Currently, the Observation.focus attribute bound to PrimaryCancerCondition is optional and not must-support.
This needs to be at least MS, and potentially a required attribute since staging has no meaning without its association to a primary cancer condition. Moreover, it is possible for one to have multiple primary cancers and without enforcing this, one doesn't know which cancer the stage is related to.
Currently, the Observation.focus attribute bound to PrimaryCancerCondition is optional and not must-support. This needs to be at least MS, and potentially a required attribute since staging has no meaning without its association to a primary cancer condition. Moreover, it is possible for one to have multiple primary cancers and without enforcing this, one doesn't know which cancer the stage is related to.