An indication of whether the Tumour is greater than or equal to Clark's level IV skin cancer.
Note: Clark level IV skin cancer is skin cancer that has spread into the reticular dermis (the thick bottom layer of the dermis).
National Codes:
| Y | Yes | 
| N | No | 
| U | Uncertain (Unable to give a definitive answer) | 
This attribute is also known by these names:
| Context | Alias | 
|---|---|
| formerly | CLARKS LEVEL IV INDICATOR | 
| plural | CLARKS LEVEL IV INDICATION CODES | 

