a0f342eb8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-UF-A7JJ_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "392cbac9-ed5a-4f0c-9270-f45278476c73" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "408c2c68-2f92-421e-b797-ecada0bfedc7" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "de8517e0-d7ad-41a2-9468-bdf0106c905c" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a276fc76-237c-5574-9fc6-4b309ce35829" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-6935_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "37f4a944-d427-4f41-9d27-982a910103e8" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6883e88c-05a5-4ae7-a43f-40d4f35a3a2d" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "05aa5c47-cbde-491e-b8d7-a60cfe1ca2d9" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "76de8a78-90b8-4928-8dc1-bf3b8157382f" ;
-            ccdh:source_material_type "Solid Tissue Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "db8fb969-2213-4290-94de-c3680cd314f7" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD16283_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:51:28.078592-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0d4e791a-4a50-4c58-a8a5-88e5bf4d7c9c" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6b3df15b-f5c6-4c79-923c-572688a90a50" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD1220_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:57:01.408534-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2bbdf4c4-88a1-4358-a88a-5daa2a9a506d" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4bcd5e25-adf6-5fe2-b07f-05d72b7b22a1" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-P3-A6T6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Gum" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Gum" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3147ba3d-b1fd-4e40-82e1-56429f2389d6" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "127b2222-93b1-4870-93f2-867d8e69d015" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6f0b02c4-6efb-4104-89e1-2e76811b6afc" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d957f533-9896-5f0b-a9ee-90335d733f67" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BB-7864_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1477b393-8acf-4550-86a7-6570c0d7d583" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f3c568ae-ad12-4155-a652-8e16e5276bda" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4775330f-0409-4bb2-a096-a3d1eb0180d1" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6bbf8ace-0b17-57e5-bf9e-2c164cb28e53" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-F7-A50I_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ccd8f2ed-5a6a-460f-b692-ee7d78e29b18" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5eb175ff-1b47-463a-8f16-4b59914457bc" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "384902a7-fa03-4083-9baf-7ce114694c9d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "545abbb1-03c0-4b81-af21-3ebb7a5bb299" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD4812_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:06:53.493092-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4288c5a9-610c-4b1f-b102-2b96b49a6fd8" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5ba2b63c-b0c8-4304-820c-9b04ebb5a7fc" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-002837-2078_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fb20acec-aeb5-4591-b114-0834c6629db7" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6307ff41-9bb5-438d-8789-a73b41303d64" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-036509-75021_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-27T19:26:40.896040-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ba40b824-5fe9-4a73-b7f0-9b371af64f65" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "af8fdb73-f4a3-5b32-b9d5-6f9d39a97856" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-D6-6824_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "10c45c93-36f6-4085-8bc8-f46dfdedca1f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4d8bbfbd-1a39-4630-a1e5-3bc6abb01949" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2e1366b9-95b7-4a0d-81f0-7ec14e4f4592" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c0bf8ccd-6f3b-5ede-b3ce-a63ad584ab1b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-DQ-7595_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "387e8df2-f053-4cbe-aae8-5727d215f904" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "52e0aaf1-d93b-42f8-b0e3-f6b4a3d0bd1e" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c522234a-c0b1-427a-8992-84fcfc9389ef" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b27a395e-c9b4-5903-afcf-90ba31fcdeb2" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-HD-7753_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-25T15:20:17.640379-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "698f639f-c34a-4f21-8306-26002008804f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e723f1bb-73a3-4d65-bd25-de76138515e9" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7fb56f25-873d-475c-9db6-f0be3945d926" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage i" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3c0d1fbc-508c-4cad-a9eb-a848fc20ac76" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-006868-2957_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T18:54:47.858087-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "abf5cf5e-2352-4ba7-9a91-cbefe78ae28e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a66ce9f9-d7d0-5f2e-b0c0-73f306f68236" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-6869_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-23T13:20:20.149518-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2f9729e6-edea-4612-82b3-01251317074a" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f4ed2c84-39f8-4ab3-8762-a9920acc2432" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0aaa8bba-f4a5-4158-b9b4-a02244b5f6f7" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "04081703-b701-4765-8309-0a204a48c183" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-VICC-201710-unk-1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-28T12:01:45.147328-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cc51bca3-858a-4ac3-b48a-c4d273b2329c" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cac9736c-3015-486b-b69a-906d2bcbac13" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-a20580bb-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cf3feb17-3b74-4d84-8395-c4af9b8f4514" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5cb1278d-4b33-401c-b200-b4408788c927" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-002669-7683_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4d69eeb9-81bd-4146-9a4a-3ca86c789272" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ea4330da-9d29-4e64-8197-55a50ee283dd" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0001557-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:35:23.418160-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "90c9d5f2-ca54-4084-99e7-e9407e364b12" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "65bd5ce4-bf44-4994-824e-f21701449f73" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-NKI-HMII-Q9EY_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T17:51:39.178920-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cb629447-dbb7-49c7-a88a-435b6b6decda" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3f9675d2-ad2f-5a88-af81-e7e9b5744c1a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7437_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d7340d97-4ebd-4125-961a-9a5abe2f0ebb" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "215c17d6-2035-48da-9d06-c54734042898" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "46be59da-3e8e-43cb-a4f4-6658b12f1fe9" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "58c15c00-ddad-4f65-9f03-1882b7f9a09b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9eeeccb6-c3a5-4008-a87c-006d2e1efa9f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008672-7091_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6db9d94f-7868-4a64-b9b4-a5b95747c317" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1ddea2fe-7874-5d31-b1fe-2cb2b0de542f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-KU-A6H7_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "840d3da5-0493-460a-b5a9-4285e1a2ad37" ;
-            ccdh:source_material_type "Metastatic" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b4074f91-5478-4117-bee5-ed164e4d38c2" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "61eec5b6-925d-434b-a318-b22fc21c9ffe" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e4439379-d930-4b9a-b498-3b75e569f8ad" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5d8267c6-4156-5145-b6e3-49c68f8cabfb" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-5361_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c807171a-4433-4246-a454-c5cf768da8aa" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5b2581d8-c087-4caa-b9ce-bc0168fbfefa" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2877214f-4aab-46cf-b052-b6e7d2662ff5" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c34f7850-ab91-4173-b716-b487c290ec78" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0012862-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:39:05.576558-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "59d43c02-f731-4a7f-97ae-c3d7dac2d5e0" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "671671bc-dbf4-4e15-b978-6aceaac1533f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0016761-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:17:41.081467-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0d989563-7a49-49e9-9417-4b607d661ab4" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "03f214c1-e688-473f-b84b-5864f56a6a3a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-001000-1570_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:06:57.341931-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "016681b7-82cb-404f-a175-8cb6d3f6bc62" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "bcef8cad-3d18-4cd2-b839-5fddd16311f1" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0000945-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:31:25.700438-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2ba57cf3-fd06-4f99-9ad7-447a164b9586" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "fc136a78-0ba0-5a79-a4f9-d5d692e61222" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7402_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b86e8a21-6937-4299-89f6-05f51888f5d8" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "dfdf096f-9577-4e8f-8e98-9b808e417ccc" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "09912911-2865-490c-aaca-89f4cc1bee36" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008390-5815_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7894955b-ac0e-46ee-a5b3-c023cd1e87b6" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a4332fc7-aee9-497b-99ba-5c1d548a7623" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-037277-88571_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-25T12:05:51.637331-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d2ad484e-58b3-4e29-84e3-a45abb294b3a" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "09ac3334-b77e-56e2-a46b-57faf703f1fb" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-7385_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4c4a6867-babe-4032-a639-a9b31cdddc6c" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d1553b1a-bc1e-4dcf-a273-b3effabe380b" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "881c2131-1f0d-4b11-8b3a-626918ad5566" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0013652-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:39:05.576558-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4c4f2c9b-d2db-42ab-898d-7d6c8c8e4a6e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3f9d8932-dc6a-4225-b085-953225ae22ad" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0007407-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:06:12.185212-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cd1a65bd-7bc3-4c1e-9d5e-792938c2fc5a" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "eaa3ca60-5565-429d-8c4b-a0a6ef7d9fa6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003114-1605_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9e503ae6-5765-4fe6-9a28-eac5a3a93a13" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "65645e51-3cea-4c45-a029-ecd7cef6c8ad" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-001639-6186_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:12:32.615882-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b1a851b3-94bf-4652-82d3-cc6133cd1565" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6788d692-193d-5d61-975f-1a79e54439ff" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-D6-6516_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Lip" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Lip" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c3c82c51-0200-44c8-b5aa-050084983398" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c129394b-3c04-4a6a-b4ea-d56d96bf28ef" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2d8d11be-421d-4f96-b5d6-4cbc632f11f3" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage i" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9d41e68e-c648-42ea-9320-6e08b9b5dd4c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-007598-4084_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T18:54:47.858087-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "87d18b2c-1241-43b3-b7aa-24442a047ade" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f7be786a-80e5-5c78-af12-715c8cdd318f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-UF-A718_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a88696d9-b36a-4fd7-b3ed-b6b31aa4094f" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8f620b3e-2962-49da-bcaf-4ecfd9580923" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ddeeb19e-1929-488d-8e19-c6212b3b78fb" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "75ebf700-6ff1-4980-a420-41df37dd2c42" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0018608-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:39:49.045696-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e4d9ec72-9281-4b2e-841d-06d84634968d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "80c00d5c-1297-43e4-bbcc-cc895915ec2a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-51823bc5-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8d24d0d3-ec37-4b8e-9c31-e23965637da9" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "100193fa-11a9-4abd-9bcb-b1688eefaf5e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008981-6260_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.308719-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8fe03287-0b1e-4750-9006-58059562a243" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "9076e2ad-9cef-4efc-99d7-387d250445ee" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-025889-116451_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:37:30.937085-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "678dfc0e-f085-4c85-b444-8fc1604bdcfe" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "fbf35ed3-c5af-4591-88be-e9971b7d40f6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-053418-203556_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:20:30.865187-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a3b9c3f7-8499-4c17-92f9-274b1ee52764" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Basaloid squamous cell carcinoma" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Basaloid squamous cell carcinoma" ] ;
-    ccdh:id "f4e541cc-a71e-55b3-ad08-3eeb8d00f2b0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-KU-A66S_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8083/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8083/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4bed3ece-2350-4c99-bec9-3d652fbe8c9b" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a590a632-55b4-4be6-b2d8-6c8afbbe99ac" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3c09f5ba-a4af-4384-948a-d6e943613f7a" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ae2f70f2-dd19-493b-b6ea-bbe2cbe507cd" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0014898-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:42:39.927651-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d7332e8a-d17d-497f-9b44-cc7992f48739" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a47bda97-0952-47fa-9a6e-277baa8762a9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-004713-938_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cc589138-6e86-49ad-8d76-857543c02842" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c96ca96a-8046-4381-a767-1119705c5500" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008037-6376_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:11:14.458475-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f5e6b025-48ca-4fd5-b657-ae622bc9de02" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "6d9a9668-da18-4c45-a108-8b0b058ec47c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-006284-4777_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:27:14.117499-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6b2d8256-f78a-4ac8-b0c3-a97a03410b59" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c9ea5a2b-8b14-5745-b9c3-c93c9abe468f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-A45O_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Gum" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Gum" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "77b774a4-9456-4907-86e6-9ff2dd87b8fd" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ec7fe5e6-74af-4bd2-9ecb-8e302f763b22" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fce64b88-8be6-4710-83be-18c9afdf13ed" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "8b48f2a0-f69b-547c-a9df-35b18ec7bb5a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A63U_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "812b8ee1-096a-40ff-914d-9957644b7d11" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b4430e0f-983c-454d-926e-a33fcb4cd02c" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a6af965f-ae37-421d-98d6-a69ce62213ac" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "af2c06c6-b5cb-4369-906f-727e8e00e459" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-005169-1136_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "104530ac-b606-41bc-93e4-5734f176d3bb" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a4f6276a-b3cc-45f9-9fb8-30edd56ad4ea" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-011620-10763_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:44.678712-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d697e728-9813-4ff5-83eb-c7d814e07bcc" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Adenocarcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Adenocarcinoma, NOS" ] ;
-    ccdh:id "5d2d67d1-4611-4a18-9a66-89823aaa8e3c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD6426_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8140/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8140/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:44:57.790971-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bdc73f48-dc0b-487d-abbe-e3a977b6830a" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "49934fcd-822a-4e1f-ab12-46ef9216779d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0009754-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:09:54.181448-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7c2babfc-9948-4332-8c28-096971073c2e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4943c82a-30d2-4c85-a233-032a49ca801d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008342-5809_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e01da120-9c9d-4ef7-8568-525f74222dd5" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "d2578ad3-da53-4f9a-a3b7-043e9c01a282" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD17065_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:54:42.853523-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c84c230b-7953-4d86-ba93-255ab2242ce7" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "843f33f9-e390-52bc-90c8-fba0a4557916" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-UF-A7JV_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a1d62ba6-696c-4693-9067-d4226a4e6316" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c312a7a4-ba29-49a9-b4dc-876505a6a6c4" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "eed0dcf3-36a2-4890-bb02-e8b56ba4d8d8" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1f6860df-38fb-5519-8ec9-3068b0476cf2" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-4735_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "feb21d9d-394f-402d-8659-eb15bb95f0db" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a2caeab5-55a4-412f-a647-0112f48bbbe7" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fbb300fa-8793-42da-a68e-4570ae2e5186" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "81d9c62a-5f07-4409-aad8-4f9e02b90669" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0015745-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:46:25.150285-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cd31b18a-5019-4a94-8966-a1160e544684" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, spindle cell" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, spindle cell" ] ;
-    ccdh:id "d80aa9c7-2a22-57da-87ef-750dd4c0b494" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-IQ-A61O_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8074/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8074/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "09e8433c-1f86-42c5-91c0-2512fc4a7fe9" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "24e39735-725e-4627-82b6-c56ff33e3465" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "eee85b30-6d16-4f53-aac1-b74f36a62d9a" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1137ba9a-12d3-4b2d-a3a4-d95de8bcf49a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-8191e4ea-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "783e6c97-20aa-4c8b-a7e1-ae0d8f7af28d" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2602d676-8c2e-5bdd-9790-a0a072d3f670" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-DQ-7596_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "61c82e56-e64e-4fcb-bc5f-dc4fe34b6c58" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7a94106d-5604-4b73-9c54-54a72b12f52d" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f662e970-6a51-4164-8458-61e7ff054806" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d0fdd332-a86e-4d6e-b93f-97937926a834" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0019630-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-31T18:43:52.092583-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bbc31a15-3dc6-479c-bd5a-9c1950705ca4" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "49e46e5d-46b8-41f2-954e-c3c7b563a55b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-041937-203493_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:28:08.827884-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1108ef37-87b6-4b62-82f3-5e799fc4fb52" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4e06969c-5592-59ad-b006-09cb82ce6cc9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-D6-6517_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a2dd87a8-e0d1-47c1-a8d1-70b9730aa4ba" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8c099f45-3fd6-4966-8cdb-ca4b9288b1a2" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "53450297-c715-4c54-ad7e-3152a1e16c45" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4d192f26-a2c4-537b-b8b5-1473a759882c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-UF-A7J9_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fbceb407-e7f8-4942-8689-854f8999672c" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5be42d60-80c3-486f-8717-801fec0c89d3" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5df6c457-baef-451d-b1cf-eb7fa6adc602" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "9d69f6a3-4edb-54e3-a840-ff1ff0aefb30" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-UF-A7JK_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "56c76698-7155-4f7a-9f9e-4fb62c673599" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "90e4a976-0d97-47ef-aa29-295c2afeb31b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "15776f80-0722-45a8-bc97-cc209cef631b" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "bfc1721c-c0de-54b3-9170-781b78cafd44" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-6868_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0469c4d4-58ff-411d-9bf4-8d8bbe31d7c5" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ad04d034-7fff-4073-8c1f-97fac3d0bbdb" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d660bc61-4016-4f52-98c3-72de5459946a" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "TX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "TX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVB" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b56e8d53-a875-5676-8d2d-f095f8b899af" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-5444_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4deea4a5-4d54-48b2-9a46-68eea668283b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8cc840ea-3053-41a2-a325-6e86f3deeec6" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "61380e29-a7ae-4e29-b69a-d56f234f1ba0" ;
-            ccdh:source_material_type "Solid Tissue Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Malignant rhabdoid tumor" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Malignant rhabdoid tumor" ] ;
-    ccdh:id "33c5c040-da3f-5e5f-8d13-ab9eff88f833" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TARGET-52-PASCDH_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Lip" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Lip" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8963/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8963/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2016-02-17T11:50:17.531058-06:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1d3eef26-a725-51f7-95fa-139d1a7da76e" ;
-            ccdh:source_material_type "Blood Derived Normal" ;
-            ccdh:specific_tissue_morphology "Rhabdoid tumor (kidney) (RT)" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2016-02-17T11:50:17.531058-06:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "da724216-c1fe-5420-9e73-3a9d4b52bf1c" ;
-            ccdh:source_material_type "Primary Tumor" ;
-            ccdh:specific_tissue_morphology "Rhabdoid tumor (kidney) (RT)" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Unknown" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "unknown" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "0f72e73b-f462-4eef-9d1e-95e83c1f2aaf" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD5362_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:39:05.012118-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9f4929bc-09a7-47b8-9720-d6f829b51a13" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Malignant rhabdoid tumor" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Malignant rhabdoid tumor" ] ;
-    ccdh:id "d813126a-5e28-5c5a-8730-598f0d047584" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TARGET-52-PATBLF_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Lip" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Lip" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8963/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8963/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2016-02-17T11:50:17.531058-06:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ac3e795d-69a1-57f5-9dec-5b59e2523091" ;
-            ccdh:source_material_type "Blood Derived Normal" ;
-            ccdh:specific_tissue_morphology "Rhabdoid tumor (kidney) (RT)" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2016-02-17T11:50:17.531058-06:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "eb5eeeae-6bd7-511e-9f13-51531684c774" ;
-            ccdh:source_material_type "Primary Tumor" ;
-            ccdh:specific_tissue_morphology "Rhabdoid tumor (kidney) (RT)" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Unknown" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "unknown" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "27fbdde4-c58a-46d7-a96f-918b64fe5b51" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-037700-159036_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:26:11.717995-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "50b8e07c-b892-4fac-bf59-9e093e2d74d3" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c0dca6b0-81eb-598e-9514-f23513df1ab8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-UF-A71D_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "87d8fec9-7ac3-4359-a6be-de270584ac1b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e4157201-93f3-4f08-b3a9-dacb22671a57" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "297ea792-1a29-44db-a14b-38513b50826f" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "192c4be7-66ba-416a-abfb-1a88e63e7be4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-VICC-534918-unk-1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-28T12:05:42.341898-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e15f8344-5f7f-4602-b2e3-8fcb0418cb8b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a84b9519-37b2-4311-ac32-8151ae7261e7" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-090167-282584_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:52:12.528526-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "0f1ec484-9205-42f4-9696-815dae75b073" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c8b3a37f-01ec-481e-9460-0bcac22cc002" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-18076aef-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "960fe012-e237-42c8-a3e0-d02853ce3818" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "2326f9b7-e2e8-487a-acd4-b00bc9967a8e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-6597-17790_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:10:26.105156-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "35f0c152-0c87-42bb-a1b7-b306e66514f5" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3ef5f7db-6234-5c11-96d5-fdb6cf8ad63e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-5978_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b801368a-b10a-4a42-bda8-5df8216b532f" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7560ec6d-e0f2-4b55-88bf-62e7173126a1" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b33eba98-6a89-4454-9a53-94999cd5003c" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVB" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ivb" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVB" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVB" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "ca8f5806-a2af-45ee-8217-e6dfc4d0b229" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0012391-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:17:29.664139-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3c8fe733-1711-4d4a-a64c-b94788eda279" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "59ca6acf-5527-4fa2-8bb2-658029b9c67f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-009312-6572_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.308719-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "667948dc-d9bd-4813-922b-69468835c551" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "43212ae1-0d0a-411e-8ae0-61de91147afe" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-006740-7890_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T18:54:47.858087-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5f316e98-9980-4841-b297-f07b3e87004f" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1fa242e0-09fa-5f9b-b6ec-b07d25fd21cd" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-P3-A6SX_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ae3f666a-0c18-41c1-b00e-90cd85a2f987" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "cc710f34-9fb5-4474-84df-5427b59aa062" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "65b091e0-fd47-4f4c-87f1-b2ba9c2766c5" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "0ea10d4e-1809-4763-b440-8e077ecab3e5" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD17629_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:55:27.721574-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "9ab974e3-bc94-4f83-b7dc-82285f5b4b69" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "26ffab97-fa9a-5135-b283-8c4aebe51a26" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7250_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3e6bc216-301a-4f24-911c-8c3610e4a015" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b4f8ddc9-0ab4-447e-8292-5dcf8a9085ee" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f5472b70-32c8-48b0-9051-f9b33272ffd6" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6f55766a-d980-414a-be4a-369e93ec3436" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "d670dce6-9fa8-402a-8b79-081ec26ebe25" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-000843-6962_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:06:57.341931-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "85fa5941-b6df-4eea-97e1-a7b4ae310bdb" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "770f08b4-6ea7-4cb0-a423-75909447e60c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-VICC-518360-unk-1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-04T13:56:37.232985-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "75fdf08c-00e0-42dd-a21c-62cceb7bf00f" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "eb8958ba-0798-5ab3-b4f4-258d441d7e03" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-P3-A6T5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Gum" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Gum" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c98f1b7e-5d3c-4e07-9d9c-65c5a6ac6cd6" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e45c81dc-4143-4e97-8212-85032c760221" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7fddfc05-49ef-4ebc-8572-05059a5fc363" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "f2f2d6b1-7233-433d-b34f-62a8d4e50b0c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0015645-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:46:25.150285-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8a8010f9-2193-4604-9425-da6e5512ebef" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Adenocarcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Adenocarcinoma, NOS" ] ;
-    ccdh:id "215314e4-f8c7-47e1-8993-f126c49bd1a8" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD7896_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8140/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8140/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:49:07.730023-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d3811cf5-8f54-4344-9efc-2f42c49e4e67" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "812129f0-3b47-5ede-9062-237e0c0be7c5" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-BA-5555_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "99ca3c12-0d63-428f-8b1b-03e4a3e8e233" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7c56b9e6-8fd8-4d39-92f0-a24c80270dda" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2920ca1c-6035-4350-ada4-c60d485dbfff" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
-    ccdh:id "f7044868-4f81-56df-87a1-58bd49f9c8cd" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A6V7_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8072/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8072/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ed5933bf-adaf-4bee-81fb-b1ec5782c248" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "69fe86c3-1e82-4583-9051-ffdb84224239" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "f1143020-2e95-4028-a2bf-c03a5ba6ea4e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD14041_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:41:38.922504-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fe72277e-ae77-486d-b5a9-844c483267eb" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "426ed511-e284-4ddd-9809-312805a88905" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD3816_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:01:59.757092-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3fa16cbf-829f-4097-ac9f-d8016c40c618" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "12d5265d-8eb5-4122-9e4d-976bdc0ded08" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0002469-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:35:23.418160-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ed3acbbc-fb24-4be6-b09c-e0b6f4d9814f" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "f3270d37-2d06-4867-973e-54e8ea28208b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0002787-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:50:42.610446-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3eb1f15d-003c-42bc-8832-ea364ee8931b" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "2dd60fd1-68e1-519b-af66-00c32d0cb6d4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-QK-A8ZB_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "44c64654-0e37-4c13-b4fa-aaf9c6644445" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "936a8a93-6559-4bf8-9c51-e81ec4f2aff7" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "17a0a479-3b48-4852-ab06-dd33d6f7788a" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "b5b027c4-6ae8-4c42-9ffc-46738ec336b9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-VICC-671452-unk-1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-28T12:05:42.341898-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "eddc8197-6d13-4eef-bb1d-06d1b8df5395" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "a6576ff2-b9cf-40dd-8da4-ca829d762cc0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-001449-6594_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:12:32.615882-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4ec8fe70-22ad-4f62-893d-f95d77dd37f5" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "32bc08a5-7441-4dfc-b13c-9e193e5a7ac9" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0001682-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:35:23.418160-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b2a64027-92cc-4961-9c27-821fff58c5ca" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "24058118-f7b3-53d4-b24b-07a2ac2e66b1" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-5369_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Palate" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Palate" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8d31f35c-9178-447d-9a2b-acc305fab407" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "11d697ec-f451-4102-a908-e44f48ab0800" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b4c02606-0f86-46e4-9daf-dc7dbcd60d78" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "e87ea1cc-7728-4592-9eeb-04d09e11660b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0005082-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:58:03.635432-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f9e5d21f-2ee2-41c2-b864-f43d6a8357aa" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "7747a88f-1a9b-5833-9442-af0b1350bb4f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-6013_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Gum" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Gum" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d018cd44-6b01-44f2-9181-81153225aab8" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c0c84016-117e-498c-9ed9-52e279e89e33" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8b510bc8-7b3c-4861-9a40-c2c30b7099e0" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5c70e571-fbe5-407f-aea2-9f740e6f5d2a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-002399-7809_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:12:32.615882-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d57d8dd7-f0d5-4c3e-9ac7-cc23e2aa77d7" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "aa6e25a1-2d85-423b-a149-8cf11a6947f7" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-010697-8404_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "22ef8279-1519-4099-ae13-ff430645c992" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "cceca036-354c-59e4-ad7a-886865aada46" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7245_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d455327a-a947-4a67-8fb5-44438abe5976" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c8ac9749-82ff-4348-8d91-5ce677697a15" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f0684e03-2d91-4e9b-9d11-a3063ccc2f34" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "aaa6607c-e333-4f99-b1dc-390c3cad4f1b" ;
-            ccdh:source_material_type "Solid Tissue Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "11f5b868-a6eb-4575-b5d4-54cd8a406293" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-027923-87624_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:44.678712-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4e763f63-0494-4b2f-9f6a-c9461c7e7b1e" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "05282f77-9656-428f-9517-9edc96cb7360" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0007543-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:06:12.185212-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "025ae6c3-bdbe-4db0-ac71-56df7e80ea0d" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "7bbdbf5a-baf7-55b4-bd8d-89e213744a26" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-QK-A6VC_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "76240522-a39e-48c7-80e0-241277fdb705" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "dbea2268-ac62-4ab7-aa7d-86f029fcb2df" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d278f388-2a5f-407f-886d-961272ca28eb" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2c" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2c" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "8c624d17-a588-40ee-9902-ed694d794814" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD1281_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:02:30.028866-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a1fe6dde-024f-4487-8838-24fda3505cc3" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "494e7724-f0c8-44b8-a4f9-8e6cc9a2c095" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-NKI-FGHG-R6TZ_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T17:51:39.178920-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e91ef1f0-a986-44d2-8880-fbef0afe91d8" ;
-            ccdh:source_material_type "Not Reported" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "232f3bad-3cb2-5b4a-91e2-71f37a7eff72" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-UF-A71B_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Gum" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Gum" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5c464f43-4aa0-4203-8828-5fc4cb13cf42" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "df66e44f-3130-4d7b-a1d9-2d90f96b4c7e" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3a4af2fc-6443-4644-9da0-fee722e6d5c6" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "ce0e772c-45e6-4686-9db5-f88e05e2f713" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD12118_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:00:58.377064-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fb315485-9a4d-42a8-8e1b-8cc97c708f1d" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "8bc744c9-1120-41c6-a782-3bda1bbfa2ce" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0012578-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:17:29.664139-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "31be6816-e615-4939-8c64-c523db6a438e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "1ebf1ce6-31bd-4c8e-b3e0-f70d47cdc527" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0016351-T01-IM6_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:46:25.150285-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "90f2519b-17ba-40ad-baee-cb711b306a91" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "a1439fe2-31b2-4a31-973f-fbeeb13a965f" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0001405-T01-IM3_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T03:35:23.418160-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5dcad3f6-29d1-4043-8bf8-c8ceb17c5ec4" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0cf011bf-054a-4eea-aacc-b963ff83734a" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-007960-5976_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c353a3fb-dad8-4a6c-acd3-4121eb21b98e" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c70dbc51-07bb-49a1-bffc-ea639cf09e66" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD5893_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:40:08.863452-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3c1903f3-2a52-46cf-872e-060ba3a092e3" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f73d9c17-c497-5025-84d8-e9adaf48a245" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-MT-A67G_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6b690841-3ad9-4919-8913-8f291ee95868" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "25588932-d586-4a17-b18e-4ede4292ce9e" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "7206e2ea-ad1d-45d4-ba3c-fc1f39fc52ea" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ce208b92-611f-5ffc-8a6f-b01b91e7b58b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-6474_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ddad5854-74a2-4db5-94d1-41196a37be5e" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "d84c30b6-e217-4b2c-9dc1-16428264378d" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "64017f79-8293-4fd3-8af0-bf01eb6cf49c" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-UHN-653571-ARC1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:21:56.842750-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5349f1ac-ad8d-437f-a9e7-30b2323bd11f" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "6759d804-a7db-43ed-a3ae-db633fdc7cdb" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MSK-P-0010241-T01-IM5_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-03T04:13:38.880466-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "856fab11-14d9-4e8c-af8a-65684ca39418" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c1887ffe-1e7a-4584-a9cb-897604949138" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD7475_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:48:10.807261-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b82784b8-217d-487f-b2f6-4435ebc09885" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "4fdd25bc-4056-47f1-8eb9-7e572313ba5d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-009927-9027_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.308719-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c65b0cad-f2f5-40f2-a523-60374faf390a" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "533bd04a-5e63-4ae1-a929-487ae3597956" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD5852_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:39:25.573239-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f7b249aa-b35a-4e08-87b6-e9a79d75edbd" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "45950ba0-9179-4304-9bf7-1a43880d000b" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-010940-9514_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:43.873530-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8642c059-a648-4ced-977f-45d6e6496e7b" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "c975f49b-ba03-4e22-bcf1-7aef636601ef" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD3546_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:01:38.093247-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "42ef0174-6a5e-4804-ae6e-5d0122cb51c5" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "f44a9ab8-f121-59c5-8087-567864266629" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CN-A63Y_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e0b45d74-3b6e-424f-86e7-2174d7c1245a" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "daaeaef7-3f0f-4155-908d-9aa6e536f94c" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "50cca7c4-4586-43cd-a59e-3fdc646f5aba" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "MX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "MX" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "388e26e6-e8e6-527b-929e-24ff75edc9b4" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-5441_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3f583e59-c92a-4257-8098-5d081642dea7" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "26c67c48-00d3-4491-b761-7941415a2c6f" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b480eb37-ffe0-4626-b49d-dfc514a60886" ;
-            ccdh:source_material_type "Solid Tissue Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iva" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T4a" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T4a" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "5202e65a-e9af-58ee-8960-9190089fb197" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CR-6467_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "2d9ad43c-f177-455e-9b63-1b9ffdc672d9" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5ef4d047-5a84-4e03-acf5-02029d8a4cf2" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Malignant rhabdoid tumor" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Malignant rhabdoid tumor" ] ;
-    ccdh:id "2e79ab38-e511-5e60-8c81-1584d28a909e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TARGET-52-PASVDP_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Lip" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Lip" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8963/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8963/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2016-02-17T11:50:17.531058-06:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a28e1682-4703-527b-bd4e-81f86fa6f35a" ;
-            ccdh:source_material_type "Blood Derived Normal" ;
-            ccdh:specific_tissue_morphology "Rhabdoid tumor (kidney) (RT)" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2016-02-17T11:50:17.531058-06:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "fd9ff1de-6856-5a42-ad32-2e3aa28dc2d7" ;
-            ccdh:source_material_type "Primary Tumor" ;
-            ccdh:specific_tissue_morphology "Rhabdoid tumor (kidney) (RT)" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Unknown" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "unknown" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "fb2076bc-c2ef-4566-ab26-c6c6fcd212ed" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-GRCC-b3db0c02-sample-a_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:01:58.729859-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "01b01d59-07d3-481d-b466-bf77a916a0db" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3bd2d2d4-7d4a-51f3-bfaf-4153b96110ae" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-5443_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "746322c7-fe75-4b9f-9309-93e9cfa4cb5a" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "f70fece0-2fb1-4d8f-955b-7b9bbfeb9755" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "4863312a-043e-418e-812d-2ae2a1f66f29" ;
-            ccdh:source_material_type "Solid Tissue Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3cb5d51d-2566-4b1f-ad4f-57520007e73d" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-050743-203353_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-06-03T15:18:25.269226-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c862481b-aaaf-41d4-9c29-188760a43dd8" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "0b9b2b22-2fe6-5569-99ea-4647a15e68a0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-7177_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "21152590-1224-410e-aaf7-4088302c809f" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "e850a80d-1b50-4ab6-ab36-1d1a5e697d7e" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ddb758e6-20a8-4a28-ba98-798de978154f" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "768e2bab-347b-4d90-887f-bf5692a91eb0" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "NX" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "NX" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Basaloid squamous cell carcinoma" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Basaloid squamous cell carcinoma" ] ;
-    ccdh:id "fd9653a3-00f4-593c-a8e5-81ed124ee898" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-QK-AA3J_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8083/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8083/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6d2f2d82-2fa5-44ea-a714-85c05b5bd255" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b67c34c3-8e4e-41cc-865d-43ee8c9d3d78" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "410b2727-8446-41b1-92b9-42671d118a39" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage i" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage I" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage I" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "3d039654-a9ad-4641-b459-bd7ccd1ec1b6" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-NKI-MCU4-LAZM_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2019-05-29T19:51:14.064673-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b34b2488-73cb-480c-a1ac-c2ef5b89c5f0" ;
-            ccdh:source_material_type "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "31489596-1797-567e-814f-ec85278ee342" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-CV-5432_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c552cf29-896d-4a47-8022-e5c57e27e70e" ;
-            ccdh:source_material_type "Solid Tissue Normal" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "418aadda-9f2f-43be-b171-866585aab114" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b4a36114-80d3-4f28-b85a-077dc31eb485" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "3a13692e-cb77-464a-8ace-cba47f99247f" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T3" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T3" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage iii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage III" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage III" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
-    ccdh:id "514322a5-47cf-5d99-8ae8-f4466bbad28e" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-QK-A6IF_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Tonsil" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Tonsil" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8072/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8072/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "b3a8b960-6807-42ec-b6a8-492d58de2b86" ;
-            ccdh:source_material_type "Blood Derived Normal" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "5e77db09-dc35-4cfa-ac78-0f7af0b742ec" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "bfbfb315-632c-43e7-ae3b-61bcd82b0d3b" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage IVA" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage IVA" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T1" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T1" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N2b" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N2b" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "64ba1bbd-bf72-4700-97be-0bc054876c84" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-005062-1372_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Hypopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Hypopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:22:15.693629-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "a0deb101-019f-46d7-8cb2-ee98c9d7aa92" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "c740d9c9-bb4f-4ae0-9920-43267c9bc180" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD14561_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T10:42:22.825295-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "97cac184-023d-4aaf-9637-cc34969471cb" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "ad342355-cfa9-458f-8723-7a099368b797" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-008794-7198_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:56:40.150348-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "536ca98b-7415-49d8-84c2-dca4b5070ff6" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "d8e6b6ed-5c11-4a78-b25a-07f23305bb40" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-MDA-6285-17334_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T19:10:26.105156-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8479ff0a-fce8-4f4e-8d00-6775d1e9cb00" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "c1551a30-c8b7-4ba5-b5ed-044b55587a38" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003078-318_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "1647be39-e387-4457-a1c0-83483d25ea5e" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, keratinizing, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
-    ccdh:id "b07c0682-d50b-5680-97fc-8e709e21c064" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "TCGA-D6-8568_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Larynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Larynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8071/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8071/3" ] ;
-    ccdh:related_specimen [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "eac181d7-f8b8-4350-92aa-62d3fd1bd86b" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-05-17T12:19:46.292188-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "6f150e98-8b4e-44ee-953b-1692d76c8868" ;
-            ccdh:source_material_type "Primary Tumor" ],
-        [ ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "c812093b-04ce-4d3f-841d-9b81de63fc38" ;
-            ccdh:source_material_type "Blood Derived Normal" ] ;
-    ccdh:stage [ ccdh:method_type [ ccdh:coding [ ccdh:code "AJCC staging system 7th edition" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "7th" ] ;
-            ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "stage ii" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Stage II" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Stage II" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Clinical Tumor (T)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Clinical Tumor (T)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "T2" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "T2" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Metastasis (M)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Metastasis (M)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "M0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "M0" ] ],
-                [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Pathological Node (N)" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Pathological Node (N)" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "N0" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "N0" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, undifferentiated, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, undifferentiated, NOS" ] ;
-    ccdh:id "43aa2337-12ee-410b-9182-0de9352057f0" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "AD3230_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8020/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8020/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2017-06-01T09:59:56.723939-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "900eabba-ab2e-4b0b-9738-db52f9203db9" ;
-            ccdh:source_material_type "Metastatic" ;
-            ccdh:tumor_status_at_collection "Metastatic" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Carcinoma, NOS" ] ;
-    ccdh:id "08272717-6b2b-4734-9674-4bec2662bd32" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-UHN-523097-ARC1_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Nasopharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Nasopharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8010/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8010/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-10-02T18:18:10.730001-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "ffef8dac-d99c-4426-ad9e-f4e3947fe1c1" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
-
-[] ccdh:condition [ ccdh:coding [ ccdh:code "Squamous cell carcinoma, NOS" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "Squamous cell carcinoma, NOS" ] ;
-    ccdh:id "59474381-516a-4be2-8b74-7fe5804ec371" ;
-    ccdh:identifier [ ccdh:system "GDC-submitter-id" ;
-            ccdh:value "GENIE-DFCI-003795-3691_diagnosis" ] ;
-    ccdh:metastatic_site [ ccdh:site [ ccdh:coding [ ccdh:code "Oropharynx" ;
-                            ccdh:system "GDC" ] ;
-                    ccdh:text "Oropharynx" ] ] ;
-    ccdh:morphology [ ccdh:coding [ ccdh:code "8070/3" ;
-                    ccdh:system "GDC" ] ;
-            ccdh:text "8070/3" ] ;
-    ccdh:related_specimen [ ccdh:creation_activity [ ccdh:date_ended [ ccdh:date_time "2018-09-24T17:18:52.539095-05:00" ] ] ;
-            ccdh:general_tissue_morphology "Not Reported" ;
-            ccdh:id "8212fb32-9c81-4bf1-ab6b-337196acdf90" ;
-            ccdh:source_material_type "Primary Tumor" ] ;
-    ccdh:stage [ ccdh:observations [ ccdh:observation_type [ ccdh:coding [ ccdh:code "Overall" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "Overall" ] ;
-                    ccdh:value_codeable_concept [ ccdh:coding [ ccdh:code "Not Reported" ;
-                                    ccdh:system "GDC" ] ;
-                            ccdh:text "not reported" ] ] ] .
+@prefix : <https://example.org/crdch/> .
+@prefix crdch: <https://example.org/crdch/> .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e7f08842-7c61-469c-829a-feff82339bee" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0008328-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:06:12.185212-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6d1a6236-3625-4300-9f12-4e666cb2694a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "40d016b6-27a3-4e33-ad6b-f50eaa54e2fa" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0008097-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:06:12.185212-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f71f4733-17f4-436f-b12d-bad5b99ceba3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d20b4711-8757-5d39-a8cc-b8ece86592cd" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7430_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6bd53676-487f-4661-8e01-739b3b856cee" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0e0af838-3a62-44a6-9e8e-0f9ba07730fa" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c22e9fe0-a052-4c6f-9fb2-e58289277e2a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "da9132d5-4a55-4d7a-bb7f-7990af380dcb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c7db86f3-b6c1-59db-961c-534b91393b19" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-6010_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cece12a4-5f68-4a6d-8815-e88495da08f4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "904e12f8-ab59-4ad8-8096-7b82f9388d70" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cd2a5d45-9bae-4c96-b8dd-7ad079153a49" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c0bc6849-2b35-4465-9d65-38c3a21a9a25" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0019226-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:42:00.849990-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b33d58a0-8855-42ac-baaa-0a1e961307f4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5d8267c6-4156-5145-b6e3-49c68f8cabfb" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-5361_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2877214f-4aab-46cf-b052-b6e7d2662ff5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5b2581d8-c087-4caa-b9ce-bc0168fbfefa" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c807171a-4433-4246-a454-c5cf768da8aa" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f9a0b1dd-a13b-4a14-ac22-c9570e02ca60" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0008792-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:09:54.181448-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b882dbe8-5494-4092-8bad-ccca6b119775" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "43aa2337-12ee-410b-9182-0de9352057f0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD3230_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T09:59:56.723939-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "900eabba-ab2e-4b0b-9738-db52f9203db9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d2b0be44-b12f-443f-9d48-3e26ea1ed386" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD7867_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:48:10.807261-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1fc039e3-94d1-4fe2-9d51-796dce543f9f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "ce0e772c-45e6-4686-9db5-f88e05e2f713" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD12118_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:00:58.377064-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fb315485-9a4d-42a8-8e1b-8cc97c708f1d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "6759d804-a7db-43ed-a3ae-db633fdc7cdb" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0010241-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:13:38.880466-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "856fab11-14d9-4e8c-af8a-65684ca39418" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "bddca644-5ced-5789-8d31-c00df9f776ad" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-D6-A74Q_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c03b3dfa-7b9b-4a21-9274-d174bc14440b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "343c1ea3-2785-465f-b01a-2d609b486ef9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d9095c8b-414f-41d4-a478-ee54d2728762" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "40954a8e-e4c2-5604-937b-0a79ac7489d2" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7261_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a7692585-a129-4671-bfe5-98342a326776" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b069c55b-496a-4a57-a507-1b2e1b4201ae" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "00f7bc3c-c0e7-42bf-84d7-87a8a539bd4a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "69a89590-eb61-41d5-b33e-e7bc5adb92bf" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "cecde3bd-c011-5cd9-8071-912a0f342eb8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-UF-A7JJ_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "de8517e0-d7ad-41a2-9468-bdf0106c905c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "392cbac9-ed5a-4f0c-9270-f45278476c73" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "408c2c68-2f92-421e-b797-ecada0bfedc7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c8d65c8c-9299-49bc-bfe0-97c19ff35fd2" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-037050-88705_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-25T12:05:51.637331-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "58a5858d-4740-4da1-8959-43d7b05ae1ea" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "8b48f2a0-f69b-547c-a9df-35b18ec7bb5a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A63U_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b4430e0f-983c-454d-926e-a33fcb4cd02c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a6af965f-ae37-421d-98d6-a69ce62213ac" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "812b8ee1-096a-40ff-914d-9957644b7d11" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "becd7cb0-9352-5c38-856c-fcfa539fdea3" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-5431_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "39e3facf-6d13-4611-bcfa-90ef0350814d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "be567c0a-3833-45d7-b846-d229a8e16e16" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8897e2b3-1863-43c7-a84f-fe53d12371f9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "af6475d1-2529-4772-9e9e-ce83e3dc0cf8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008645-7086_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "30b0ff9c-3106-4ce0-8657-3ed59c1c8fc7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "65bd5ce4-bf44-4994-824e-f21701449f73" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-NKI-HMII-Q9EY_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T17:51:39.178920-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cb629447-dbb7-49c7-a88a-435b6b6decda" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "552900c2-144c-4340-aed9-197382fafed4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD17916_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:57:41.511744-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d4c804df-7392-4267-908e-8fe8c37d00cd" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "afec3d92-5a3c-5b04-a2f1-49031942cc1d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-QK-A6IH_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Gum" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Gum" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "63b4690f-f247-4874-9923-e96375c56a01" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5f210369-1839-4f18-b081-974efc7de032" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0d0194eb-d83f-4028-9b4b-3308c0207133" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ivb" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVB" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d4b595ef-5e2f-4722-bf4e-48bb831bc057" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-002065-124_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:12:32.615882-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "172019a6-18cf-4532-89ec-9f4ec83dee30" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "cdd012e7-6539-5ffe-a4b7-b36a6233b1ec" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-A6DJ_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Gum" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Gum" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "735334b4-6c30-4a7a-aa54-63f506b8e2bb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4210ffee-2a83-4f05-8935-2687503c83d4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bbee89dc-6858-45c3-a9fc-c455851f96a8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6dd63ec3-e88a-4da9-be07-0d11a1768dbf" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0004416-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:54:19.535598-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "34487c7a-5f9a-41b0-8ced-d7c2ce3653e2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "bd3c4df6-90f0-58df-8713-51ca36d74124" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A6V3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "285e2354-8efd-4951-87cf-0e188d11423e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "97657453-6a97-4879-9440-fd0eea9d5f33" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "45950ba0-9179-4304-9bf7-1a43880d000b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-010940-9514_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8642c059-a648-4ced-977f-45d6e6496e7b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cceca036-354c-59e4-ad7a-886865aada46" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7245_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f0684e03-2d91-4e9b-9d11-a3063ccc2f34" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d455327a-a947-4a67-8fb5-44438abe5976" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "aaa6607c-e333-4f99-b1dc-390c3cad4f1b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c8ac9749-82ff-4348-8d91-5ce677697a15" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0e732992-a174-4861-8e05-a6c3e21107b3" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0001903-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:35:23.418160-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ea373411-6d3c-4ee3-b8c1-d79131847aa1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "155a3146-d68b-4058-abe2-3ae8713641ce" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-5361-16435_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:07:22.808668-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a7b07575-200a-4a32-8faa-075ded8667cc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1fdbf271-8b0c-5d7b-bacf-d883e0d0d054" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-5360_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0c00768e-8b13-4b8e-80fc-b344740845f1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9439bc03-9d26-454a-ba80-a0f5a4585656" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "740cef36-1319-4096-8ba3-8e6fce6282da" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "022d6f9b-38da-5bfb-8bd9-e800361481a0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-D6-A6EK_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0a64b28d-8dde-4eaf-bac5-217406cbc4c6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ad47c17b-e21c-4aed-aac6-8a062c6b5e42" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b3a55bcd-1f88-4d25-9f95-5ef7393d6cf0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ada2a9ee-43ec-4198-b1e4-bb0c62102973" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003061-9096_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7d368af5-dc58-4ddb-af35-cbc63bd638e4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "37ac68db-02ec-42d2-92bc-d7d2f4c33bf8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008078-6166_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f2c471a5-55a3-4180-be7d-c3560efade4b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "589f8f36-79a2-513f-a83e-cd707818b834" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-HD-A634_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "34c0ddaa-1fcf-4e5c-b5bf-7cfae596c09d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c25592d6-b3d3-47b6-a3c5-3cbc81803152" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1bae9a44-1ce3-45b1-9902-40faeba58120" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9b75ffac-0af8-40a0-9cc6-8472fbe942ef" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0015763-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:46:25.150285-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d02e5c34-3c1e-4a7d-a67d-c2525ac3a734" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "80571628-74cc-4067-b16e-40cc5b040560" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0020147-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-02T20:58:03.565619-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "10e9e747-568c-4276-9275-1f1d7cb30f81" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a6576ff2-b9cf-40dd-8da4-ca829d762cc0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-001449-6594_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:12:32.615882-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4ec8fe70-22ad-4f62-893d-f95d77dd37f5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1906d9ae-58dd-4b92-892f-6ff61788d171" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-005398-2604_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:27:14.117499-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "adbb22ae-5402-4918-a4d0-b54e2f114253" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5976f296-bcb7-49a6-8db6-8620875f12e3" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0008036-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:06:12.185212-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "257963cb-44bc-4946-ac72-7a1bb02f6af9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] a crdch:dict .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0b151db5-f3df-4cc8-9bf3-049308634116" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0001794-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:35:23.418160-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2da79fb4-bd1b-4518-a6a2-6159251d65fb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "094085f3-01f3-4992-b559-832c897a704f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0003374-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:50:42.610446-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e868826f-a629-4839-bc5f-5383b74aac12" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "18d9c548-2f10-5116-bf59-05cc53b3b5c6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7410_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a24e0ad7-668e-4bc7-ae3a-94964278a407" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "acd6cfc3-412b-4f61-a2c7-013c61fa2efe" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "843ced6e-a9be-48ea-9313-13aa752dbbe1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d284c064-ed2c-5741-b1ad-2f9fd34b6636" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-5153_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2f668e36-b359-488e-b0fc-fb7bb479f485" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2dc7070a-9c70-4bb1-9634-8c934bb9c8d1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f079e825-160a-40d5-97cc-1931f11c4e2e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a8a92864-8cd0-5e1b-8451-ca6f3e84a857" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-QK-A6V9_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "30ad1a00-b48a-47bb-8cfa-d65e4c4ba125" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9b60705b-95c4-4079-a907-e4a4b65a3cf4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "462748e0-b611-44d3-b3fd-efb762ba317b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "45ebf5cb-a072-582b-8ace-7cd198806bc2" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-F7-7848_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f7831fa0-1f1d-4623-aba0-8117b925a1ee" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b99fa26a-da90-4b98-bea0-f0c71a1b6ea3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8aa78dee-bc22-4d4b-86d6-60fb80358da8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cf36baf2-10e8-523f-9dd9-0f9c938be574" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BB-4223_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "82db742d-885d-4788-b509-474715ae183b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3285f0ab-61e2-4235-b0ac-af1718ca1874" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "75430612-09bb-4d6f-9304-62a5b517d424" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "982f892f-104c-4948-8788-6c77775e53a7" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-013165-23146_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:44.678712-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "27e33c39-2025-4573-9b0c-1bc774566bfa" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f44a9ab8-f121-59c5-8087-567864266629" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A63Y_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "daaeaef7-3f0f-4155-908d-9aa6e536f94c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e0b45d74-3b6e-424f-86e7-2174d7c1245a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "50cca7c4-4586-43cd-a59e-3fdc646f5aba" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "b62e9fa2-da66-5eb2-b390-96985bc92b6b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-H7-A6C5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "069b94fd-00fe-4073-bfca-3a3a8057d1f8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "875069b7-9411-4fb1-b8a2-992a052bee49" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9b557922-d796-48bd-b194-1fba8622f254" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "578cf44a-2d2c-416d-a428-69547378bb9b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c061cf11-1e3a-5906-b58b-2b5530a456fd" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-6870_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5bf05a41-3a19-445b-96bd-439b9cac01eb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-23T13:20:20.149518-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cc1be5d1-ea6a-4e7d-822b-51887dab88b6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e6af426a-d899-44ef-96a8-92bd76a0ea3a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVC" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVC" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1b2f7aa9-bc17-4cfa-8d93-b5a7bdd68bfe" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0015451-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:46:25.150285-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8a18a085-a8a0-4fd0-9468-33e10fe1c55d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "748313dd-50be-45e2-9d94-75752dd6e783" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD10965_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T09:58:58.476597-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "97354824-7fe1-472e-ac48-74ad10e5da51" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "27fbdde4-c58a-46d7-a96f-918b64fe5b51" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-037700-159036_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:26:11.717995-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "50b8e07c-b892-4fac-bf59-9e093e2d74d3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1e1fa97c-cb95-5810-9f22-9af6a0a42ce2" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-6480_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0c6b4631-381e-4b73-ac9e-62bbc1849ff4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e49031dd-14f3-4f2c-8457-d0249c491ae9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "90bcf4eb-dd05-5d4d-b666-6947b36143d8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-D6-A6ES_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f99dc3bf-e91d-4011-b62a-2653b53417f0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "59ddae84-32f9-40c0-9d9f-e3b883ab5c47" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0ebb072d-0596-4deb-8607-2548b0396fb0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a84b9519-37b2-4311-ac32-8151ae7261e7" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-090167-282584_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:52:12.528526-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0f1ec484-9205-42f4-9696-815dae75b073" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "30984445-18bb-4b5a-be50-8bed548e6e00" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-007662-3905_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T18:54:47.858087-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "46f8b134-ad13-42d1-b3c7-6b2d8cf77f90" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f73d9c17-c497-5025-84d8-e9adaf48a245" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-MT-A67G_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6b690841-3ad9-4919-8913-8f291ee95868" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7206e2ea-ad1d-45d4-ba3c-fc1f39fc52ea" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "25588932-d586-4a17-b18e-4ede4292ce9e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5ddc8873-1487-4787-8a1d-3b116a2db42a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0010816-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:13:38.880466-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e179e193-0933-48cd-98fe-aa4e21c0ad44" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "d0d35a5e-572f-4cae-a0df-67ce30803048" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD14308_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:41:59.431029-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "32112d7c-2b29-485d-86c3-6b995450ec8c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a0943f40-a682-4318-bc07-eea80150867b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-037288-116439_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:26:11.717995-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8449ccd3-033e-4c9f-bec5-9f341264e12b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "be57683f-0245-4929-89d2-98740dc99b8c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-011271-11674_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fe032782-a750-46b3-a282-26e110ed063a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
+    crdch:id "11688639-0783-576d-ac58-40e8e3a19be6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A49C_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8072/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8072/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7758f04c-0e07-4e8a-882d-ece76469f433" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "34b36112-f260-4bf4-90b7-0cebc5988b59" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2b3b0e72-0926-5ed2-89c8-ffa1585d111f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-A6K1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "09b49e67-34d8-496e-b42a-5123fb516cc0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "43115789-cca5-4dc0-8377-e47b90c3f16f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8ae503f5-a283-4bdf-8c82-de63f534bc85" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5a687c66-0c8c-5e23-bd7c-6988abb14d66" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-6021_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f1cbf326-7657-4c9b-9c8d-e2036e89fd07" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "edcbcb1d-23bb-4177-8f77-71071822cd89" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "619a1a7c-f360-4e07-aa85-812e2b1bd92f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d68e9ec8-d562-49e0-abf1-ebc41a0f439a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-006509-3496_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T18:54:47.858087-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3e441a98-f869-414d-9732-4b4037711d5e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2457e378-c4bb-516f-8966-82e1453eafd7" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-A460_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "904d5793-ae7f-492b-aaed-ea6cca865d63" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b1c47b2e-ba48-4f1f-b07e-f930b1135201" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9e397756-8535-40f2-9fc8-d0f1392a5e6d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "81f6058e-7aef-4ed0-b7c4-a0f1ff8a52b6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-036373-130403_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:37:30.937085-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3b018cb9-12c9-4445-b021-1fc93e0f74c2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "c975f49b-ba03-4e22-bcf1-7aef636601ef" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD3546_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:01:38.093247-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "42ef0174-6a5e-4804-ae6e-5d0122cb51c5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2fcaff59-bc46-4971-9a75-dcbf2c85a5ca" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0013498-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:39:05.576558-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1c156e43-c8c3-4ecb-83ff-2075ebd89cd7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c96ca96a-8046-4381-a767-1119705c5500" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008037-6376_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:11:14.458475-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f5e6b025-48ca-4fd5-b657-ae622bc9de02" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a00585d3-91dc-4976-87b6-d00c7caf5f5d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0008528-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:09:54.181448-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "89fa0392-487d-4839-9c7e-cb82312941c7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "b0179bcd-bda0-42ff-8654-61f3fe576e73" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD12050_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:03:00.815411-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0a8dd963-c724-4a77-b662-5f711ac88607" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ae2f70f2-dd19-493b-b6ea-bbe2cbe507cd" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0014898-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:42:39.927651-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d7332e8a-d17d-497f-9b44-cc7992f48739" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "583cb32e-5e1c-4f3a-bdef-035629e3eb57" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD5451_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:40:28.865821-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a8ae1d5d-04b7-4012-9bf5-70a664f325ee" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "47de90b5-a5ed-5ce0-ada8-7f2c8e621913" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A641_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0c14d932-3b44-48fa-8974-db6e01464851" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cc3866fe-2690-4354-a548-10189054b85d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "744cbf84-554d-4cba-aa4f-4c1e5e28a1ee" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "72d80059-302c-57fe-89fa-10045543f0ad" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A6V1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b2ad9679-048c-43c4-9d78-45638ad5a493" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8f952c62-2404-484c-b8af-33ce60f4e024" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1dc5e826-3f32-4d4d-8e2c-00fdbd76b393" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0010503-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:13:38.880466-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "78c3f61a-5719-4604-8ebe-c21057d3e416" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "6252ba82-08cf-4a88-892e-bd2847842225" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0009588-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:09:54.181448-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0fd4a1fd-2313-475e-ae01-d424516e42c9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f0a3480b-d52a-5db1-b03f-693a9bad5cfc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-5559_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fbea64f9-b46b-4af1-bfb2-1791d93977b6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "43fbb037-8ba4-4ba3-8458-71a027eda822" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8c925c97-a7e0-44b3-ac62-b365e89975f0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "192c4be7-66ba-416a-abfb-1a88e63e7be4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-VICC-534918-unk-1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-28T12:05:42.341898-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e15f8344-5f7f-4602-b2e3-8fcb0418cb8b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b23327de-182a-555c-9323-77d5bd3dd453" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7415_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b7d03ca7-f518-4587-a54f-03896e53b167" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "106c7016-9bf6-415a-a0fc-3722a1aaf2c6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "72f5520a-28f0-4be6-afe0-6bee4de5b69a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b8812861-0e19-58f0-bccf-667970cdb04c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7399_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "05c3d8a0-47a2-44b2-b0c3-144ec0cb2673" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3dd4255a-7359-4b51-8a0b-44d9e249956b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "80c00d5c-1297-43e4-bbcc-cc895915ec2a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-51823bc5-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8d24d0d3-ec37-4b8e-9c31-e23965637da9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b7c4b294-1897-5001-8494-cedac0a7f991" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-5440_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "28780b51-0b53-4d73-b399-ec90b45de0d3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3f9a9578-e8e6-47b7-af7b-31d9cffbfd3a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d773747d-fd09-4890-a436-9b212e19063b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e68bc170-6152-4c90-9b9b-e31856495716" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0005506-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:58:03.635432-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b5f4b393-678a-4964-b625-19c8099cde13" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c652d5fb-652f-485c-99cd-4e3e00af1126" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0000396-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:31:25.700438-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2bde1811-da29-46e9-973a-45ea43387818" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "af8fdb73-f4a3-5b32-b9d5-6f9d39a97856" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-D6-6824_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "10c45c93-36f6-4085-8bc8-f46dfdedca1f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4d8bbfbd-1a39-4630-a1e5-3bc6abb01949" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2e1366b9-95b7-4a0d-81f0-7ec14e4f4592" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c1887ffe-1e7a-4584-a9cb-897604949138" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD7475_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:48:10.807261-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b82784b8-217d-487f-b2f6-4435ebc09885" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d2a0bb97-195f-422a-969f-0342485cf8c6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-010743-8938_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1f6b16e8-e1f4-462a-ac25-700c915f464f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a47bda97-0952-47fa-9a6e-277baa8762a9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-004713-938_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cc589138-6e86-49ad-8d76-857543c02842" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ea4330da-9d29-4e64-8197-55a50ee283dd" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0001557-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:35:23.418160-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "90c9d5f2-ca54-4084-99e7-e9407e364b12" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "35adcfa2-f4ae-4aec-8362-097fab231545" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-000205-461_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:06:57.341931-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ab00664b-8f6a-493d-b000-89f1341dc713" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f351c260-09d7-594c-8347-292ae6f65f1f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A49B_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "16b91d52-3168-44d9-bbbd-9f6e8b2582b6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a49128ea-01e4-4587-845b-6b26bafa1c29" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0b9b2b22-2fe6-5569-99ea-4647a15e68a0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7177_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e850a80d-1b50-4ab6-ab36-1d1a5e697d7e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "768e2bab-347b-4d90-887f-bf5692a91eb0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ddb758e6-20a8-4a28-ba98-798de978154f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "21152590-1224-410e-aaf7-4088302c809f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "232f3bad-3cb2-5b4a-91e2-71f37a7eff72" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-UF-A71B_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Gum" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Gum" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5c464f43-4aa0-4203-8828-5fc4cb13cf42" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "df66e44f-3130-4d7b-a1d9-2d90f96b4c7e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3a4af2fc-6443-4644-9da0-fee722e6d5c6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1ddea2fe-7874-5d31-b1fe-2cb2b0de542f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-KU-A6H7_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b4074f91-5478-4117-bee5-ed164e4d38c2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e4439379-d930-4b9a-b498-3b75e569f8ad" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "840d3da5-0493-460a-b5a9-4285e1a2ad37" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "61eec5b6-925d-434b-a318-b22fc21c9ffe" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1da5c51a-ee25-51a6-a4c2-27d8fdcbe24e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-5365_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "665d66ad-54ee-478e-bdd0-85d77980fb3e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "665d4bff-603c-497b-816f-c98784665d0f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1ed245de-fea4-42c9-9197-773bcd12d2a8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVC" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVC" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ivb" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVB" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e4e39ca9-5e45-497f-b616-8e4d9edf9431" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-3876b32c-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "59d867e0-1111-4114-b47d-39b108eecf06" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "37b4b703-52d6-51dd-9cd7-3f759862a78c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A63W_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9b9dbf11-d017-4723-a76f-c25ce4a01f09" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8da610b4-0a32-4ef8-9f55-1c969addd79f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e6cd0e23-4423-4ebb-b314-913419340811" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "fa79bd3b-f6c7-48c1-93af-5b6fb08de876" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003292-1283_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a3eaae17-ef1a-442c-93cc-0fd82a8887bf" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c1551a30-c8b7-4ba5-b5ed-044b55587a38" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003078-318_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1647be39-e387-4457-a1c0-83483d25ea5e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e978fb2f-2b7c-4ac7-b4c0-fa527f8c4ffb" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-090186-282458_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:52:12.528526-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1bee9751-cbcd-46d2-97ac-bbe9f4495f2c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "09912a9d-8fe7-4170-89cb-f0881ba681bb" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-037012-88553_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-25T12:05:51.637331-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "89c7b64b-262a-440c-b2b0-b45a94097d6b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "de59133c-2442-490c-9f22-057c8a47ff70" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0008518-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:09:54.181448-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f4e28471-79a4-456e-bba8-db331560bdb0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "bfc1721c-c0de-54b3-9170-781b78cafd44" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-6868_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d660bc61-4016-4f52-98c3-72de5459946a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ad04d034-7fff-4073-8c1f-97fac3d0bbdb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0469c4d4-58ff-411d-9bf4-8d8bbe31d7c5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVB" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "696fd614-355c-42d4-b318-9d4a0d23ee17" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-001641-3996_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:12:32.615882-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "14dd72d1-596c-42c6-a5aa-c3220dc6fc21" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cbfef8ff-181a-4048-a571-f78fd34799ef" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-037220-88689_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-25T12:05:51.637331-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9f95c03c-4c29-47c7-8bff-47c3014a61b5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d852d062-d7e0-559b-8492-da2b0abe8415" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-6470_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "aa121605-a2c9-43fc-a836-8ec6c42b99de" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "afb7ea63-2959-4e53-95ea-7a032dcb5a8b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Malignant rhabdoid tumor" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Malignant rhabdoid tumor" ] ;
+    crdch:id "9a11a042-337d-5a91-b483-093f98b0b72f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TARGET-52-PARKKN_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Lip" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Lip" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8963/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8963/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2016-02-17T11:50:17.531058-06:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ced7edc7-a9ff-5d30-a63d-dbed4edfe497" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ;
+            crdch:specific_tissue_morphology [ crdch:coding [ crdch:code "Rhabdoid tumor (kidney) (RT)" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Rhabdoid tumor (kidney) (RT)" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Unknown" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "unknown" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5c70e571-fbe5-407f-aea2-9f740e6f5d2a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-002399-7809_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:12:32.615882-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d57d8dd7-f0d5-4c3e-9ac7-cc23e2aa77d7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "e89ecbde-44e3-5db5-be20-af6cddaa4e92" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-T2-A6X2_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Gum" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Gum" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fe1541c0-a239-428f-bf43-8b8b999d362e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "161b6a0e-0b50-41a1-bdf3-bd7666067454" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0080b5ac-b9b2-4fef-ae51-6a6178325364" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ad265c45-3ba4-4f8a-afcd-70d7f2e79751" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-009344-6546_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.308719-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b993e287-e823-4843-b182-3bf775dfb489" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "8a0ce16a-46ec-433a-9679-e76ca74240fc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD5506_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:41:09.015209-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "14f00898-8aaa-4008-9eac-0959333c3525" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0ab5d8a1-108f-450c-89bd-efd0c4d285ea" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0003059-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:50:42.610446-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1303ddf5-cd55-47c9-9f93-c09d7bbf2f80" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5db2900f-3088-48fa-ad1c-8dbba6bedbef" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0017777-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:37:32.909734-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "dc326cf0-cb20-4f0a-968a-28c6923319dd" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "7c0c3290-5b41-50b4-b37d-536ebbac2af8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7101_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f040a5a4-e955-4e69-9f2e-ae9a4c78780a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "79ec5357-3a44-40db-a1ba-ee282b484526" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "397b08f6-f560-418b-a6e6-2d953187bd5d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8e461b7f-1bfd-476d-a948-7aadb89a41e5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "640dafcd-ca8f-4305-bd40-240ff476b75e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-006707-2784_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T18:54:47.858087-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "53e7103c-42c4-41cc-948c-b8e23271bee9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1ebf1ce6-31bd-4c8e-b3e0-f70d47cdc527" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0016351-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:46:25.150285-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "90f2519b-17ba-40ad-baee-cb711b306a91" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a69046f9-49c2-4846-a394-ffebf61b0340" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-001847-1155_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:12:32.615882-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ae00c91b-f03b-41fa-bd2f-d6fde4338cf1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "59ca6acf-5527-4fa2-8bb2-658029b9c67f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-009312-6572_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.308719-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "667948dc-d9bd-4813-922b-69468835c551" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "20b2ca7d-bce3-44c1-a0db-ef271aca97bc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD2717_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T09:58:58.753780-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "69907c44-c952-482a-a307-44efd82a16dd" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b9143400-abdf-5f03-9771-ebafe5bb5d43" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7371_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5a5005d4-6cd9-431a-89ec-ce6d34b0fc7d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ac9f5493-c06b-40dd-b80d-7be718d27289" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "9b998038-9a23-4348-a5f7-e2d3126e118c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD14936_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:46:29.991257-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fc50dce3-ca12-4a52-a8fd-27dcd3887746" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "00fbc722-7387-437d-b859-3d35c86e02fc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-040b2fef-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "25007740-c3ea-41f0-a9dc-52de44cb9faa" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "24e37f06-2587-52ee-bcb3-40688978538e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BB-A6UM_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ccc0e6ba-cf8b-45e4-9f0b-dd2422b3e470" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "99404948-9837-40eb-bf38-c1cfe1b9a88c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c4aabbde-a46a-403e-b974-7b61b964a1b8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c70dbc51-07bb-49a1-bffc-ea639cf09e66" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD5893_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:40:08.863452-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3c1903f3-2a52-46cf-872e-060ba3a092e3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f7e49651-4dc5-50d9-af24-de743caf866b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-6482_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "92173f97-b46a-4950-8cd8-6729ab9522c5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3a24aaeb-37ce-4508-81d5-e531aac8a167" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9e0b865b-296f-481f-8bc2-7bfe4642d805" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0001912-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:35:23.418160-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "271c4064-6b2e-4971-853f-e3f2a1cdd74a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ed6cd70d-8278-4da3-9067-ab74bc051381" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-007474-4132_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T18:54:47.858087-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7946822e-6d72-4013-8be2-f3ffb0487d65" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a4f6276a-b3cc-45f9-9fb8-30edd56ad4ea" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-011620-10763_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:44.678712-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d697e728-9813-4ff5-83eb-c7d814e07bcc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "96e73819-3b05-4a68-90bb-ceb60d419d50" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-006296-6704_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:27:14.117499-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "51ca54fe-f436-4a88-a11d-ab0781666edf" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0c55f80d-c82c-4554-916f-6b117978b3fc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0000454-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:31:25.700438-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5c3a5e81-481c-430b-9c70-f2d61a77568d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "07feaa02-95ec-48b9-83ff-ddd765c8ca9d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0006098-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:02:01.981535-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "eca4b442-f9d1-4018-94cb-158757bd3bea" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "10fdde54-4aab-4498-925c-38ccd8df431d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0015591-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:46:25.150285-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d2928928-ad9f-46d3-89a5-a00131eaec79" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3cb5d51d-2566-4b1f-ad4f-57520007e73d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-050743-203353_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:18:25.269226-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c862481b-aaaf-41d4-9c29-188760a43dd8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "0f72e73b-f462-4eef-9d1e-95e83c1f2aaf" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD5362_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:39:05.012118-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9f4929bc-09a7-47b8-9720-d6f829b51a13" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "18a6869d-fcbd-526c-a71f-7f5145b12278" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7440_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bb0c2fd4-8ffd-4825-aaf2-e865090940c8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "86b81c8d-ae15-477a-86fa-6e10f1263f87" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "80eca6e9-b390-4878-a070-e40c1c19b1f4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1d594963-b5c3-496e-af52-5f6dbcd6910f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9223ac2b-219b-423b-bd4f-5d28e84c8d89" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-001409-5066_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:12:32.615882-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fc3b12ce-4c74-4faa-ad8b-60ddde831901" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "7747a88f-1a9b-5833-9442-af0b1350bb4f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-6013_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Gum" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Gum" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d018cd44-6b01-44f2-9181-81153225aab8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c0c84016-117e-498c-9ed9-52e279e89e33" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8b510bc8-7b3c-4861-9a40-c2c30b7099e0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "dc412cff-36a3-4721-b1f3-8e16ed74489d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0001186-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:31:25.700438-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1853a05a-8846-4da3-9509-bff587eb6e8d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "dac87ff6-12f3-553f-a6cb-fae679002ff0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-4722_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "60c8633c-16f9-4066-8aad-311b04b935e5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6e767fc9-0f5a-49ec-999a-cda2daeba6ff" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "47e7b839-bde5-4b66-98da-7ed6e3e7c29b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9e74f3f5-ab22-55d9-a79e-9884f3b0f109" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-5374_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "88000b86-9334-41ef-847d-6668d17ec62b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "27fb0ae5-d8a1-46ac-ad3e-2464c52d9cfd" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "617df1e0-b075-4610-b6d5-8850786fea70" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3c0d1fbc-508c-4cad-a9eb-a848fc20ac76" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-006868-2957_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T18:54:47.858087-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "abf5cf5e-2352-4ba7-9a91-cbefe78ae28e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e61558f0-d90a-5bd0-8485-ba159dba3010" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BB-7862_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a61be572-405b-4b16-b554-7fa6c12a48a4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "091478b2-f8c5-4ad8-9c89-06a48728fa2d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fbf59d12-7047-49b1-9002-00030c797438" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d234a346-038c-58a0-824d-22bfabb73218" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-MT-A51W_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "03c6ac2c-c6b6-4041-a024-f2556fab62b8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "91e56a17-b4e8-4ef7-b587-a83bcd8c062d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d238e52b-b2e8-479e-b76c-a168136e0ef0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage i" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "22080645-9bd1-4303-ae61-8228c254dc24" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0002746-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:50:42.610446-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c74deddd-6181-4108-baf3-4d750d877606" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "08272717-6b2b-4734-9674-4bec2662bd32" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-UHN-523097-ARC1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:18:10.730001-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ffef8dac-d99c-4426-ad9e-f4e3947fe1c1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f0cdd17d-5db9-4c58-84f5-f9efcc94dcb5" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0004492-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:54:19.535598-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d74d27e4-88e8-4ce3-a1ff-7658e007a49a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
+    crdch:id "dd691506-83cb-50c1-ae0a-2583d57079d3" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A499_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8072/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8072/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9ca906ce-18f9-41c5-afcc-353b26fdebaa" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7d93ba42-9e87-4a6c-8b0d-6f185645a90a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "523155c1-e181-4d6f-9873-9449a8e3c289" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-036955-74886_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-25T12:05:51.637331-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9ed6f000-4643-4f65-be84-8fd380d3bc36" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f6106a03-d94d-5b31-969b-ddd1d6ac23f7" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BB-8596_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b8077f12-81e6-49f1-aa69-a4b6f5825534" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "226992b4-f81f-49f5-a1da-37ab1742779b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "51eeba12-4cfb-4842-ad6c-e49cfe5ef207" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Basaloid squamous cell carcinoma" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Basaloid squamous cell carcinoma" ] ;
+    crdch:id "fb148e0b-2d1c-57ff-acd6-4f2208af3ce3" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-A4IH_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8083/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8083/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f87efb5e-24f5-4d2b-b6b3-987bbda30e03" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "eff60f0d-e3c1-4a93-9026-c0764c70ba9f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "6fdb9066-4bcf-42aa-81d1-585b2f2fdaf9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-6209-17288_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:10:26.105156-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0f97f0c0-2148-4c06-97a5-37a64ed1b81d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6ce57628-3cd7-5cfd-8317-cadf76a37f43" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BB-7870_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0d53784e-011f-4890-9cf5-59e955dd1fea" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f5589c89-0b94-4492-8a3c-84d58377e94f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b79164b1-7abb-4585-b23a-0e610734ea8b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d670dce6-9fa8-402a-8b79-081ec26ebe25" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-000843-6962_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:06:57.341931-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "85fa5941-b6df-4eea-97e1-a7b4ae310bdb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "af2c06c6-b5cb-4369-906f-727e8e00e459" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-005169-1136_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "104530ac-b606-41bc-93e4-5734f176d3bb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3f9675d2-ad2f-5a88-af81-e7e9b5744c1a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7437_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "215c17d6-2035-48da-9d06-c54734042898" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "58c15c00-ddad-4f65-9f03-1882b7f9a09b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "46be59da-3e8e-43cb-a4f4-6658b12f1fe9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d7340d97-4ebd-4125-961a-9a5abe2f0ebb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3ef5f7db-6234-5c11-96d5-fdb6cf8ad63e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-5978_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b33eba98-6a89-4454-9a53-94999cd5003c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b801368a-b10a-4a42-bda8-5df8216b532f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7560ec6d-e0f2-4b55-88bf-62e7173126a1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVB" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVB" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ivb" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1ad86ae6-e1df-4578-9639-e768e6711e61" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0008033-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:06:12.185212-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "28cb9e1d-c34b-4909-a387-5a5c60bcd6e3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4d192f26-a2c4-537b-b8b5-1473a759882c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-UF-A7J9_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5df6c457-baef-451d-b1cf-eb7fa6adc602" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5be42d60-80c3-486f-8717-801fec0c89d3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fbceb407-e7f8-4942-8689-854f8999672c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1214a9ed-2d43-50a7-9a94-85eaa002670b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-A6DA_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "33bf2824-d873-442f-8ae6-48274fbf4a94" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a2260bc1-8aa1-442c-933e-e4a05d46d802" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8b80b922-b00f-4cda-92a2-49c357aea89d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "38c088b1-bab2-4d5c-8f45-80280d1c309b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-010800-9387_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b480938b-4562-4d37-a280-16cd4dc700ca" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c127a1e6-f25a-525b-949d-013bac98b38a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-DQ-5629_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "57ea3eed-f8e2-4310-90c0-50d89f818a12" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cb2da33c-021a-4af5-8509-118bc1e8e0d5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "769f3c1c-323e-4f04-9ae7-e41f484a964c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "812129f0-3b47-5ede-9062-237e0c0be7c5" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-5555_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "99ca3c12-0d63-428f-8b1b-03e4a3e8e233" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7c56b9e6-8fd8-4d39-92f0-a24c80270dda" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2920ca1c-6035-4350-ada4-c60d485dbfff" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9e30aa6c-91e6-5dd3-9512-75c162a89913" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-QK-A8Z8_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1efb2d28-ac51-4d70-a24d-667a2b53467a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cff6967e-e8f7-4a25-aa31-9328e4b42816" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a118da56-784d-4b67-aade-d9a7a8b49f18" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVC" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVC" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVC" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ivc" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVC" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVC" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f8933756-4001-4c7b-94c7-2d8964ffda9e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-005118-1198_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "430338db-7df9-43c8-be80-6ef5a6b98899" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "27b201c5-0310-4f7a-835c-31fde311cde6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0020040-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-02T20:58:03.565619-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8738d7cc-e80c-4a00-bc4e-fee451f4b19f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "bf8ae40c-068c-44c4-b09e-954969e83369" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0016039-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:46:25.150285-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ab79d569-bc64-4639-a6a8-74bc2bbe0d0c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b5b027c4-6ae8-4c42-9ffc-46738ec336b9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-VICC-671452-unk-1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-28T12:05:42.341898-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "eddc8197-6d13-4eef-bb1d-06d1b8df5395" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "6f1ab30c-67b7-4a7f-b4ef-22b1221bec7d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0012422-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:17:29.664139-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e125a436-ca27-4a85-bd9d-9ca108306229" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "05d9d8f7-c21d-47ea-bb12-7de5f6709096" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD14142_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:42:51.054806-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "02402659-6c66-46ca-861c-e4c093a1a3d3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cb8fb063-f8b5-4748-b937-5efb6fefecfc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-004149-1026_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e331b564-d79c-446d-bff2-a732dacba6bb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b4c405c4-ece9-4cd9-b11c-cb1f863021cb" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003788-772_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f933f399-d986-43eb-bdc0-b3faf49bf513" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "fac833bd-36d8-5306-b322-92106575bfe1" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-5430_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5bae7161-8838-4b10-9210-02deaae4b9c1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4151c76f-9dcb-4451-a99b-889e0024f8b9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "72f98dc0-3fcb-47a4-8c7a-52a7cd9d3fdf" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5d293d68-61ae-49ad-bfcc-e0bdb91cc29e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6459d972-a02b-5a11-a7ef-12f699047036" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-5248_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a4dca71f-e53a-4bd0-9d1b-3381ed188a41" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0771e98b-4e65-450d-afc2-33d4e30b3df2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "d75594bb-d5e3-496f-b1c9-1743ae942c53" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008027-5967_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f0afc508-eff1-4a28-b912-3705a87d607d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "20846d6c-1a34-5e01-a531-f9c783416c3e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-MZ-A6I9_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0551272d-7e05-435c-92b3-918cde4d14ee" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "396f116a-bede-472e-847d-435a77dfa7dc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f32ce523-c60e-4a86-bfa0-eeb4f3b2d83a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "82cf8f30-edc0-444a-9607-498f1f4fc6a5" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-NKI-ETWO-SK3U_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T17:51:39.178920-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "92e24628-56bc-4c65-9c4b-76c589943948" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "556216dd-a648-5f7e-a4b1-8f8688a354b6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BB-4217_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5eacbcc3-8ac1-42bc-b3dd-53bc693d3cae" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b9427fad-04aa-4e73-99ba-ccde04e4978b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3d9307b9-f42f-421b-bebe-ed692a5868ce" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "7c9e489a-67bb-5aef-92cb-b776ab07f413" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-D6-A6EQ_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "37e8e5f5-0edb-420a-9f32-a2e167ef4cf4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "041d7de0-fdee-4f6b-9945-058f8bab509c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "43a91c60-f1f5-4b10-b0ee-c55afadac481" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "60a003d8-42fa-4981-8fa8-a96a6f4205ad" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0019316-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:43:52.092583-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b3eb534b-6441-4294-809a-ab6963d9aa39" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3f8fca8c-e8c8-4032-a0ac-488e49fd623d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-023359-23864_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:44.678712-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9eb7cb20-106f-4668-9ef4-c0344e8df3c1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0722d8c6-5481-4736-a9ea-24253edffa93" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-005284-2016_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:27:14.117499-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f02ce49d-85b8-4704-9dbb-8e012090fbd5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "8d28ba70-052a-42c0-9a4e-f06ea143f381" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0001195-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:31:25.700438-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b857d450-dfaf-4407-84e8-d3bbf843cbc3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "fac35228-e5eb-403f-a9fd-c88a2518c7c1" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-009544-8452_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.308719-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "933ddbda-c8bb-4e81-9342-9d7379bd6332" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "31489596-1797-567e-814f-ec85278ee342" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-5432_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c552cf29-896d-4a47-8022-e5c57e27e70e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3a13692e-cb77-464a-8ace-cba47f99247f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "418aadda-9f2f-43be-b171-866585aab114" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b4a36114-80d3-4f28-b85a-077dc31eb485" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "100193fa-11a9-4abd-9bcb-b1688eefaf5e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008981-6260_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.308719-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8fe03287-0b1e-4750-9006-58059562a243" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "de41284b-65f5-592e-99bb-9157a9509c36" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-T3-A92M_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d22843cb-8a14-4592-b339-a04cf1514205" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cdefaeb2-3a2b-4094-b25e-0c509b62c13b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "86c72a0c-24c8-4d55-9f87-6b7198a10890" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Adenocarcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Adenocarcinoma, NOS" ] ;
+    crdch:id "78daf8d2-f74b-4d9e-9ffe-79e90425ad3c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD7638_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8140/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8140/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:47:53.195932-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a4ae0499-714f-4d0b-95b5-e085bb652117" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "52d5ae11-4bb0-53aa-bff7-31190888f8ff" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-5247_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "950233c0-c1ca-4b69-8e3f-a6072dbc7e6a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "43739161-8083-4740-a670-1a334a87ca7e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "d2578ad3-da53-4f9a-a3b7-043e9c01a282" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD17065_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:54:42.853523-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c84c230b-7953-4d86-ba93-255ab2242ce7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "efe7297e-9961-4ac3-b247-a9322e18240c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD16071_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:51:38.104730-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "542b7dd6-20ad-4719-bece-768060ddab97" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1d13cc0a-da04-5925-8930-693f09cd6432" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-T2-A6X0_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a4b8631d-80aa-4665-86b4-0caa7241da66" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0416608e-19db-43b8-ac11-87406b0164d0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6f085b6d-6abf-4d89-a17a-89e6c7f8fcc2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f41a7343-e52e-5f4b-b902-ccd3275b00b9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-DQ-7589_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e22036a1-ed2f-44b4-8bca-bd9808611fd0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "19c44a45-4f80-4d5a-beac-83db256a3434" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "41ec6e82-6bcd-4057-a370-bfe1801e2e94" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVC" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVC" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "491f9f68-fb39-4d17-a75d-90d14e801df2" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD15095_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:44:57.662014-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ae6cd26b-98b2-46a9-917b-cecd94358907" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "75ebf700-6ff1-4980-a420-41df37dd2c42" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0018608-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:39:49.045696-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e4d9ec72-9281-4b2e-841d-06d84634968d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "bcef8cad-3d18-4cd2-b839-5fddd16311f1" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0000945-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:31:25.700438-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2ba57cf3-fd06-4f99-9ad7-447a164b9586" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "bad7f79b-abec-4d69-8c30-3abd1a5f31d9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-UHN-700007-ARC1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:21:56.842750-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "72155863-300c-4515-962a-d0c332cf5b63" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b0f16df9-9556-4ff1-b8b8-afabece2fd14" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-UHN-071596-ARC1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:18:10.730001-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5cdc6f40-9b5f-4dc0-9082-a9500c3e5af4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "7c2fbcc8-56e0-508a-84f8-97fb3ad6a8ab" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-6011_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Gum" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Gum" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "afbf3020-1715-4e74-8224-05e316796999" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4d620a8e-517e-43b2-ad44-d9a8467e73a7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "83b525ab-ad48-45fe-bbe9-54d6ce88054a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "388e26e6-e8e6-527b-929e-24ff75edc9b4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-5441_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b480eb37-ffe0-4626-b49d-dfc514a60886" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "26c67c48-00d3-4491-b761-7941415a2c6f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3f583e59-c92a-4257-8098-5d081642dea7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "530535a6-b47e-48ce-b312-54c3003c14ad" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0002854-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:50:42.610446-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ad472d22-bccd-401b-ab2d-0ab7a31c7b73" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d113feec-68eb-4294-b6b4-6b8e22ce56bb" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0016562-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:49:52.836213-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "99c1a34d-ba04-462f-be28-bb5eac77b316" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "1674c3b2-c0b1-4395-9822-81016a649ad8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-4664-11636_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:07:22.808668-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2bd6f2fa-881f-4287-a616-d43d33a5e551" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9be1751f-17dd-5748-a489-1b4eb3235e17" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-MZ-A5BI_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c226c7c5-64e6-4790-a420-c2f4e0196453" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f1e46036-7b4f-4cca-a150-f2d8e599fdf7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "be59114f-e2eb-4d06-824e-7aa867673eda" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-004755-1862_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "255bbe44-dce0-4905-86bb-317144348172" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2a826dce-5a83-46e6-8ff0-9c7597ff54d4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-VICC-673077-unk-1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-28T12:05:42.341898-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a5fa104a-bb1e-4e7d-a740-607fc803f4f3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "c740d9c9-bb4f-4ae0-9920-43267c9bc180" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD14561_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:42:22.825295-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "97cac184-023d-4aaf-9637-cc34969471cb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "8bd7b118-92b1-4443-8753-f779c82ef116" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-035615-74950_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-27T19:26:40.896040-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "151f2c1e-f448-4fa5-9b61-81dc5c339f58" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e7fe03ad-184c-46be-adcb-dcfc79db3492" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-d47c6375-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7512ff60-162b-41b7-a3ed-c153d7aee073" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c2494ea4-5db2-5716-9afd-096e152b592c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-5356_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fb9d2ba0-7673-4587-ab69-0059fce2f671" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bcb5da85-78d6-4519-9740-378587b1bd37" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cf684788-d8e6-49da-8421-b2dbf040a529" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "92f6368e-51fb-56bf-a72d-7ccc16eafb44" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-5434_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "657cf588-cca0-44c2-83b3-0e87f7a81f29" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3f70e2db-b313-4f3f-89e7-cd1c0acecf9b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "dc649d39-482d-4855-b9e3-129552e5e421" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f6130e55-1627-4d2f-bd8f-c0e778a1aa45" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "48994484-82cc-51ba-a8b6-6f4663599d40" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-6478_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a26d04d0-1501-4cc7-afea-154a89cff0ff" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "dfbc5ddf-a361-4d72-ba8d-5615ca644357" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cf93d012-b0b8-57b3-8a55-7575dfde2b1d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-6989_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a5c6b30f-2aa3-48bd-8415-bdce2444e49d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3570ac4b-b585-4262-b54b-137a2515c689" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7ac8fb22-0a09-4b16-af8c-b5c2e90a968a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "52fd0265-204c-4ce3-bb51-a3cbee5aca51" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-115ef99e-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6ba7ff9a-775d-4239-884f-4a303b42e4fd" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f14b2d60-39ff-428e-bfb9-a33f4d3242ee" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0002193-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:35:23.418160-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f2f48558-d331-431f-a14d-845efe0c6ce9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6bbf8ace-0b17-57e5-bf9e-2c164cb28e53" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-F7-A50I_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "384902a7-fa03-4083-9baf-7ce114694c9d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ccd8f2ed-5a6a-460f-b692-ee7d78e29b18" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5eb175ff-1b47-463a-8f16-4b59914457bc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2b051980-b5b7-4b1d-900c-9705c24b2a78" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-009287-6605_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.308719-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "781e0bea-f234-496c-915c-c163fc8de24b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "430602f6-cd8b-48d1-b519-dee691fc9c20" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0003106-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:50:42.610446-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "78b77808-ec88-4e6b-8393-decaa7bba86d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "4228d736-f7fe-4ef9-8bce-39b8c6c3bc70" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0010459-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:13:38.880466-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d69183b2-2961-45f3-a4db-3d32d08f6abb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "881c2131-1f0d-4b11-8b3a-626918ad5566" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0013652-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:39:05.576558-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4c4f2c9b-d2db-42ab-898d-7d6c8c8e4a6e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "826319f7-67b5-481a-998b-781e3ded01c1" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-22f8acca-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7aa50a3f-dd6c-496c-89e2-2d8d6d136acf" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "49cde226-3d69-415f-ad98-02d190dbf75c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-006446-3455_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:27:14.117499-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5c19b5fa-d6eb-4d7e-b617-930e19aea484" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "675831ed-0976-4fdb-87da-15a7a85ba6b5" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-9bb5e551-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b2ee3f62-a9d8-4f49-bc51-1d3f17d63b14" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "26bc85c7-5376-467d-a880-4c415ba3b3a5" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0014015-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:39:05.576558-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "968b2133-a7b0-4d2f-8949-f6ff299f1219" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "57e78d94-5a02-499e-953f-e5539884009b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-036456-74857_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-27T19:26:40.896040-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6f3b4fcf-0519-439f-b3e9-6a0678745885" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "e2403080-b7b5-4d13-b62e-9b7293a45058" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0002484-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:35:23.418160-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "89363cf2-b8d0-48cd-97e5-4cd68ed372d3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0be93ffc-ad62-42bb-892a-ba10c4da6f39" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0017332-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:20:07.713564-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "43637316-5d63-491d-b4cd-2caa045d8c7d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ad86791e-dc2b-4a82-9c74-674bc6baf268" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-009352-7151_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.308719-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5e386079-a9c2-4c7e-80ed-9dda270249b9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0b8731f0-363a-4989-ac32-3ad093d433c4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0003031-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:50:42.610446-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e44b074f-5e47-4faa-bd94-7375982fbd90" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f29e70db-e331-5bcb-82fc-f2e15cad5985" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7433_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c2530f39-c334-4a38-b75b-b74d5cb95920" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2916fc1e-ba62-4494-8014-dfcc6dd358ea" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5c4960e6-92f7-4576-a7d8-82a7c3d7cd5f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
+    crdch:id "43cceeb5-008a-58cb-b219-34c3ac43e86f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A497_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8072/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8072/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bea32bd5-4068-4351-994e-09b3bf819ebb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "882c6ec3-1f56-43c3-8a41-da060f9f5ee1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "54c68cb3-653c-5035-829e-11c7b3853119" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7089_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7f11de1e-f75d-4476-a179-b50a84a45a78" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f2e436bd-bbc1-4b1d-9a55-e2a83a1bb510" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "267e43c1-bf99-430a-b077-147985fb7e64" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a6c24a00-67fd-4a1c-a371-b6e387dcea61" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "203f4d20-b796-4745-9bc0-6385c28ff0ba" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0003320-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:50:42.610446-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3a006479-c2eb-457a-b0a1-e3faebae25b9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d1841d22-3350-4037-918a-bb399ed85963" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-005202-1165_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:27:14.117499-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "97064320-d382-4d87-a302-72490d7577d6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "26a2438a-f914-4865-9784-a9a47150cb4e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-010260-9348_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0d696183-2cc4-4f33-9973-04537cb86276" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5baa4771-eb6d-56d1-821a-33157bf79573" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BB-7866_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "af5d22cc-87f4-4b91-97bc-7103bc07adcc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "736c3c8c-ff9f-4892-860f-04665a1f344b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fb5ba525-1658-4f8b-81f8-8d7ec3727773" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "8c624d17-a588-40ee-9902-ed694d794814" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD1281_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:02:30.028866-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a1fe6dde-024f-4487-8838-24fda3505cc3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "56566536-d3a4-4103-bd5b-550ceaad2a6b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD5017_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:06:53.493092-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e2edc535-6fc4-4999-aa4c-932bf58d344e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "fc136a78-0ba0-5a79-a4f9-d5d692e61222" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7402_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b86e8a21-6937-4299-89f6-05f51888f5d8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "dfdf096f-9577-4e8f-8e98-9b808e417ccc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d5b740be-4c9a-4bec-835a-4cd0b394ded4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-006383-3525_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:27:14.117499-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1a1294ab-79bf-4e29-b958-cd6c3b25a984" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "fe440219-2351-41cb-a0d1-e22bc73d4aa0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD941_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:46:27.877516-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5e91c356-4431-478f-8033-99442bcdcb95" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e792cf88-dfe7-5130-ab9d-df59b3ed1b3b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7421_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ef81caac-1fdd-43dd-80a3-4e18eb35271e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "40583cb5-46f0-4966-82c7-4149f14581d4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6766e43d-12fd-49ba-bdde-c19bb71d329d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "db8fb969-2213-4290-94de-c3680cd314f7" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD16283_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:51:28.078592-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0d4e791a-4a50-4c58-a8a5-88e5bf4d7c9c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "247e1e60-27cf-4f37-9a1c-8db3284dcb56" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008904-6911_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "075795d3-4e6e-4edb-95ee-f4d7ca56b337" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ac0363ed-feba-5584-802a-a8bd096fb07c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-6022_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3b8fd8fb-429a-47ac-8b99-ae42a3fe968d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d452d59e-92ff-46ee-840d-df8a161ca9c5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "952f71e6-b64c-456d-8d00-45e4118fef96" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "09ac3334-b77e-56e2-a46b-57faf703f1fb" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7385_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d1553b1a-bc1e-4dcf-a273-b3effabe380b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4c4a6867-babe-4032-a639-a9b31cdddc6c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3bd2d2d4-7d4a-51f3-bfaf-4153b96110ae" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-5443_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f70fece0-2fb1-4d8f-955b-7b9bbfeb9755" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4863312a-043e-418e-812d-2ae2a1f66f29" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "746322c7-fe75-4b9f-9309-93e9cfa4cb5a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4e06969c-5592-59ad-b006-09cb82ce6cc9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-D6-6517_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "53450297-c715-4c54-ad7e-3152a1e16c45" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a2dd87a8-e0d1-47c1-a8d1-70b9730aa4ba" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8c099f45-3fd6-4966-8cdb-ca4b9288b1a2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3f0b65d8-182e-57af-87b9-29e59fcdaab4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-F7-8298_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8f5a4b47-4c69-4295-a576-fd3e558754a5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "94c71079-a453-4a4c-b52a-ab686bc83b65" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3f2ed4ae-5b71-48d9-b120-4f7bfd4b34c4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage i" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4c3c3952-6e85-4fd3-bc05-81c91ce3faef" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003978-789_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "10935163-56ad-43d1-af91-1846aa5922eb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3f296a63-9ea9-4648-a621-c8fe8a6d631e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-cbxznf5u-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e0559edf-8fa9-43f1-acbb-7964ea0c33d3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6d9a9668-da18-4c45-a108-8b0b058ec47c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-006284-4777_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:27:14.117499-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6b2d8256-f78a-4ac8-b0c3-a97a03410b59" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5a157d1d-a316-4b42-8444-63e22ee704ec" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-065d55ae-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7128ab9a-3a2d-4df6-8604-829406ab3bed" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f7be786a-80e5-5c78-af12-715c8cdd318f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-UF-A718_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ddeeb19e-1929-488d-8e19-c6212b3b78fb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8f620b3e-2962-49da-bcaf-4ecfd9580923" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a88696d9-b36a-4fd7-b3ed-b6b31aa4094f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c1cb359f-50c5-527d-941f-328d1d34f062" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-IQ-7630_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3b35e7e6-0e30-48be-9d22-d95fb49f1227" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d81234fd-4e10-469a-81e6-f23a192f1ef1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bd97a61f-6744-455f-88cf-2a418f2458a0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5c73649d-f112-401e-a47c-785337555930" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-JHU-02535-03020_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T23:09:11.890404-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d34c6f0f-6b69-4820-8dc8-90d8d54ff7c4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Adenocarcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Adenocarcinoma, NOS" ] ;
+    crdch:id "215314e4-f8c7-47e1-8993-f126c49bd1a8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD7896_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8140/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8140/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:49:07.730023-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d3811cf5-8f54-4344-9efc-2f42c49e4e67" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9c1cd7ed-46f5-4809-a898-22cc0e15cd64" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-438c3609-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bc168208-ee4f-4a50-8ddf-b72b0dd59da2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "4679b4bd-c891-5a60-9b12-1e6bf1bb7675" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-A4IF_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5eea7c58-96b4-426b-9685-15599e534730" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7bfdae74-2bf4-4ec7-b08c-acd9b9e0baf4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c8cffdf6-7c37-5146-9bff-2cbd5a6f5bbd" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7364_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a17406af-2eda-4148-8a0d-ec2ae4bd9fac" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6ced7677-159f-4e9f-b550-627ab9ea80f7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "98a4badd-be86-5ac9-b0d9-9099d5bdcdef" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7247_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5ec51826-98c1-49d2-a990-7a95ee636753" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2e9cdad5-53ec-4b5e-8a1e-4f8abee04149" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f84ae44b-4bb7-4841-aee0-139cd79b9680" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "13da732f-058d-4635-a2f0-81e73c725b8d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "11781aec-74e7-44bc-86ce-9941aa62b6f7" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-1594-3307_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:00:11.934564-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4cb8fa37-e3cd-4d7e-bb34-67ffdf228d78" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b725e6d2-92c0-5585-9de7-14bb623b472e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-4738_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8277e744-0508-47d5-9cea-11dcf7f56d35" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "51622170-a903-43cb-bc38-4d40c7ea170f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fb06ae75-8516-4cdc-ba9e-093444907fc7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f543ba05-0134-4222-bc49-da336358e2e0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0005862-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:58:03.635432-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fbb548d6-a035-43c3-99a4-7fb2892ade49" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "664c73af-7fd8-43bf-9a1c-1109c71a303a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-6a5b9e32-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-04T18:19:50.810302-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e6616639-64a7-4462-9676-1b2420f371d6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b8f93296-f293-4af4-83bd-6ae35aebe59c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-010368-9817_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "094236a4-db5d-4e05-b020-5136ee6f4225" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4a037aae-de5b-5ac6-875f-b86b71ff50ee" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-4078_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2027ede3-13f5-40f6-bef6-16704981d676" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3423d96f-4c5a-40f7-8e66-3dd4b9818f52" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "25b0ae1d-2add-49b9-a5ae-99702a5c48f4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3d039654-a9ad-4641-b459-bd7ccd1ec1b6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-NKI-MCU4-LAZM_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-29T19:51:14.064673-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b34b2488-73cb-480c-a1ac-c2ef5b89c5f0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "1fdf9d03-4341-4aaa-b47a-98f1221816ea" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD3249_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:00:26.233095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "425f42d0-0349-42bb-9072-cfb0bd97e922" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "8932404c-6adc-4b1d-81fb-fdb4dbb32ddd" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0008185-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:06:12.185212-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3a9e0ea1-fb4f-47bd-bf6c-831f7101b005" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2c09a792-df0e-513e-a9a2-7e363de6435e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-F7-A623_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "33c19ae3-107a-4b64-9906-5b775025cd8f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bb90f8e2-c872-4ded-9d10-5110f023762f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5f14a8c0-f19e-4a67-b6dc-907196ab34f6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6c55b480-1444-4ae1-a079-72287e8794a4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0017687-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:37:32.909734-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "52f200af-cd9b-4d63-91fc-7bf44c67c537" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "32bc08a5-7441-4dfc-b13c-9e193e5a7ac9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0001682-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:35:23.418160-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b2a64027-92cc-4961-9c27-821fff58c5ca" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "a2cd4aae-5655-4082-956c-f5bbc733c576" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-UHN-221761-ARC1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:18:10.730001-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5103a1f3-d342-462e-9845-9703579d26f8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "39076d27-3e66-4f32-a646-08d8e866bb8c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-5201a20a-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "68c9aea7-2d45-4200-b2e5-02aa0ab64d09" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
+    crdch:id "514322a5-47cf-5d99-8ae8-f4466bbad28e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-QK-A6IF_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8072/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8072/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bfbfb315-632c-43e7-ae3b-61bcd82b0d3b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b3a8b960-6807-42ec-b6a8-492d58de2b86" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5e77db09-dc35-4cfa-ac78-0f7af0b742ec" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "6739697d-d536-5d38-813f-5a4973a97cb9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A49A_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Palate" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Palate" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8e00c51b-cc4e-4de3-ad9d-8ffe30f2ab0b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "77234a56-cad6-4b84-aabb-032be68f7dea" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ivb" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVB" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "64bd8ea3-d4cf-4e2c-9d2e-77dcadd5364b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008227-5962_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2386e3a8-c4ea-4434-af11-e60fae9630fc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5202e65a-e9af-58ee-8960-9190089fb197" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-6467_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5ef4d047-5a84-4e03-acf5-02029d8a4cf2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2d9ad43c-f177-455e-9b63-1b9ffdc672d9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d7acd35e-0ca1-42f0-932c-a3cdd6f8d09b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-037833-36073_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-25T12:05:51.637331-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8f775235-6026-40f6-b156-cc3711222412" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "da5ce97d-de12-5384-a88d-a9874b39b7dc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-QK-A64Z_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Palate" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Palate" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "eb25346e-0e28-4161-94c8-916b41f8d969" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "95525590-0eea-4017-be66-dc487b78299c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "67289d96-8140-4ba1-9863-124950488c1d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cb7a6350-80e2-4b6e-9b86-05632255db52" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003213-4767_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a764b89e-ad60-4316-a812-24a5eec7b9dd" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "58498007-02e8-41fb-b884-2383b5eb1414" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-007582-3990_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:44:49.261364-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f198873e-fb8b-4ddb-8d79-1fcf1bb1d764" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4176108f-948d-5715-afbb-cc21f3cbfaf5" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-5363_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "591e99ec-46f9-442d-ac20-745dccc8a52b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d0161f8c-9c53-47ad-895c-40d1be3a814e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5e4e1e21-8016-4e27-8f72-2411714203e8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVB" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ivb" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVB" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3896106f-2770-565a-b872-0d61198bb107" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-5442_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Palate" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Palate" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "698208bb-7272-4ad5-9cc0-909cb669bdaf" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "26243d14-e401-4ca4-92e7-aee13c9e6e47" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ec885af4-3513-4790-ab1f-6ecc94b6115d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "36009b16-600e-42f9-9509-783c76c5b88d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-034499-159099_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:37:30.937085-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bce047a2-b5b7-4ccf-8bf9-406d8c87d7a3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4ac21d4b-c592-4afd-bfc1-278702612bd6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-004838-2080_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "10d245b5-b16d-40ee-bd41-bd08a0355894" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "eb8958ba-0798-5ab3-b4f4-258d441d7e03" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-P3-A6T5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Gum" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Gum" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e45c81dc-4143-4e97-8212-85032c760221" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c98f1b7e-5d3c-4e07-9d9c-65c5a6ac6cd6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7fddfc05-49ef-4ebc-8572-05059a5fc363" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d0678ad6-4a4a-4ec8-9e5f-352c1347efc2" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-a8pxs0u6-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-04T18:19:50.810302-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ab9d819a-6445-4bad-a520-3d1edf413508" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "59b73fbd-93ab-5cbb-b052-82d5e66a4c16" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-5249_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6697dd71-5a58-4862-b26e-ea16dcc383f2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b72390d2-f19e-493d-9a30-cd81dd232188" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f09803e3-8795-5077-84ae-bf0666bedc35" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-5435_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d2491655-a4a1-4e4b-8f94-f50dc1c5d64c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cbcd3026-9f65-45c1-8fd8-d08f1b6b065e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "78a9bb84-9d21-40d2-9b0b-1ba8d888912d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "14098d2a-e40e-4f1a-bd76-f8bf7c339ee5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a66ce9f9-d7d0-5f2e-b0c0-73f306f68236" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-6869_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-23T13:20:20.149518-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2f9729e6-edea-4612-82b3-01251317074a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f4ed2c84-39f8-4ab3-8762-a9920acc2432" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0aaa8bba-f4a5-4158-b9b4-a02244b5f6f7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6fdc7de3-3d2e-459a-94ea-1dba9572f47d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-VICC-480293-unk-1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-28T12:01:45.147328-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "116b69cf-c9f3-45c6-be86-c4f22a36dcf8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "64017f79-8293-4fd3-8af0-bf01eb6cf49c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-UHN-653571-ARC1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:21:56.842750-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5349f1ac-ad8d-437f-a9e7-30b2323bd11f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "155ca101-ad45-4f50-b9ac-45908daffab8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0003009-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:50:42.610446-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f8de95dc-1011-4b86-9a46-28bc46465195" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "21b7042c-de33-572f-a77e-98db817efd44" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-6492_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Palate" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Palate" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2da6f33b-4a9f-4cf6-ad8f-873be656a6f8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9d258494-fb84-4435-aa3a-f5778ac061c5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "6284d2ec-e8b6-5cce-957d-f55704379de9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-TN-A7HJ_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "50df1144-990e-4357-8a15-132289bce0d8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cdc66ca4-8864-4f22-bc4e-8fb5e073937f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "412fe306-9755-4efe-abb0-9af695b5691e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4b90baa1-cf87-5186-9101-0464aec143d3" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-A4IG_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c029272a-feef-4a11-9566-092c16b40eef" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ce469c00-b5c0-4d7c-875b-092c5b6ac289" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "87e9b232-8b59-573b-9758-c7b5456d6fc0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7248_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "791203c3-4192-4844-b32a-0f21944333e1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "24a2dd45-0453-4bfa-af4c-cde8cb0c0cfb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e5ab53bf-073a-49e7-9402-8e7261d385c8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5fe254fc-76cd-4081-a46f-574f2ec76d10" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "59474381-516a-4be2-8b74-7fe5804ec371" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003795-3691_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8212fb32-9c81-4bf1-ab6b-337196acdf90" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "b0113a66-8202-482a-ad65-dc55cdca3c27" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD8711_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:51:47.854910-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3ece7ea7-cad2-4e6d-811f-c91f63a4fca9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "605addeb-a295-4bd2-ab90-347c41e9b1ad" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0008105-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:06:12.185212-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b9b1b672-a788-46eb-bc8e-a5b401d1a430" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "03f214c1-e688-473f-b84b-5864f56a6a3a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-001000-1570_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:06:57.341931-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "016681b7-82cb-404f-a175-8cb6d3f6bc62" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "fc929f30-0322-43c4-b12f-ddff9d8a2335" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-010590-8636_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "175e9244-58cb-4b1a-9614-a4fb1c0e6603" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "83347eee-7d6a-4848-a139-a71f053e92c9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0000768-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:31:25.700438-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fd2acd96-a021-4fd4-b0f5-1d9f6e4448bb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "601e60c5-25a1-41e7-a47e-2a069cb8e099" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD11228_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T09:56:48.362532-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b62623cd-3d81-4e48-bba4-7df880930106" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d4b70019-403e-5a16-b7aa-5ed71d54a517" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-6473_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ed96ee9b-cf03-4eaa-b783-07b739e3a648" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a9e7990e-7daa-4c79-a836-ac1ad63aaa37" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c9ea5a2b-8b14-5745-b9c3-c93c9abe468f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-A45O_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Gum" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Gum" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "77b774a4-9456-4907-86e6-9ff2dd87b8fd" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ec7fe5e6-74af-4bd2-9ecb-8e302f763b22" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fce64b88-8be6-4710-83be-18c9afdf13ed" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5b518f0a-dbef-4346-b463-b59bd735a311" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-009367-8081_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.308719-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7230cf9f-1930-4377-bfdb-6e07cd472bc0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "7ed3e77f-cc81-56cb-b573-cc6df309ff48" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BB-4227_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a6748675-5433-4f39-a578-9a1ddb8bb1b3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f31d010d-cb3e-46da-9647-38fdb9d1bbc0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0e81b0ef-6f16-4a56-9f18-8acad8bf9ccf" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ca8d9936-f4d9-465a-8640-66a91f735a60" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0018419-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:39:49.045696-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "60efb1a2-a8b1-40a7-b230-e4b532a8048b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "494e7724-f0c8-44b8-a4f9-8e6cc9a2c095" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-NKI-FGHG-R6TZ_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T17:51:39.178920-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e91ef1f0-a986-44d2-8880-fbef0afe91d8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "f2f2d6b1-7233-433d-b34f-62a8d4e50b0c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0015645-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:46:25.150285-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8a8010f9-2193-4604-9425-da6e5512ebef" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "acb41bec-39c8-477f-8cc2-b8c982bf5b2a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD9755_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:57:54.983619-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2b14983f-b848-45de-9881-5dc4f483f7a4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "28979d39-3da1-556a-9b82-2a9953b57989" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-P3-A5QF_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Gum" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Gum" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "903ed81a-057c-41ad-93de-aaa9d9c082c5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d30d7d4c-0acf-4b61-9d7e-2c15e20d73a8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2e51af26-4d06-4b66-be71-0bebed2e4557" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9461c5ae-cbec-5810-b0a6-9644168accb4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-4723_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4a485f87-1a73-42ec-af0d-0b6de2b23504" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f4a14404-3545-44fc-953d-e441139e7fda" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4db1536b-23d0-48fb-91f8-248a03f58aa4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "d50387b2-938c-480c-8287-6c8754e06278" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-6686-17868_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:10:26.105156-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2022f8c2-108a-4919-bbcf-1dd1ba4fa10b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Malignant rhabdoid tumor" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Malignant rhabdoid tumor" ] ;
+    crdch:id "d1368e23-4a00-5b0c-ad28-56a5a4dbd833" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TARGET-52-PATYUA_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Lip" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Lip" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8963/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8963/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2016-02-17T11:50:17.531058-06:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "83a37c0f-ac29-558c-b7dc-a9fcfed82b61" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ;
+            crdch:specific_tissue_morphology [ crdch:coding [ crdch:code "Rhabdoid tumor (kidney) (RT)" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Rhabdoid tumor (kidney) (RT)" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Unknown" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "unknown" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6579daca-0ec7-49e8-92e5-6a6b7c379b8d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-h39utsgs-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-04T18:19:50.810302-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1f1c82de-2931-4f38-9caf-213d5425ded1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "843f33f9-e390-52bc-90c8-fba0a4557916" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-UF-A7JV_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a1d62ba6-696c-4693-9067-d4226a4e6316" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c312a7a4-ba29-49a9-b4dc-876505a6a6c4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "eed0dcf3-36a2-4890-bb02-e8b56ba4d8d8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "7c7482aa-6349-58c9-ab17-6c69acbd579e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7388_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f27e3255-bc73-4943-8201-5245b85c4ee5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c6aafc51-6295-494f-9bf2-1e4f43a72ae0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "b03c5a4b-9dd8-4186-b8d5-a65acb317474" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD3459_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:04:01.286185-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c54fca3a-3919-4ac7-81b6-f1cf955f47a7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "25fb47b9-2f00-4140-92bc-462b1e8447c4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-4wf609jo-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0ef8dcd6-8f67-4f29-a69d-d952df3d43b3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2e4427b7-e557-49c7-85ef-39a02c4a441c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-050738-234120_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:18:25.269226-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c6e1507a-83f3-4c51-8275-319d0dcd8f97" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ea9b7e18-cbc5-4588-8b59-d32af85db2c0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-052774-173461_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:20:30.865187-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f37609a0-84b8-4203-9497-9f60cc8be539" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cf19d9da-2868-599e-9281-91b9e064078d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7374_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ece42fcc-b771-42af-92c4-39fd74b645c5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "77be0d91-0525-439f-bb34-3a0702c81085" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4a315682-7cd0-4c42-9fd0-50ec841a059f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-004723-1663_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1291884d-38d8-49cf-b16e-aeab69d83681" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "230d872b-0206-409c-988e-6485dae90db9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-p8qm5k95-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2d54eff7-a093-4bf0-b1c2-2f9f159e6b78" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b27a395e-c9b4-5903-afcf-90ba31fcdeb2" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-HD-7753_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e723f1bb-73a3-4d65-bd25-de76138515e9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7fb56f25-873d-475c-9db6-f0be3945d926" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-25T15:20:17.640379-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "698f639f-c34a-4f21-8306-26002008804f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage i" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "842d6984-7c03-4ab6-95db-42fa2ea699db" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-010671-11105_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6f9eeaa3-8bd1-479c-a0fc-98317eb458dc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "faf259c7-d577-5ef8-9075-9a42f1083260" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-F7-A622_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "32d7cb3d-5f5a-474a-9dcc-3b5f2dc64d22" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3901d8b6-f2f2-45e9-a40f-3ccd679f701e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "32056265-c5fb-4544-9f99-22b34febb805" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, spindle cell" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, spindle cell" ] ;
+    crdch:id "d80aa9c7-2a22-57da-87ef-750dd4c0b494" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-IQ-A61O_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8074/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8074/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "24e39735-725e-4627-82b6-c56ff33e3465" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "eee85b30-6d16-4f53-aac1-b74f36a62d9a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "09e8433c-1f86-42c5-91c0-2512fc4a7fe9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2707217b-5a4b-404b-97de-921526581d45" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-2b4655c3-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "56e9e0e1-5435-4b6b-93a0-70564fe1aa27" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cee28001-9ebf-46a7-b387-e932076e5df8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0010817-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:13:38.880466-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "08a27a81-561d-41f1-9d99-6266c1f230c9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "28fc2416-e276-4a4c-963f-1ff59d64fb44" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-a947c792-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cb69d223-6e16-4e94-8a35-b1197a261b19" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "7bfa067f-69be-4a58-a8a7-98963ee8c589" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-VICC-493620-unk-1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-28T12:01:45.147328-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "57a1d12e-9ead-43ed-8990-0fecb573d3cf" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "415b0c86-82b5-46c1-b51b-00e701add732" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008675-7728_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b1a78f00-1eeb-4c1b-838f-fb8453112c5a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9eeeccb6-c3a5-4008-a87c-006d2e1efa9f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008672-7091_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6db9d94f-7868-4a64-b9b4-a5b95747c317" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "39fa27e5-b36f-50e5-b173-1bb73a1ba5ba" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-D6-6826_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1737989d-8463-4761-b111-53e4fd396375" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7aa13049-917a-4d7a-bceb-3c718ec8fb7a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a31ecf7e-1838-412b-ac34-6fd8810739c9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cde79cd2-3aab-48ed-81a1-259a3cd21002" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-VICC-122614-unk-1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-28T12:01:45.147328-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "71ba3119-c343-43f0-84db-4ba8787d316b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0501e7a7-232b-58be-9425-92f1ccd697a4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-4727_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a7257360-c4dd-4f59-bfb9-c8d593050146" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f102aef0-94b8-4d26-8055-35b76da9dd5f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cc2d6cfa-7640-44dd-a200-68fd9f9ee69c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "706b1290-3a85-54ea-a123-e8bd14b085bc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-6012_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "badeaed0-2625-4a4d-bb95-d295e2c32c01" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e23c7006-1a13-4211-8920-47548641e574" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8b2588c8-4261-492b-b173-2490a5de668f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "65645e51-3cea-4c45-a029-ecd7cef6c8ad" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-001639-6186_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:12:32.615882-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b1a851b3-94bf-4652-82d3-cc6133cd1565" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ea23b8a9-c2fd-5392-8625-a26662cdf0ef" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7404_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a39131b9-e7c7-4385-a1b9-d8a0a0950337" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a0723862-62f9-4770-b415-e8f52c447e7a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "a1439fe2-31b2-4a31-973f-fbeeb13a965f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0001405-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:35:23.418160-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5dcad3f6-29d1-4043-8bf8-c8ceb17c5ec4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "bb2f0211-8bd8-5667-a49f-0e507f10e863" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7424_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9308d3df-4126-470f-9dae-db9362050c29" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "162ba21b-8262-4815-9e65-5b064f0e5885" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "979324ca-d8fa-4bbd-ad7e-1c663c5a4a9b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7dafe515-fefb-4656-ab96-b72e09e041f7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f068b7ad-5b43-44f0-95b3-33ead995b8cb" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0010161-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:13:38.880466-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ea42167d-71c9-4eda-8153-2b207208d97d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e1518a49-5ef2-41ca-ac88-edc88e8ec241" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-e8aa0080-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "baf6aa81-4b32-4d7f-8557-5942a0febb91" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6307ff41-9bb5-438d-8789-a73b41303d64" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-036509-75021_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-27T19:26:40.896040-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ba40b824-5fe9-4a73-b7f0-9b371af64f65" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "e071dcbc-10af-49bd-86cb-b1c8ec549487" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0017414-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:20:07.713564-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ff1a3e50-533b-4228-a8fb-93af76ca4b59" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c5df4db4-06f3-4596-98d2-3ab0e5df45b6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0003711-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:54:19.535598-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7eef7c3e-d42d-4cf5-9ad1-3099b828f776" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "18cabf3d-233d-5ad2-a5d3-a2a10677c99a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-A4II_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a76bfc3e-fa46-4a65-88e7-c644c8b20098" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "81bbc439-0c8c-4d39-bef2-03901b31c50e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cf507905-7cf2-408b-a08e-b703df54147f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-NKI-DYRQ-CX3U_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T17:51:39.178920-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "36b762ea-ade4-4e7a-b824-0fdadd0e33ef" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f9e5f978-310f-4011-86bd-f468da998bd3" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0015030-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:42:39.927651-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e3362d03-8d6c-4be0-b1a6-5ce9c230f4f0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Basaloid squamous cell carcinoma" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Basaloid squamous cell carcinoma" ] ;
+    crdch:id "b4c1dd26-92ca-5bf7-b861-bff7f68e8436" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-P3-A6SW_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8083/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8083/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0b1a1f48-c58d-447a-be06-1f4e0c1c39d2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "dc6d258a-dba3-4186-bf89-9efb70a32365" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "50e494e8-d48a-44ec-91b3-5755b42f70ee" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVB" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ivb" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Adenocarcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Adenocarcinoma, NOS" ] ;
+    crdch:id "25182ec3-0d7b-44ca-82e4-f1a8d7de4a28" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD18004_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8140/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8140/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:58:46.365657-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b62fca52-48c3-4bea-b5f7-5794a1ed4f43" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a276fc76-237c-5574-9fc6-4b309ce35829" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-6935_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6883e88c-05a5-4ae7-a43f-40d4f35a3a2d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "76de8a78-90b8-4928-8dc1-bf3b8157382f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "37f4a944-d427-4f41-9d27-982a910103e8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "05aa5c47-cbde-491e-b8d7-a60cfe1ca2d9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a433a5fa-fd34-4ab5-a117-29614a2c7f9a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0013513-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:39:05.576558-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f2ec974c-b952-4450-947b-11c39bbaf248" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "bbbf3549-d0cf-4dcc-bc92-32d12cd2c96b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD10083_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T09:54:12.244834-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "712ad6f8-8c2a-4c82-a89a-10ff849e3e9e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1f6860df-38fb-5519-8ec9-3068b0476cf2" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-4735_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "feb21d9d-394f-402d-8659-eb15bb95f0db" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fbb300fa-8793-42da-a68e-4570ae2e5186" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a2caeab5-55a4-412f-a647-0112f48bbbe7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4f08ca0e-bd9c-425c-9137-a8bc3654ff09" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0004619-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:54:19.535598-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "407047a0-1065-4e67-aee6-a3a66998deb8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "eaa3ca60-5565-429d-8c4b-a0a6ef7d9fa6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003114-1605_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9e503ae6-5765-4fe6-9a28-eac5a3a93a13" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "48e8dd81-ed4d-5c54-af66-84e86477d5c8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-A6DL_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bd90f967-84dd-48cd-aec0-9de9a76df7a9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "256469d0-5f36-4966-bf4f-3b4297e55f43" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "dc102dcf-3f48-49e2-8a6f-cfdc34f8ed0f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3adce70b-ce30-4b21-beeb-2a7bda73ca3d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008134-5168_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "37b86231-4224-4084-a523-800e98c4fea3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5a82f834-a2f8-4d61-a816-c410213556b4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0000319-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:31:25.700438-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d0ef535c-d0ed-471d-a1a6-3cf9600d37cb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "12b8aa2a-5f0f-4d64-9cc0-ff4a65619c10" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003438-7875_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8ccd1ad3-a277-468d-ae44-03e6c1964c3d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "73fd5157-4aa2-5b2e-852b-889d058a6f8f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-5366_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "62fdf8f3-a028-453f-b27c-c2506be68cbe" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f3e5a16f-7c16-425e-8321-b6b19fd469d3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "111ad944-f78e-4ec6-967b-f05c49b49b1c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6d395db6-3f58-4c4a-82dd-9b3b9c35fc8f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-004670-873_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3396e2a0-10bb-43b3-b5be-7980064889e0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c34f7850-ab91-4173-b716-b487c290ec78" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0012862-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:39:05.576558-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "59d43c02-f731-4a7f-97ae-c3d7dac2d5e0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cbdf0116-28d4-42a0-ba6e-43a8587de68f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008605-9620_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "faf18ba4-6d92-4da3-bd43-5071bb88c5e1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d957f533-9896-5f0b-a9ee-90335d733f67" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BB-7864_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1477b393-8acf-4550-86a7-6570c0d7d583" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f3c568ae-ad12-4155-a652-8e16e5276bda" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4775330f-0409-4bb2-a096-a3d1eb0180d1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "eac797ee-ffad-5c80-8f0a-7e95590e118d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7389_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9c35c1ec-5ca6-4900-aa39-ab1c962b9c4d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6e926ab9-e086-48cb-876d-d490c46cb7f0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "26ffab97-fa9a-5135-b283-8c4aebe51a26" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7250_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3e6bc216-301a-4f24-911c-8c3610e4a015" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6f55766a-d980-414a-be4a-369e93ec3436" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b4f8ddc9-0ab4-447e-8292-5dcf8a9085ee" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f5472b70-32c8-48b0-9051-f9b33272ffd6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "43aa2ba4-d59e-4e9f-9b1f-009fba8ee08a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-4754-15863_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:07:22.808668-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c3431e69-82eb-4eef-9e13-312bfde95103" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a4332fc7-aee9-497b-99ba-5c1d548a7623" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-037277-88571_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-25T12:05:51.637331-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d2ad484e-58b3-4e29-84e3-a45abb294b3a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Basaloid squamous cell carcinoma" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Basaloid squamous cell carcinoma" ] ;
+    crdch:id "f4e541cc-a71e-55b3-ad08-3eeb8d00f2b0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-KU-A66S_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8083/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8083/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3c09f5ba-a4af-4384-948a-d6e943613f7a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4bed3ece-2350-4c99-bec9-3d652fbe8c9b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a590a632-55b4-4be6-b2d8-6c8afbbe99ac" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "8723983c-94ff-55df-8165-6fd5937b5462" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A63T_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b477dfb8-c039-49d5-9a0e-912946dc3ad1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "75c0a7b6-3e82-4ce9-8856-dd3475affe87" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "74606f8c-46a7-453e-acfd-91203aec6df7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "a099ae58-fa38-4a90-82b6-c97a23b317f0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-f88a03a6-metastasis-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a9b18808-3ee9-4274-9a83-8d2fcbc16c7f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0b96cae3-d332-4e5e-ba59-e0a6bc6573df" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0017105-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:17:41.081467-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ba279369-073d-4976-8439-3a318c0f0fc3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ce208b92-611f-5ffc-8a6f-b01b91e7b58b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-6474_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ddad5854-74a2-4db5-94d1-41196a37be5e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d84c30b6-e217-4b2c-9dc1-16428264378d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "fb0593eb-d74f-436d-9bc3-37f8d8285296" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-009648-9028_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.308719-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3c02ad20-11ec-4e71-b7e8-c29194ae502f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c0dca6b0-81eb-598e-9514-f23513df1ab8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-UF-A71D_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "87d8fec9-7ac3-4359-a6be-de270584ac1b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e4157201-93f3-4f08-b3a9-dacb22671a57" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "297ea792-1a29-44db-a14b-38513b50826f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "49934fcd-822a-4e1f-ab12-46ef9216779d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0009754-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:09:54.181448-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7c2babfc-9948-4332-8c28-096971073c2e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0b894a71-55ca-4246-bdf3-4d36622b203c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0007622-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:06:12.185212-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8b9e009a-6ead-4105-a148-8c8a44be0658" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "2326f9b7-e2e8-487a-acd4-b00bc9967a8e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-6597-17790_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:10:26.105156-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "35f0c152-0c87-42bb-a1b7-b306e66514f5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "770f08b4-6ea7-4cb0-a423-75909447e60c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-VICC-518360-unk-1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-04T13:56:37.232985-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "75fdf08c-00e0-42dd-a21c-62cceb7bf00f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
+    crdch:id "8d12f0ed-6345-50f9-aad6-68ae3ab8dbb1" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-RS-A6TP_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8072/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8072/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "281693cb-2d6f-4a42-af26-d807ea67a191" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1ce08042-34c7-450e-b1f5-8cdf9bfc5a77" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5d166131-946a-46de-b446-ea35d8b0e1a4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Malignant rhabdoid tumor" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Malignant rhabdoid tumor" ] ;
+    crdch:id "33c5c040-da3f-5e5f-8d13-ab9eff88f833" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TARGET-52-PASCDH_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Lip" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Lip" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8963/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8963/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2016-02-17T11:50:17.531058-06:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "da724216-c1fe-5420-9e73-3a9d4b52bf1c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ;
+            crdch:specific_tissue_morphology [ crdch:coding [ crdch:code "Rhabdoid tumor (kidney) (RT)" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Rhabdoid tumor (kidney) (RT)" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2016-02-17T11:50:17.531058-06:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1d3eef26-a725-51f7-95fa-139d1a7da76e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ;
+            crdch:specific_tissue_morphology [ crdch:coding [ crdch:code "Rhabdoid tumor (kidney) (RT)" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Rhabdoid tumor (kidney) (RT)" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Unknown" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "unknown" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "309da786-ca2c-4c3a-8907-5e690f375f54" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0008800-T02-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:09:54.181448-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5dec4e0d-afbd-4ad6-8acc-00b5ad113a03" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "28f3f8b9-df0c-5c03-8414-89640fa631c5" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-H7-A76A_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "452e53e7-b219-4ba7-b8ab-870e1ba4423b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "148ec5a3-19ed-4949-bf37-9bc4e6203966" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "78229167-1f08-416d-be98-74f757610349" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "6f840d0f-a369-413c-baf1-35200313c274" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-a679ee35-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "60e15dc9-5d8b-4104-b6c3-bc0b7b3109a5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5ba2b63c-b0c8-4304-820c-9b04ebb5a7fc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-002837-2078_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fb20acec-aeb5-4591-b114-0834c6629db7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "05282f77-9656-428f-9517-9edc96cb7360" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0007543-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:06:12.185212-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "025ae6c3-bdbe-4db0-ac71-56df7e80ea0d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "09912911-2865-490c-aaca-89f4cc1bee36" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008390-5815_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7894955b-ac0e-46ee-a5b3-c023cd1e87b6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "1d93a53e-6030-43c7-b479-9faa6fc8febf" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-002633-5917_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a8ec3306-0190-4e13-94d1-e269b8479a1d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "fb2076bc-c2ef-4566-ab26-c6c6fcd212ed" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-b3db0c02-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "01b01d59-07d3-481d-b466-bf77a916a0db" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "99aa5d5b-c650-47f5-b485-da3d78661529" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0018925-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:42:00.849990-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5007e321-c75c-45c2-b4a7-0d3cbde5280a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c18fbc5a-880d-5f56-8466-527763c437d6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-A45Z_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "866bc103-c5bc-4365-8ef6-40064b33046d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f844574a-cb7f-4f66-83d4-ee0ca41a63d1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fc3d6178-acc8-4e4f-b935-3cc1f6c0f304" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "8bc744c9-1120-41c6-a782-3bda1bbfa2ce" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0012578-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:17:29.664139-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "31be6816-e615-4939-8c64-c523db6a438e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d7d13cee-ba1b-4e36-a0a5-3f925c871020" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0013833-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:39:05.576558-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b6ddcf15-8ecb-47ca-bb29-60b9b43fa7aa" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c0bf8ccd-6f3b-5ede-b3ce-a63ad584ab1b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-DQ-7595_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "387e8df2-f053-4cbe-aae8-5727d215f904" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c522234a-c0b1-427a-8992-84fcfc9389ef" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "52e0aaf1-d93b-42f8-b0e3-f6b4a3d0bd1e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0099f9fb-0d9a-46a0-a86f-c10dd58ad440" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD8066_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:51:17.672127-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "dc97ccf6-b026-45ac-a658-fb44806230a1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "dcc6b724-3a6f-43bc-9a7a-eb031a031212" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0000433-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:31:25.700438-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "afcf4bae-7e95-4306-9627-c9a9d6011dfa" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1fa242e0-09fa-5f9b-b6ec-b07d25fd21cd" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-P3-A6SX_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ae3f666a-0c18-41c1-b00e-90cd85a2f987" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cc710f34-9fb5-4474-84df-5427b59aa062" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "65b091e0-fd47-4f4c-87f1-b2ba9c2766c5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Basaloid squamous cell carcinoma" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Basaloid squamous cell carcinoma" ] ;
+    crdch:id "fd9653a3-00f4-593c-a8e5-81ed124ee898" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-QK-AA3J_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8083/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8083/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6d2f2d82-2fa5-44ea-a714-85c05b5bd255" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b67c34c3-8e4e-41cc-865d-43ee8c9d3d78" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "410b2727-8446-41b1-92b9-42671d118a39" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage i" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "bd9d72bf-8331-5bd7-a4bc-1522518d3fb7" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-A468_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Lip" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Lip" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "54fda578-dfb1-4a1b-8b01-2b7e9292f387" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7dc1e99f-c601-48c2-8326-389d9f084e29" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "66643338-ed21-460e-a1dc-b547c5b14500" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "693a7e67-099e-5382-b7e2-e70d6d15406f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-6962_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5b2faa3f-c96e-42c6-81ce-a356852ea6a6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "70b5b27d-3905-40de-8b70-9185cfc49d94" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "366f8ab0-ddd8-4383-9bc1-96ef342b749c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "73d79c62-61b6-4e72-bc8d-c3fa2a344caf" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c8b3a37f-01ec-481e-9460-0bcac22cc002" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-18076aef-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "960fe012-e237-42c8-a3e0-d02853ce3818" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "130676ad-54bc-4d20-9ec5-129d4688296d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD1478_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:54:59.697804-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "50977953-c3a2-4b71-b40a-3f211a269cc5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "d8e6b6ed-5c11-4a78-b25a-07f23305bb40" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-6285-17334_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:10:26.105156-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8479ff0a-fce8-4f4e-8d00-6775d1e9cb00" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "6176f8de-0835-4f23-9ce1-85511ac4e1f9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD7774_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:50:23.633804-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bcecf093-e764-4c32-81e5-619d0e86216e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a3c1a290-626e-5e1a-b120-0153a79fadd1" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-4741_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Gum" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Gum" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8d8ddca2-6461-4a8b-a696-da0906661b9e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a47974a3-b37e-4041-8953-5f50f8745681" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "03c9108a-5139-4bac-9641-c7dbbedef420" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c508644c-d496-4647-a065-4e0077d99b67" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008357-5599_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "80c31730-c365-4f43-ae30-d082f4c7f67a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "562417d9-1094-45a9-9621-7fc5ce203ac3" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD2564_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:00:26.233095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4448e3e1-aeff-4ea0-82e4-1692b9b59414" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "95d85e5a-b82c-59f8-b7ad-710e019cdebc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-TN-A7HL_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9c02fd4a-a29a-4a44-ba96-5acb6ff11f7f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1077bf93-cf23-41db-925c-c633921894cc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4a0d79fe-9eb9-456c-b483-ccf956597a3d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "7bbdbf5a-baf7-55b4-bd8d-89e213744a26" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-QK-A6VC_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "76240522-a39e-48c7-80e0-241277fdb705" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d278f388-2a5f-407f-886d-961272ca28eb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "dbea2268-ac62-4ab7-aa7d-86f029fcb2df" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "576b4319-20fe-4dd8-82b1-c34a70bd2182" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-596e5ce8-metastasis-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7889cf51-be9b-4193-b057-5f348fca10db" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Malignant rhabdoid tumor" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Malignant rhabdoid tumor" ] ;
+    crdch:id "cbc897af-ab20-50cf-b397-5bdaeadb4691" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TARGET-52-PASAMZ_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Lip" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Lip" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8963/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8963/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2016-02-17T11:50:17.531058-06:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e5a4af40-c272-5aeb-942c-4be4614b4cfd" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ;
+            crdch:specific_tissue_morphology [ crdch:coding [ crdch:code "Rhabdoid tumor (kidney) (RT)" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Rhabdoid tumor (kidney) (RT)" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Unknown" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "unknown" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "53ddd4d3-8e0e-4e6f-9cd1-fe6c9c5eb114" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0006525-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:02:01.981535-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "379984ec-2e8f-4c3e-9153-1ec8adc17770" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9808f3d0-16f0-519d-8e0a-9061968bc749" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-6023_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0bc27973-621c-4011-bcbd-3b7f3464389e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5e42be68-8865-4c69-8684-0f6e5c6c9b94" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ae1a6096-8d51-482a-8c44-cbfdc7dd6458" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6ea3680f-baf2-53a3-8308-ae9dfd6ceb1e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-5355_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "63535469-d402-4ba2-9ab5-986e6ed80f55" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "256d61e1-54c4-4250-bd17-5bb82496f5f4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c2ef7833-c2fa-446c-a12e-f353c744b1e4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3cd3b53e-38ff-454f-8b3a-d7942696429f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0015915-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:46:25.150285-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f48ed568-6c4b-4746-b480-139ed3ab5794" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "fc0ee2ab-b738-49c2-b645-4b6851be5e8b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-49d6a6ea-metastasis-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c63e4630-7bb4-4f01-b9fe-94478000158a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1137ba9a-12d3-4b2d-a3a4-d95de8bcf49a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-8191e4ea-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "783e6c97-20aa-4c8b-a7e1-ae0d8f7af28d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "64881717-bcb2-532a-b0af-395ba5c62c2e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-6481_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "04652163-a674-446f-9e86-607de19e4c34" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e9a39a90-6401-4a9f-baa5-606e8b5176f6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "7a67eecc-6f46-5181-8b64-c022d0fd0060" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BB-A5HY_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4467ee1a-7188-49d6-a0d1-c8e395e6cabb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5c2b4403-cdd4-4550-ba01-d8ebad9fcbc8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "589cdde1-ecd5-4a7b-9cbc-3186916822ab" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c239680c-7353-50f5-a155-33973562e904" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-A45W_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fe66156a-b3ea-4ed1-a5ca-68a3664c3505" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f9ae08e7-9166-4699-801a-4bed11f72dc2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7202ca4b-6caf-4f4d-adc9-4c59b00cbdc3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f87fc232-ea15-4a26-a863-8604cdb8bb06" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-037287-88492_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-25T12:05:51.637331-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "421f819b-c4ac-445f-882d-c36766f7002a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "740bf7b0-dfdd-4930-9cc7-3790cb8808c1" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0005212-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:58:03.635432-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6e2561a0-676c-4f69-9059-d49696a56c64" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "8f722b2d-eb3e-5b8b-8b36-429137cb0a3f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7383_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "887261fe-5b99-4722-aca7-4e63a0b63336" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6237b644-9903-4f45-8b07-6c610b1342b8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage i" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "11f5b868-a6eb-4575-b5d4-54cd8a406293" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-027923-87624_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:44.678712-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4e763f63-0494-4b2f-9f6a-c9461c7e7b1e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "396ba806-81a2-43e2-be95-276cdeee09e3" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0003049-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:50:42.610446-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "162d69ba-adac-4884-9d98-3bc70cdb72a7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "22e091bf-8af8-5910-9664-c73e7b5f44fb" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-6487_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "027dedd3-bd53-420e-b7f2-eb5b8c26bcdc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ff63290d-0644-4387-99bb-697150a7fb6b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage i" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6b76278a-cb58-4308-bfef-fa1902a02375" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-010467-10870_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "02cf8f79-3109-423e-b290-9b0cf112e827" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "78608de5-dd5b-43da-8934-e0b6fa924ab4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-4493-11651_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:07:22.808668-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8955be34-dfc4-4a5e-9636-f27ccef4318a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "35b1cfb8-bac8-5abb-85dc-1761cd25e90c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-P3-A5Q6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1ac65133-fc2b-4b41-a101-eacd225f71b1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "73005780-ea15-4353-b6f7-c26865d3f4d0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b929bf9b-34a0-4fa3-9bd5-49f8097c573e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c1111640-7729-436a-9b46-88c0ab534b96" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-832679ee-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9590434b-5b17-4ee8-b109-7ebb737252ef" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "0e8b9b8f-041a-4d83-8af0-503b7d84e00a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD4383_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:07:26.436903-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ea5776ba-c4cc-4d4b-9e33-573ea824853a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "96053970-fb5c-4b79-b1bd-8eb8690def1c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD1118_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:39:12.328231-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8f636ed2-41a2-4c3d-bee5-40d9755bf674" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2edff908-b791-5c44-b0ed-cdbad3c1a249" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7418_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "26eac019-6e9b-4ab1-aa1b-323f76d9aef3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2e5b2590-4227-4265-a837-8175920e4d01" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cc37f4d1-d8ae-4367-8abf-7c6da579d09e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ccd7a7be-3065-4f30-8d21-94bfdc0b4703" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "64ba1bbd-bf72-4700-97be-0bc054876c84" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-005062-1372_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a0deb101-019f-46d7-8cb2-ee98c9d7aa92" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "c9269eb1-ab75-4719-8cd9-e9efd32f7d7e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-5245-16353_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:07:22.808668-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "08209047-3b7a-4295-90b0-ddc92aa1e1c9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
+    crdch:id "3ddf3ff8-b8b0-5525-8425-dbe1c27753b6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-IQ-A61I_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8072/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8072/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "19c823d3-c15b-4a1c-9a27-6ce489f3b640" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "68604eed-fd8f-4003-b9bf-ad0e1ecdf3b3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f238d98a-1b53-4aae-8bdf-f85f0b9a066c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0584ee86-f589-5812-9bad-03855a31693b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-4076_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5fe1ae56-74a5-44a9-b8d1-7f05a569bb34" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fd99fd83-4040-4738-8a5a-e42d36ecfe0e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d6f48bb2-379a-448d-b13d-2dfc5da91d0c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "066a4a47-3b4a-582d-984d-476fa8a4fc57" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7422_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9e25f49c-cd83-4171-9e07-51aca3fb1019" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "63bdeeca-a7b1-47fb-9945-c24f7513c56c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2c2db97c-8c8d-4f1e-ab73-469238609d61" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "f773f13c-c661-46fd-8bd1-56dae4502465" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-8057-18231_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:10:26.105156-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2af6ce71-3d6c-4da8-8b75-f0ae49f95bd2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Malignant rhabdoid tumor" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Malignant rhabdoid tumor" ] ;
+    crdch:id "d813126a-5e28-5c5a-8730-598f0d047584" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TARGET-52-PATBLF_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Lip" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Lip" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8963/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8963/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2016-02-17T11:50:17.531058-06:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ac3e795d-69a1-57f5-9dec-5b59e2523091" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ;
+            crdch:specific_tissue_morphology [ crdch:coding [ crdch:code "Rhabdoid tumor (kidney) (RT)" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Rhabdoid tumor (kidney) (RT)" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2016-02-17T11:50:17.531058-06:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "eb5eeeae-6bd7-511e-9f13-51531684c774" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ;
+            crdch:specific_tissue_morphology [ crdch:coding [ crdch:code "Rhabdoid tumor (kidney) (RT)" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Rhabdoid tumor (kidney) (RT)" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Unknown" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "unknown" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c58ca3ba-23a8-472b-aab3-94382be12940" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-010867-8727_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d492bfd2-b37d-49c3-a8d5-40171e8442d5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4bcd5e25-adf6-5fe2-b07f-05d72b7b22a1" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-P3-A6T6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Gum" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Gum" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6f0b02c4-6efb-4104-89e1-2e76811b6afc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3147ba3d-b1fd-4e40-82e1-56429f2389d6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "127b2222-93b1-4870-93f2-867d8e69d015" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "0ea10d4e-1809-4763-b440-8e077ecab3e5" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD17629_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:55:27.721574-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9ab974e3-bc94-4f83-b7dc-82285f5b4b69" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "81d9c62a-5f07-4409-aad8-4f9e02b90669" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0015745-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:46:25.150285-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cd31b18a-5019-4a94-8966-a1160e544684" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "91287016-0fd4-5434-a010-e392bd679282" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-A45Y_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "01a4aa4a-f073-435c-a411-839760cbcb9f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bbcc5141-d805-457d-bc4a-d424c8c39cb7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "26026e2f-b112-4535-97ac-6956cb267e9e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "85d63c6e-a6c1-47a5-92a9-216719073a4a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-004072-413_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9a26d9df-9ab2-48df-ada8-8bd8455cccd6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a71bc3c7-5807-5766-8487-c3dbc27484cb" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-5243_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d89d46ea-9a7a-4fd8-b11e-9c9ca4780119" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6fc08372-0d9d-4b3c-b656-9573fa532c99" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "366df7ed-b836-4cb0-9146-75d22e0ca019" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-009836-7821_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.308719-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "356353d1-c8db-4f97-b1d2-0b895cb42266" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "99aab93f-633d-4ce6-8ccf-36cb05c5d2cc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0007575-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:06:12.185212-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b1d7b582-2302-44fb-a98f-13372ca17247" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c4b50b5a-dee5-481b-8c34-5584abba267f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-UHN-614933-ARC1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:18:10.730001-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "09f9d0e6-10af-4224-a875-8d1e99e90eb5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "dabe6d0e-8f19-43d7-9e3d-02a6a24556c8" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0002411-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:35:23.418160-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e1e98bc8-81b8-45f0-8289-6c306defeaef" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d55686fe-0423-4b01-9719-ade00bed3004" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0009761-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:09:54.181448-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "64dd4e81-f01b-4846-b306-20b7cd7d9340" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b1c3bd39-9f13-5dba-aeeb-86271bf64b8d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-7242_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a45efd70-9bee-4c18-82b1-666d2c1eb781" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4fdddf85-30de-4666-89d2-0683e9264d6d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6b4b146e-e6c5-454d-9c4f-66a6f851c3fe" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f9dea7a5-e9d2-48a6-bbc1-c5c1f8e7ee67" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0cf011bf-054a-4eea-aacc-b963ff83734a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-007960-5976_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c353a3fb-dad8-4a6c-acd3-4121eb21b98e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6b3df15b-f5c6-4c79-923c-572688a90a50" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD1220_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:57:01.408534-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2bbdf4c4-88a1-4358-a88a-5daa2a9a506d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "18d11972-ed5f-4c5b-9511-18b00bca7f7d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MDA-8036-18260_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T19:10:26.105156-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "475098e0-9927-42fc-adf2-e280d8aec3bb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2602d676-8c2e-5bdd-9790-a0a072d3f670" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-DQ-7596_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "61c82e56-e64e-4fcb-bc5f-dc4fe34b6c58" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7a94106d-5604-4b73-9c54-54a72b12f52d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f662e970-6a51-4164-8458-61e7ff054806" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "e71fe2d8-2dc3-45b4-bc48-25b118a6f909" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD2206_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T09:54:31.122378-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "68742842-28e9-49db-b49d-79c73ad4ef0c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cac9736c-3015-486b-b69a-906d2bcbac13" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-a20580bb-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cf3feb17-3b74-4d84-8395-c4af9b8f4514" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "51ca5228-56c7-5d68-9285-1bbfbe8b4492" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7370_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0e357973-d52d-4fc7-8099-7b87458745e2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "339524bc-bc1f-403c-a12f-6e8ce72fba50" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Adenocarcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Adenocarcinoma, NOS" ] ;
+    crdch:id "5d2d67d1-4611-4a18-9a66-89823aaa8e3c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD6426_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8140/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8140/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:44:57.790971-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bdc73f48-dc0b-487d-abbe-e3a977b6830a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5fddab5d-aebe-4b6a-9812-a6edc05c51cc" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008897-6910_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f8a73605-d802-4364-aa6e-5d23691f92cf" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f0b5d732-2466-4d9a-90cb-ec3084606849" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0010677-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T19:11:18.668081-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e084b5e5-05ac-4229-bbe8-f640f231e1fb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "274578bf-55cd-4807-9c8e-573db026da1d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0002592-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:50:42.610446-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a75ac689-6228-4806-b699-874f8ec28ae1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6cba02c0-48e0-4424-964c-a104a6652d07" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-007903-6035_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fbd21489-29cd-4d9b-8d7c-e04342040edc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "915d0d2e-63da-4723-909a-4bece5afab90" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0018175-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:39:49.045696-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "d4ba57ac-0820-4d57-85a6-06122bb4559e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e87ea1cc-7728-4592-9eeb-04d09e11660b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0005082-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:58:03.635432-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f9e5d21f-2ee2-41c2-b864-f43d6a8357aa" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3f9d8932-dc6a-4225-b085-953225ae22ad" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0007407-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:06:12.185212-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cd1a65bd-7bc3-4c1e-9d5e-792938c2fc5a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
+    crdch:id "f7044868-4f81-56df-87a1-58bd49f9c8cd" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-A6V7_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8072/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8072/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "69fe86c3-1e82-4583-9051-ffdb84224239" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ed5933bf-adaf-4bee-81fb-b1ec5782c248" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2dd60fd1-68e1-519b-af66-00c32d0cb6d4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-QK-A8ZB_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "44c64654-0e37-4c13-b4fa-aaf9c6644445" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "17a0a479-3b48-4852-ab06-dd33d6f7788a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "936a8a93-6559-4bf8-9c51-e81ec4f2aff7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "310c112e-7e2f-4987-a515-fe213ae70986" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0002198-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:35:23.418160-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b9d46cb7-1679-4998-853f-03e5827cbb53" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "86e71958-485e-53c6-831a-c456ec617b7b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-HD-7229_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f1367475-a5f1-4a0f-aa73-5a703a3accaf" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9fbf3123-c654-4f2c-b41a-ac4dc029a5d9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1169973a-8575-4d2b-8da8-36a83aa5f947" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "aa6e25a1-2d85-423b-a149-8cf11a6947f7" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-010697-8404_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "22ef8279-1519-4099-ae13-ff430645c992" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "24058118-f7b3-53d4-b24b-07a2ac2e66b1" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-5369_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Palate" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Palate" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8d31f35c-9178-447d-9a2b-acc305fab407" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b4c02606-0f86-46e4-9daf-dc7dbcd60d78" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "11d697ec-f451-4102-a908-e44f48ab0800" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e769c390-13f6-4054-8182-017360bcfdca" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-004469-15_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ee78495d-54c1-4d73-93d7-06034b0c7bd0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "533bd04a-5e63-4ae1-a929-487ae3597956" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD5852_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:39:25.573239-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f7b249aa-b35a-4e08-87b6-e9a79d75edbd" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cae73de1-65ae-48fb-a08c-355e6921dca5" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-006462-4354_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:27:14.117499-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f632701a-5242-4839-b96d-0214c7e9a73e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0bf30179-24b0-4b0e-856d-7226a72eb3e0" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-052973-173599_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:20:30.865187-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b39fb248-8053-47b7-aa2c-d69335f218ce" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "23193585-2a17-41cb-b577-8044058658ea" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-8k5ygy35-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5db1c5e8-ddbb-4057-a059-6acf46826258" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c97d4793-3b4b-521d-a274-2d1dfeda79ae" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CR-7398_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "251e8544-2c3c-4b31-a2b4-29b57e6ee4fd" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "13348e4e-8b8e-44b5-83e6-a1159a53ea35" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "60d7b883-bf64-4777-9f6a-efaf4c4a40c4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003875-1298_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c930148f-2059-480b-960a-4efcb3c98ac1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "972c3046-1f6c-40fc-a83a-3b200148a683" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD5830_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:39:05.012118-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ed2a5846-de67-40c3-9074-3adc9edfb0b0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d0fdd332-a86e-4d6e-b93f-97937926a834" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0019630-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:43:52.092583-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bbc31a15-3dc6-479c-bd5a-9c1950705ca4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "fcd7326c-3bf2-425a-b117-f1e5f6910db9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-c9c06784-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "43bdb66c-6b5a-4a1c-9d44-2717ecc981ed" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "426ed511-e284-4ddd-9809-312805a88905" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD3816_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:01:59.757092-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3fa16cbf-829f-4097-ac9f-d8016c40c618" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5606079e-0d29-5f59-acc3-d6de7b479a24" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-A461_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ac4430c7-dbe4-432f-9763-81707431a0f0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "76af13f8-fcb3-4324-b8aa-23ea1834c5d2" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "af7bb799-b091-45d9-a04e-074bb7840680" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "ca8f5806-a2af-45ee-8217-e6dfc4d0b229" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0012391-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:17:29.664139-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3c8fe733-1711-4d4a-a64c-b94788eda279" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b588dad7-169a-5ecf-885b-580be11d01cb" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-6992_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b86352a7-2987-4743-aa3c-1895c438641a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7a5921a4-5714-44e7-8ebd-048031b32b88" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ce0b9c55-baeb-4ca8-9235-51a836a4b58f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b5616ad7-8322-44c9-8b64-01314decc5a5" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-GRCC-9df16b49-sample-a_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-02T18:01:58.729859-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3dc819bf-5af3-4be1-a892-974d670975c9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e7406302-5dd6-45b1-ae98-a8094c495943" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD13780_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:40:26.338588-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c9bccdb4-1bd0-44e0-bfb0-7588611ab01b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "cf973339-e31d-4fb3-833e-f954634d95ee" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0014965-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:42:39.927651-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1bd46cb2-e563-4a48-a36e-ea4f7a15173f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "da37f4a4-3f09-4771-a1a0-9b2ce6e0df03" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD2161_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T09:54:06.130101-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7f5f0ba4-3eb5-462a-8db8-31faca9d0d27" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "2ba98ec4-5cc5-43d5-8de3-ab33d0d6779b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003996-1286_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "12d6861e-5ad9-48f7-ae61-07c7e45be5a3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4fdd25bc-4056-47f1-8eb9-7e572313ba5d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-009927-9027_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.308719-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c65b0cad-f2f5-40f2-a523-60374faf390a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "8764fb2b-e701-53db-b137-03efa2c52637" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-A6DI_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e7a7e296-3f1b-49f5-bbaa-082f918d080d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b0d4b16c-cc81-405f-83a1-de57cb488166" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7b56068d-21e9-4879-b747-c99943e40e50" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
+    crdch:id "424f3fdd-09f1-57a2-99de-10c13b9be653" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-D6-A6EP_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8072/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8072/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1e8ad4ff-09db-44f6-9527-b10ac22453d6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "661cafd9-0cf9-4c6f-b541-293bdecf3ede" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "434adba3-549a-45f7-b89b-76737678ae0e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "671671bc-dbf4-4e15-b978-6aceaac1533f" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0016761-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:17:41.081467-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "0d989563-7a49-49e9-9417-4b607d661ab4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a08be31b-24b0-5fb3-b49d-955fcce7603c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-D6-6827_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Lip" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Lip" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2ef80e58-961d-45d6-ac3a-a520be3728c9" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "460e7821-2712-4d74-b5a1-b2883b3197ca" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c53d6135-c614-45f4-8f41-49b20ed4a549" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage i" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "49e46e5d-46b8-41f2-954e-c3c7b563a55b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-041937-203493_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:28:08.827884-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1108ef37-87b6-4b62-82f3-5e799fc4fb52" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "de3c2719-988d-4266-98cd-c1139a2cc412" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0006641-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:02:01.981535-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4e6ffe6c-feee-4dca-b56d-0f2c8b498ae6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "f1143020-2e95-4028-a2bf-c03a5ba6ea4e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD14041_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:41:38.922504-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fe72277e-ae77-486d-b5a9-844c483267eb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "509526cc-f60a-4e6d-8a18-2f76ba8e995c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0000586-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:31:25.700438-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6d54051a-c75c-40e6-9215-3e470f0d242e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "a37311af-d40e-5c8f-ba14-b3b2ae22e486" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-6997_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8b73f661-e1ec-4bcb-9eea-a5e66237229a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b4c9a3aa-151e-478b-bc18-ce793b68ae09" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "00a721c6-6cb7-4408-a63a-6dae9310a3fe" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2c" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2c" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "89e61c6e-3fb5-494b-81b3-7280119fefc9" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-011185-11116_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.873530-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "25bebf87-88d5-4cd5-b2d7-3f2b7c1a0a02" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "fbf35ed3-c5af-4591-88be-e9971b7d40f6" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-053418-203556_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:20:30.865187-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a3b9c3f7-8499-4c17-92f9-274b1ee52764" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "04081703-b701-4765-8309-0a204a48c183" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-VICC-201710-unk-1_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-28T12:01:45.147328-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cc51bca3-858a-4ac3-b48a-c4d273b2329c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "9d69f6a3-4edb-54e3-a840-ff1ff0aefb30" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-UF-A7JK_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "90e4a976-0d97-47ef-aa29-295c2afeb31b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "56c76698-7155-4f7a-9f9e-4fb62c673599" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "15776f80-0722-45a8-bc97-cc209cef631b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ce63ab25-f6d3-475c-abca-986d8d91b869" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0019055-T01-IM6_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-05-31T18:42:00.849990-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b5793531-8ec1-4bd9-9544-57844ebee0a6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "12d5265d-8eb5-4122-9e4d-976bdc0ded08" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0002469-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:35:23.418160-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ed3acbbc-fb24-4be6-b09c-e0b6f4d9814f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "155420b6-0bc4-42f0-a28d-863e56f9e200" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD864_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:06:58.520537-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "24318871-5bfe-4bbe-8df8-9e415558ae47" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "545abbb1-03c0-4b81-af21-3ebb7a5bb299" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD4812_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:06:53.493092-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4288c5a9-610c-4b1f-b102-2b96b49a6fd8" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Adenocarcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Adenocarcinoma, NOS" ] ;
+    crdch:id "1c3027a0-7ae3-4ee6-a71d-b357ad841b3c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD4542_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8140/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8140/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:06:20.797099-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "de90601b-1eda-4d1a-aa41-29feebdcfd57" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6788d692-193d-5d61-975f-1a79e54439ff" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-D6-6516_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Lip" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Lip" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c129394b-3c04-4a6a-b4ea-d56d96bf28ef" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c3c82c51-0200-44c8-b5aa-050084983398" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2d8d11be-421d-4f96-b5d6-4cbc632f11f3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage III" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage III" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage i" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "73adb3fc-a3c9-487c-a0d0-fa8b09707932" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-005121-1375_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Hypopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Hypopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "eadf6e9a-c6c3-444c-8e93-8ab77ed87d09" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "b07c0682-d50b-5680-97fc-8e709e21c064" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-D6-8568_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c812093b-04ce-4d3f-841d-9b81de63fc38" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "6f150e98-8b4e-44ee-953b-1692d76c8868" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "eac181d7-f8b8-4350-92aa-62d3fd1bd86b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ii" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage II" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage II" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, keratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, keratinizing, NOS" ] ;
+    crdch:id "f904a635-80a1-579a-8f1f-0aa288492b45" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-BA-A8YP_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8071/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8071/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4a339708-153a-4780-a265-70557765a754" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a9ebdedd-056f-4bc1-abc2-7089544a1549" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e62166c3-871d-4b0f-999a-4f033d7cb6c7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVB" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVB" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N3" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N3" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVB" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage ivb" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "6ca9116f-412c-41d9-872b-1775f3d9464c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD11803_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:01:51.025011-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3dac18fb-752c-42aa-bdad-9f91d54fb950" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4dbbefaa-8e8e-4a44-943b-48687f123673" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0010088-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T04:13:38.880466-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b5da1115-1fe3-49a4-892b-ef43e64dbee4" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, large cell, nonkeratinizing, NOS" ] ;
+    crdch:id "00ed54be-bd0c-5950-9165-b08535ef9f18" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-TN-A7HI_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8072/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8072/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2a081426-e4fe-4868-adc9-c14142490b81" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9808b586-4541-42a8-a72c-0c043ff568b3" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3ad15aca-9197-4512-8bb9-77099ae8f049" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage I" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage I" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "83e6c6d4-83d7-55d8-ab82-aba8f3e543f5" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-6988_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4f72ee1e-37e2-4845-90de-812686a25980" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5bf33753-d3c4-4fbe-a8e0-af958efb6fd1" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "ca2a45b4-1eb0-4e28-a4c8-5647bfbaa98c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "bd3b2bda-4737-50bb-863a-334134a31156" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-QK-A8ZA_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f92383bc-5869-44d6-a128-60b60043d778" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4db7e146-bf2a-4729-ae80-d471370b62a0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9adfbc71-da3c-4a8e-a72f-76690e90a8ca" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Malignant rhabdoid tumor" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Malignant rhabdoid tumor" ] ;
+    crdch:id "2e79ab38-e511-5e60-8c81-1584d28a909e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TARGET-52-PASVDP_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Lip" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Lip" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8963/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8963/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2016-02-17T11:50:17.531058-06:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a28e1682-4703-527b-bd4e-81f86fa6f35a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ;
+            crdch:specific_tissue_morphology [ crdch:coding [ crdch:code "Rhabdoid tumor (kidney) (RT)" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Rhabdoid tumor (kidney) (RT)" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2016-02-17T11:50:17.531058-06:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "fd9ff1de-6856-5a42-ad32-2e3aa28dc2d7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ;
+            crdch:specific_tissue_morphology [ crdch:coding [ crdch:code "Rhabdoid tumor (kidney) (RT)" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Rhabdoid tumor (kidney) (RT)" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Unknown" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "unknown" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e980228b-ecef-406e-91da-09bc06d5ad04" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-000968-1363_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:06:57.341931-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "37ecc052-0274-45dd-98db-fb0d5476fa16" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, undifferentiated, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, undifferentiated, NOS" ] ;
+    crdch:id "4f1912bc-3704-49b0-b916-6d0e99463553" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "AD5075_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8020/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8020/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2017-06-01T10:07:48.972608-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "dbf24e2a-1a10-4dfb-be35-8021f82b947c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ;
+            crdch:tumor_status_at_collection [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4c9f5000-dbac-4497-b434-57036c18a022" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008669-7093_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c0927894-b73f-4930-b147-e079caeb60e5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "f3270d37-2d06-4867-973e-54e8ea28208b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0002787-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:50:42.610446-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3eb1f15d-003c-42bc-8832-ea364ee8931b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5cb1278d-4b33-401c-b200-b4408788c927" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-002669-7683_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4d69eeb9-81bd-4146-9a4a-3ca86c789272" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "47d4038e-908a-40b8-8a91-7bdcc4421624" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-007857-7172_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "01a0cb84-c716-4134-aa16-ef008ae30469" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b7c8a51e-1403-54ce-a94e-ca7cfc05c21b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-HD-7754_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "adb496a1-07eb-45b9-8690-00184143300e" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-23T13:20:20.149518-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "97d5f4b1-b8a5-4fb1-8af6-f0e6cfc302f6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3fb86c71-0f8b-4022-b19f-d394401df9fe" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5b91d8ab-6ed3-4c0a-a56b-8f0e151eaf5a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-000195-4559_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:06:57.341931-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "52beca45-8506-41fa-b0a0-3a8c24c9d7fe" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "ad342355-cfa9-458f-8723-7a099368b797" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008794-7198_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "536ca98b-7415-49d8-84c2-dca4b5070ff6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "fd3fbe29-2fa3-41f7-99c9-51d3d05ff5b4" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-003147-99_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:18:52.539095-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "13654c9a-afcc-4635-9885-8418a318ac7a" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "1fe06c82-aa43-44ac-a091-8dec17e796ba" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-037687-158970_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:26:11.717995-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "98e2382a-2d7b-445d-83ff-1dc53d66db12" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "3439abcc-0169-490c-8794-73e53b937d7c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-037577-74790_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-25T12:05:51.637331-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4121fe4a-1ae9-41e4-954d-88c88d047d9c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "e3d5bf4e-2856-5604-a086-3e4464a68c05" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-UF-A7JF_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7ce8968e-f693-4fa2-945a-0cea27c96ede" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f4e12699-7e71-42ba-994a-c3a9a71a95cb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f4cf2a66-8872-41ee-8270-296d5f76265f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4e9b9fad-2d73-4867-b7f8-8e42769ea41e" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-009088-5942_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:43.308719-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "cc6054a8-ec09-42af-be24-4041b7be75cc" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "c1dc41f5-0fea-42e8-afdb-fabc542d0548" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0005869-T01-IM5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:58:03.635432-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "bb6ae997-ee6b-42e0-ab0c-c9fbc64f8d9b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "f50b7ab8-f114-470f-81b0-35ddd9246c46" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-034356-130499_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:37:30.937085-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "21a0707d-357c-4ea4-aec8-1227b8997cbb" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Metastatic" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Metastatic" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "126d74e6-2981-5aea-80e7-62ec5cff609a" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CN-4739_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "f450dbe6-4972-4c49-af97-963bcd0d0da0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b916fa4a-1d15-4619-9d6c-1000e96b7e0d" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "9491d6f0-1e3e-48e5-aabb-87704511904b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d078cccf-6335-4c55-8d5e-a36e32dd8006" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-004034-372_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:22:15.693629-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "7d1a8a2e-c9d3-4e1d-b183-3c82de7e2306" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "b56e8d53-a875-5676-8d2d-f095f8b899af" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-CV-5444_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "61380e29-a7ae-4e29-b69a-d56f234f1ba0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Solid Tissue Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Solid Tissue Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "8cc840ea-3053-41a2-a325-6e86f3deeec6" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "4deea4a5-4d54-48b2-9a46-68eea668283b" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "5d448af8-7478-4252-9043-772077929480" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-023766-23966_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:44.678712-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "a3ca3ea8-6ea0-4585-8a50-294ca4c87a24" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Basaloid squamous cell carcinoma" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Basaloid squamous cell carcinoma" ] ;
+    crdch:id "35c83c03-b2ab-5f6b-a231-66a3f879a217" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-P3-A5Q5_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8083/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8083/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3f5cd265-0dd3-40c3-94b8-e92d18ce87b0" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "3b3502ab-ab9f-49d7-be08-243a7022463f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2e1b4cf3-61fe-452c-b800-f9bc53333713" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "MX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "MX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9233f502-9580-4801-915e-732ca0f26a2c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-050720-203425_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:18:25.269226-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "c1353660-3a6c-4a01-8800-d52a40b6ed68" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "4943c82a-30d2-4c85-a233-032a49ca801d" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-008342-5809_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T17:56:40.150348-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "e01da120-9c9d-4ef7-8568-525f74222dd5" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "43212ae1-0d0a-411e-8ae0-61de91147afe" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-006740-7890_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T18:54:47.858087-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5f316e98-9980-4841-b297-f07b3e87004f" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9076e2ad-9cef-4efc-99d7-387d250445ee" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-025889-116451_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2019-06-03T15:37:30.937085-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "678dfc0e-f085-4c85-b444-8fc1604bdcfe" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "9d41e68e-c648-42ea-9320-6e08b9b5dd4c" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-DFCI-007598-4084_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Oropharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Oropharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-09-24T18:54:47.858087-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "87d18b2c-1241-43b3-b7aa-24442a047ade" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Carcinoma, NOS" ] ;
+    crdch:id "68a8cfd1-e890-4bd7-931b-33636e8cf10b" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "GENIE-MSK-P-0000668-T01-IM3_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Nasopharynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Nasopharynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8010/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8010/3" ] ;
+    crdch:related_specimen [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-10-03T03:31:25.700438-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "5c9ff077-5620-4611-a58c-fdd8ed98b2db" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "d9cc35a1-8103-5f6b-8d97-cc64c564c677" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-UF-A7JH_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Larynx" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Larynx" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "2b803b39-f13c-4335-9845-05bb61830015" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "980726e2-9e0c-4212-b5aa-69e139fc3be7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "1c9d867a-6fba-49a1-99ba-63bd01942397" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "stage iva" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T4a" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T4a" ] ] ] .
+
+[] crdch:condition [ crdch:coding [ crdch:code "Squamous cell carcinoma, NOS" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "Squamous cell carcinoma, NOS" ] ;
+    crdch:id "0a622048-699a-55f4-ba31-6c9e95e1cabd" ;
+    crdch:identifier [ crdch:system "GDC-submitter-id" ;
+            crdch:value "TCGA-DQ-7590_diagnosis" ] ;
+    crdch:metastatic_site [ crdch:site [ crdch:coding [ crdch:code "Tonsil" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Tonsil" ] ] ;
+    crdch:morphology [ crdch:coding [ crdch:code "8070/3" ;
+                    crdch:system "GDC" ] ;
+            crdch:text "8070/3" ] ;
+    crdch:related_specimen [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "36fb3f52-714b-4b86-a7a5-ca4b017fd182" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ],
+        [ crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "95018dba-f23d-4af0-b774-c28be60007f7" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Blood Derived Normal" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Blood Derived Normal" ] ],
+        [ crdch:creation_activity [ crdch:date_ended [ crdch:date_time "2018-05-17T12:19:46.292188-05:00"^^<xsd:dateTime> ] ] ;
+            crdch:general_tissue_morphology [ crdch:coding [ crdch:code "Not Reported" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Not Reported" ] ;
+            crdch:id "b8eb9edb-fce8-4e72-9cbf-c4868c04965c" ;
+            crdch:source_material_type [ crdch:coding [ crdch:code "Primary Tumor" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "Primary Tumor" ] ] ;
+    crdch:stage [ crdch:method_type [ crdch:coding [ crdch:code "AJCC staging system 7th edition" ;
+                            crdch:system "GDC" ] ;
+                    crdch:text "7th" ] ;
+            crdch:observations [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "T1" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "T1" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Not Reported" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "not reported" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Metastasis (M)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Metastasis (M)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "M0" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "M0" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "N2b" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "N2b" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Clinical Overall" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Clinical Overall" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "Stage IVA" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Stage IVA" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Node (N)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Node (N)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "NX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "NX" ] ],
+                [ crdch:observation_type [ crdch:coding [ crdch:code "Pathological Tumor (T)" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "Pathological Tumor (T)" ] ;
+                    crdch:value_codeable_concept [ crdch:coding [ crdch:code "TX" ;
+                                    crdch:system "GDC" ] ;
+                            crdch:text "TX" ] ] ] .
 
diff --git a/head-and-mouth/test_load.py b/head-and-mouth/test_load.py
index 3c4eac2..8345b3a 100644
--- a/head-and-mouth/test_load.py
+++ b/head-and-mouth/test_load.py
@@ -14,6 +14,9 @@
 CRDCH_YAML_URI = 'https://raw.githubusercontent.com/cancerDHC/ccdhmodel/v1.1/model/schema/crdch_model.yaml'
 
 def codeable_concept(text, system, code):
+    if code is None:
+        return None
+
     return ccdh.CodeableConcept(
         text=text,
         coding=ccdh.Coding(
@@ -154,10 +157,10 @@ def transform_sample_to_specimen(sample):
     A method for transforming a GDC Sample into CCDH Specimen.
     """
     specimen = ccdh.Specimen(id=sample.get('sample_id'))
-    specimen.source_material_type = sample.get('sample_type')
-    specimen.general_tissue_morphology = sample.get('tissue_type')
-    specimen.specific_tissue_morphology = sample.get('tumor_code')
-    specimen.tumor_status_at_collection = sample.get('tumor_descriptor')
+    specimen.source_material_type = codeable_concept(sample.get('sample_type'), 'GDC', sample.get('sample_type'))
+    specimen.general_tissue_morphology = codeable_concept(sample.get('tissue_type'), 'GDC', sample.get('tissue_type'))
+    specimen.specific_tissue_morphology = codeable_concept(sample.get('tumor_code'), 'GDC', sample.get('tumor_code'))
+    specimen.tumor_status_at_collection = codeable_concept(sample.get('tumor_descriptor'), 'GDC', sample.get('tumor_descriptor'))
     specimen.creation_activity = ccdh.SpecimenCreationActivity(
         date_ended=ccdh.TimePoint(
             date_time=sample.get('created_datetime')
@@ -305,8 +308,8 @@ def test_transform_gdc_data():
         f.write(as_json_str)
 
     # Convert JSON-LD into Turtle.
-    # g = rdflib.Graph()
-    # g.parse(data=as_json_str, format="json-ld")
-    # rdf_as_turtle = g.serialize(format="turtle").decode()
-    # with open('head-and-mouth/diagnoses.ttl', 'w') as file:
-    #     file.write(rdf_as_turtle)
+    g = rdflib.Graph()
+    g.parse(data=as_json_str, format="json-ld")
+    rdf_as_turtle = g.serialize(format="turtle").decode()
+    with open('head-and-mouth/diagnoses.ttl', 'w') as file:
+        file.write(rdf_as_turtle)