ICHOM FHIR Implementation Guide: Breast Cancer
0.0.1 - ci-build International flag

ICHOM FHIR Implementation Guide: Breast Cancer, published by ICHOM. This is not an authorized publication; it is the continuous build for version 0.0.1). This version is based on the current content of https://github.com/HL7/fhir-ichom-breast-cancer-ig/ and changes regularly. See the Directory of published versions

: Bundle of all valuesystems and questionnaires related to BaselineTumorFactors - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "DebugBaselineTumorFactorsBundle"];
  fhir:Bundle.type [ fhir:value "transaction"];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "histological-type-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"histological-type-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/histological-type</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: HistologicalTypeCodeSystem</p><p><b>title</b>: Histological Type</p><p><b>status</b>: active</p><p><b>description</b>: Histologic type of the tumor</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 5</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: Ductal carcinoma in situ</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: Invasive ductal carcinoma</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: Invasive lobular carcinoma</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 3</p><p><b>display</b>: Other</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 999</p><p><b>display</b>: unknown</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/histological-type" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "HistologicalTypeCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Histological Type" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "Histologic type of the tumor" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "5"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "Ductal carcinoma in situ" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "Invasive ductal carcinoma" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "Invasive lobular carcinoma" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "3" ];
         fhir:CodeSystem.concept.display [ fhir:value "Other" ]       ], [
         fhir:index 4;
         fhir:CodeSystem.concept.code [ fhir:value "999" ];
         fhir:CodeSystem.concept.display [ fhir:value "unknown" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/HistologicalTypeCodeSystem" ]     ]
  ], [
     fhir:index 1;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "genetic-mutation-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"genetic-mutation-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/genetic-mutation</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: GeneticMutationCodeSystem</p><p><b>title</b>: Genetic Mutation</p><p><b>status</b>: active</p><p><b>description</b>: A genetic mutation predisposing the patient to breast cancer</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 5</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: No mutation</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: BRCA 1</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: BRCA 2</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 3</p><p><b>display</b>: Other mutation</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 4</p><p><b>display</b>: Not tested</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/genetic-mutation" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "GeneticMutationCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Genetic Mutation" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "A genetic mutation predisposing the patient to breast cancer" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "5"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "No mutation" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "BRCA 1" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "BRCA 2" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "3" ];
         fhir:CodeSystem.concept.display [ fhir:value "Other mutation" ]       ], [
         fhir:index 4;
         fhir:CodeSystem.concept.code [ fhir:value "4" ];
         fhir:CodeSystem.concept.display [ fhir:value "Not tested" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/GeneticMutationCodeSystem" ]     ]
  ], [
     fhir:index 2;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "invasion-grade-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"invasion-grade-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/invasion-grade</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: InvasionGradeCodeSystem</p><p><b>title</b>: Invasion Grade CodeSystem</p><p><b>status</b>: active</p><p><b>description</b>: Grade of invasive component of tumor</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: Grade 1</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: Grade 2</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: Grade 3</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 3</p><p><b>display</b>: Not reported</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/invasion-grade" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "InvasionGradeCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Invasion Grade CodeSystem" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "Grade of invasive component of tumor" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "Grade 1" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "Grade 2" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "Grade 3" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "3" ];
         fhir:CodeSystem.concept.display [ fhir:value "Not reported" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/InvasionGradeCodeSystem" ]     ]
  ], [
     fhir:index 3;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "tumor-grade-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"tumor-grade-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/tumor-grade</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: TumorGradeCodeSystem</p><p><b>title</b>: Tumor Grade Code System</p><p><b>status</b>: active</p><p><b>description</b>: Tumor grade of DCIS component of tumor</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: Low</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: Intermediate</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: High</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 3</p><p><b>display</b>: Not reported</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/tumor-grade" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "TumorGradeCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Tumor Grade Code System" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "Tumor grade of DCIS component of tumor" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "Low" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "Intermediate" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "High" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "3" ];
         fhir:CodeSystem.concept.display [ fhir:value "Not reported" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/TumorGradeCodeSystem" ]     ]
  ], [
     fhir:index 4;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "clinical-tumor-stage-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"clinical-tumor-stage-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/clinical-tumor-stage</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: ClinicalTumorStageCodeSystem</p><p><b>title</b>: Clinical Tumor Stage Code System</p><p><b>status</b>: active</p><p><b>description</b>: Clinical tumor stage (per AJCC 5th - 7th Ed.)</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 8</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: cTX</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: cT0</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: cTis</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 3</p><p><b>display</b>: cT1</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 4</p><p><b>display</b>: cT2</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 5</p><p><b>display</b>: cT3</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 6</p><p><b>display</b>: cT4</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 999</p><p><b>display</b>: Unknown</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/clinical-tumor-stage" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "ClinicalTumorStageCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Clinical Tumor Stage Code System" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "Clinical tumor stage (per AJCC 5th - 7th Ed.)" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "8"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "cTX" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "cT0" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "cTis" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "3" ];
         fhir:CodeSystem.concept.display [ fhir:value "cT1" ]       ], [
         fhir:index 4;
         fhir:CodeSystem.concept.code [ fhir:value "4" ];
         fhir:CodeSystem.concept.display [ fhir:value "cT2" ]       ], [
         fhir:index 5;
         fhir:CodeSystem.concept.code [ fhir:value "5" ];
         fhir:CodeSystem.concept.display [ fhir:value "cT3" ]       ], [
         fhir:index 6;
         fhir:CodeSystem.concept.code [ fhir:value "6" ];
         fhir:CodeSystem.concept.display [ fhir:value "cT4" ]       ], [
         fhir:index 7;
         fhir:CodeSystem.concept.code [ fhir:value "999" ];
         fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/ClinicalTumorStageCodeSystem" ]     ]
  ], [
     fhir:index 5;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "clinical-nodal-stage-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"clinical-nodal-stage-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/clinical-nodal-stage</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: ClinicalNodalStageCodeSystem</p><p><b>title</b>: Clinical Nodal Stage Code System</p><p><b>status</b>: active</p><p><b>description</b>: Clinical nodal stage (per AJCC 5th - 7th Ed.)</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 6</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: cNX</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: cN0</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: cN1</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 3</p><p><b>display</b>: cN2</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 4</p><p><b>display</b>: cN3</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 999</p><p><b>display</b>: Unknown</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/clinical-nodal-stage" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "ClinicalNodalStageCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Clinical Nodal Stage Code System" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "Clinical nodal stage (per AJCC 5th - 7th Ed.)" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "6"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "cNX" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "cN0" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "cN1" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "3" ];
         fhir:CodeSystem.concept.display [ fhir:value "cN2" ]       ], [
         fhir:index 4;
         fhir:CodeSystem.concept.code [ fhir:value "4" ];
         fhir:CodeSystem.concept.display [ fhir:value "cN3" ]       ], [
         fhir:index 5;
         fhir:CodeSystem.concept.code [ fhir:value "999" ];
         fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/ClinicalNodalStageCodeSystem" ]     ]
  ], [
     fhir:index 6;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "clinical-distant-metastasis-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"clinical-distant-metastasis-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/clinical-distant-metastasis</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: ClinicalDistantMetastasisCodeSystem</p><p><b>title</b>: Clinical Distant Metastasis Code System</p><p><b>status</b>: active</p><p><b>description</b>: Clinical distant metastasis (per AJCC 5th - 7th Ed.)</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: cMX</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: cM0</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: cM1</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 999</p><p><b>display</b>: Unknown</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/clinical-distant-metastasis" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "ClinicalDistantMetastasisCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Clinical Distant Metastasis Code System" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "Clinical distant metastasis (per AJCC 5th - 7th Ed.)" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "cMX" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "cM0" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "cM1" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "999" ];
         fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/ClinicalDistantMetastasisCodeSystem" ]     ]
  ], [
     fhir:index 7;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "pathological-tumor-stage-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"pathological-tumor-stage-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/pathological-tumor-stage</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: PathologicalTumorStageCodeSystem</p><p><b>title</b>: Pathological Tumor Stage Code System</p><p><b>status</b>: active</p><p><b>description</b>: Pathological tumor stage (per AJCC 5th - 7th Ed.)</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 8</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: pTX</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: pT0</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: pTis</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 3</p><p><b>display</b>: pT1</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 4</p><p><b>display</b>: pT2</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 5</p><p><b>display</b>: pT3</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 6</p><p><b>display</b>: pT4</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 999</p><p><b>display</b>: Unknown</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/pathological-tumor-stage" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "PathologicalTumorStageCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Pathological Tumor Stage Code System" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "Pathological tumor stage (per AJCC 5th - 7th Ed.)" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "8"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "pTX" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "pT0" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "pTis" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "3" ];
         fhir:CodeSystem.concept.display [ fhir:value "pT1" ]       ], [
         fhir:index 4;
         fhir:CodeSystem.concept.code [ fhir:value "4" ];
         fhir:CodeSystem.concept.display [ fhir:value "pT2" ]       ], [
         fhir:index 5;
         fhir:CodeSystem.concept.code [ fhir:value "5" ];
         fhir:CodeSystem.concept.display [ fhir:value "pT3" ]       ], [
         fhir:index 6;
         fhir:CodeSystem.concept.code [ fhir:value "6" ];
         fhir:CodeSystem.concept.display [ fhir:value "pT4" ]       ], [
         fhir:index 7;
         fhir:CodeSystem.concept.code [ fhir:value "999" ];
         fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/PathologicalTumorStageCodeSystem" ]     ]
  ], [
     fhir:index 8;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "pathological-nodal-stage-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"pathological-nodal-stage-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/pathological-nodal-stage</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: PathologicalNodalStageCodeSystem</p><p><b>title</b>: Pathological Nodal Stage Code System</p><p><b>status</b>: active</p><p><b>description</b>: Pathological nodal stage (per AJCC 5th - 7th Ed.)</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 6</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: pNX</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: pN0</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: pN1</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 3</p><p><b>display</b>: pN2</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 4</p><p><b>display</b>: pN3</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 999</p><p><b>display</b>: Unknown</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/pathological-nodal-stage" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "PathologicalNodalStageCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Pathological Nodal Stage Code System" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "Pathological nodal stage (per AJCC 5th - 7th Ed.)" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "6"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "pNX" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "pN0" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "pN1" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "3" ];
         fhir:CodeSystem.concept.display [ fhir:value "pN2" ]       ], [
         fhir:index 4;
         fhir:CodeSystem.concept.code [ fhir:value "4" ];
         fhir:CodeSystem.concept.display [ fhir:value "pN3" ]       ], [
         fhir:index 5;
         fhir:CodeSystem.concept.code [ fhir:value "999" ];
         fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/PathologicalNodalStageCodeSystem" ]     ]
  ], [
     fhir:index 9;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "pathological-distant-metastasis-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"pathological-distant-metastasis-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/pathological-distant-metastasis</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: PathologicalDistantMetastasisCodeSystem</p><p><b>title</b>: Pathological Distant Metastasis Code System</p><p><b>status</b>: active</p><p><b>description</b>: Pathological distant metastasis (per AJCC 5th - 7th Ed.)</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: pMx</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: pM0</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: pM1</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 999</p><p><b>display</b>: Unknown</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/pathological-distant-metastasis" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "PathologicalDistantMetastasisCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Pathological Distant Metastasis Code System" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "Pathological distant metastasis (per AJCC 5th - 7th Ed.)" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "pMx" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "pM0" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "pM1" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "999" ];
         fhir:CodeSystem.concept.display [ fhir:value "Unknown" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/PathologicalDistantMetastasisCodeSystem" ]     ]
  ], [
     fhir:index 10;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "her2-receptor-status-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"her2-receptor-status-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/her2-receptor-status</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: HER2ReceptorStatusCodeSystem</p><p><b>title</b>: HER2 Receptor Status Code System</p><p><b>status</b>: active</p><p><b>description</b>: HER2 receptor status</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: Negative</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: Positive</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: Equivocal</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 3</p><p><b>display</b>: HER2 receptor status not tested</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/her2-receptor-status" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "HER2ReceptorStatusCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "HER2 Receptor Status Code System" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "HER2 receptor status" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "Negative" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "Positive" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "Equivocal" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "3" ];
         fhir:CodeSystem.concept.display [ fhir:value "HER2 receptor status not tested" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/HER2ReceptorStatusCodeSystem" ]     ]
  ], [
     fhir:index 11;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "receptor-status-positive-codesystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"receptor-status-positive-codesystem\" </p></div><p><b>url</b>: <code>http://connect.ichom.org/fhir/CodeSystem/receptor-status</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: ReceptorStatusCodeSystem</p><p><b>title</b>: Receptor Status Positive Code System</p><p><b>status</b>: active</p><p><b>description</b>: Estrogen/progesterone receptor status</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: 0</p><p><b>display</b>: No</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1</p><p><b>display</b>: Yes</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 2</p><p><b>display</b>: Not performed</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 999</p><p><b>display</b>: Unkown</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/receptor-status" ];
       fhir:CodeSystem.version [ fhir:value "0.0.1" ];
       fhir:CodeSystem.name [ fhir:value "ReceptorStatusCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Receptor Status Positive Code System" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.description [ fhir:value "Estrogen/progesterone receptor status" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "0" ];
         fhir:CodeSystem.concept.display [ fhir:value "No" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "1" ];
         fhir:CodeSystem.concept.display [ fhir:value "Yes" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "2" ];
         fhir:CodeSystem.concept.display [ fhir:value "Not performed" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "999" ];
         fhir:CodeSystem.concept.display [ fhir:value "Unkown" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/ReceptorStatusCodeSystem" ]     ]
  ], [
     fhir:index 12;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "historical-type" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"historical-type\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/historical-type</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: HistologicalType</p><p><b>title</b>: Historical Type</p><p><b>status</b>: active</p><p><b>description</b>: Histologic type of the tumor</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Histological Type</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/historical-type" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "HistologicalType" ];
       fhir:ValueSet.title [ fhir:value "Historical Type" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "Histologic type of the tumor" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/histological-type" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/HistologicalType" ]     ]
  ], [
     fhir:index 13;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "genetic-mutation" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"genetic-mutation\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/genetic-mutation</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: GeneticMutation</p><p><b>title</b>: Genetic Mutation</p><p><b>status</b>: active</p><p><b>description</b>: A genetic mutation predisposing the patient to breast cancer</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Genetic Mutation</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/genetic-mutation" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "GeneticMutation" ];
       fhir:ValueSet.title [ fhir:value "Genetic Mutation" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "A genetic mutation predisposing the patient to breast cancer" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/genetic-mutation" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/GeneticMutation" ]     ]
  ], [
     fhir:index 14;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "invasion-grade" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"invasion-grade\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/invasion-grade</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: InvasionGrade</p><p><b>title</b>: Invasion Grade</p><p><b>status</b>: active</p><p><b>description</b>: Grade of invasive component of tumor</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Invasion Grade CodeSystem</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/invasion-grade" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "InvasionGrade" ];
       fhir:ValueSet.title [ fhir:value "Invasion Grade" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "Grade of invasive component of tumor" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/invasion-grade" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/InvasionGrade" ]     ]
  ], [
     fhir:index 15;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "tumor-grade" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"tumor-grade\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/tumor-grade</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: TumorGrade</p><p><b>title</b>: Tumor Grade</p><p><b>status</b>: active</p><p><b>description</b>: Tumor grade of DCIS component of tumor</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Tumor Grade Code System</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/tumor-grade" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "TumorGrade" ];
       fhir:ValueSet.title [ fhir:value "Tumor Grade" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "Tumor grade of DCIS component of tumor" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/tumor-grade" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/TumorGrade" ]     ]
  ], [
     fhir:index 16;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "clinical-tumor-stage" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"clinical-tumor-stage\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/clinical-tumor-stage</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: ClinicalTumorStage</p><p><b>title</b>: Clinical Tumor Stage</p><p><b>status</b>: active</p><p><b>description</b>: Clinical tumor stage (per AJCC 5th - 7th Ed.)</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Clinical Tumor Stage Code System</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/clinical-tumor-stage" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "ClinicalTumorStage" ];
       fhir:ValueSet.title [ fhir:value "Clinical Tumor Stage" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "Clinical tumor stage (per AJCC 5th - 7th Ed.)" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/clinical-tumor-stage" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/ClinicalTumorStage" ]     ]
  ], [
     fhir:index 17;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "clinical-nodal-stage" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"clinical-nodal-stage\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/clinical-nodal-stage</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: ClinicalNodalStage</p><p><b>title</b>: Clinical Nodal Stage</p><p><b>status</b>: active</p><p><b>description</b>: Clinical nodal stage (per AJCC 5th - 7th Ed.)</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Clinical Tumor Stage Code System</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/clinical-nodal-stage" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "ClinicalNodalStage" ];
       fhir:ValueSet.title [ fhir:value "Clinical Nodal Stage" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "Clinical nodal stage (per AJCC 5th - 7th Ed.)" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/clinical-tumor-stage" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/ClinicalNodalStage" ]     ]
  ], [
     fhir:index 18;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "clinical-distant-metastasis" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"clinical-distant-metastasis\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/clinical-distant-metastasis</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: ClinicalDistantMetastasis</p><p><b>title</b>: Clinical Distant Metastasis</p><p><b>status</b>: active</p><p><b>description</b>: Clinical distant metastasis (per AJCC 5th - 7th Ed.)</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Clinical Distant Metastasis Code System</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/clinical-distant-metastasis" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "ClinicalDistantMetastasis" ];
       fhir:ValueSet.title [ fhir:value "Clinical Distant Metastasis" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "Clinical distant metastasis (per AJCC 5th - 7th Ed.)" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/clinical-distant-metastasis" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/ClinicalDistantMetastasis" ]     ]
  ], [
     fhir:index 19;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "pathological-tumor-stage" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"pathological-tumor-stage\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/pathological-tumor-stage</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: PathologicalTumorStage</p><p><b>title</b>: Pathological Tumor Stage</p><p><b>status</b>: active</p><p><b>description</b>: Pathological tumor stage (per AJCC 5th - 7th Ed.)</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Pathological Tumor Stage Code System</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/pathological-tumor-stage" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "PathologicalTumorStage" ];
       fhir:ValueSet.title [ fhir:value "Pathological Tumor Stage" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "Pathological tumor stage (per AJCC 5th - 7th Ed.)" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/pathological-tumor-stage" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/PathologicalTumorStage" ]     ]
  ], [
     fhir:index 20;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "pathological-nodal-stage" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"pathological-nodal-stage\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/pathological-nodal-stage</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: PathologicalNodalStage</p><p><b>title</b>: Pathological Nodal Stage</p><p><b>status</b>: active</p><p><b>description</b>: Pathological nodal stage (per AJCC 5th - 7th Ed.)</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Pathological Nodal Stage Code System</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/pathological-nodal-stage" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "PathologicalNodalStage" ];
       fhir:ValueSet.title [ fhir:value "Pathological Nodal Stage" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "Pathological nodal stage (per AJCC 5th - 7th Ed.)" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/pathological-nodal-stage" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/PathologicalNodalStage" ]     ]
  ], [
     fhir:index 21;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "pathological-distant-metastasis" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"pathological-distant-metastasis\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/pathological-distant-metastasis</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: PathologicalDistantMetastasis</p><p><b>title</b>: Pathological Distant Metastasis</p><p><b>status</b>: active</p><p><b>description</b>: Pathological distant metastasis (per AJCC 5th - 7th Ed.)</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Pathological Distant Metastasis Code System</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/pathological-distant-metastasis" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "PathologicalDistantMetastasis" ];
       fhir:ValueSet.title [ fhir:value "Pathological Distant Metastasis" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "Pathological distant metastasis (per AJCC 5th - 7th Ed.)" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/pathological-distant-metastasis" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/PathologicalDistantMetastasis" ]     ]
  ], [
     fhir:index 22;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "receptor-status-positive" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"receptor-status-positive\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/receptor-status-positive</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: ReceptorStatus</p><p><b>status</b>: active</p><p><b>description</b>: Estrogen/progesterone receptor status</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Receptor Status Positive Code System</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/receptor-status-positive" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "ReceptorStatus" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "Estrogen/progesterone receptor status" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/receptor-status" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/ReceptorStatus" ]     ]
  ], [
     fhir:index 23;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "her2-receptor-status" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"her2-receptor-status\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/ValueSet/her2-receptor-status</code></p><p><b>version</b>: 0.0.1</p><p><b>name</b>: HER2ReceptorStatus</p><p><b>title</b>: HER2 Receptor Status</p><p><b>status</b>: active</p><p><b>description</b>: HER2 receptor status</p><blockquote><p><b>compose</b></p><h3>Includes</h3><table class=\"grid\"><tr><td>-</td><td><b>System</b></td></tr><tr><td>*</td><td><a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">HER2 Receptor Status Code System</a></td></tr></table></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "https://connect.ichom.org/fhir/ValueSet/her2-receptor-status" ];
       fhir:ValueSet.version [ fhir:value "0.0.1" ];
       fhir:ValueSet.name [ fhir:value "HER2ReceptorStatus" ];
       fhir:ValueSet.title [ fhir:value "HER2 Receptor Status" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.description [ fhir:value "HER2 receptor status" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://connect.ichom.org/fhir/CodeSystem/her2-receptor-status" ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/HER2ReceptorStatus" ]     ]
  ], [
     fhir:index 24;
     fhir:Bundle.entry.resource [
       a fhir:Questionnaire;
       fhir:Resource.id [ fhir:value "BaselineTumorFactors" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource \"BaselineTumorFactors\" </p></div><p><b>url</b>: <code>https://connect.ichom.org/fhir/Questionnaire/BaselineTumorFactors</code></p><p><b>name</b>: BaselineTumorFactors</p><p><b>title</b>: Baseline Tumor Factors</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>publisher</b>: ICHOM</p><blockquote><p><b>item</b></p><p><b>linkId</b>: HistologicalDiagnosisDate</p><p><b>text</b>: The initial date of histological diagnosis</p><p><b>type</b>: date</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HISTOTYPE</p><p><b>text</b>: Indicate histologic type of the tumor (select all that apply)</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Historical Type</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: MUTBC</p><p><b>text</b>: Indicate if the patient carries a genetic mutation predisposing breast cancer</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Genetic Mutation</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: GRADEINV</p><p><b>text</b>: Indicate grade of invasive component of tumor</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Invasion Grade</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: GRADEDCIS</p><p><b>text</b>: Indicate tumor grade of DCIS component of tumor</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Tumor Grade</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: received_neoadjuvant_therapy</p><p><b>text</b>: Has the patient received neoadjuvant therapy?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TNMCT_BREAST</p><p><b>text</b>: Clinical tumor stage (per AJCC 5th - 7th Ed.)</p><p><b>type</b>: choice</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_neoadjuvant_therapy</td><td>=</td><td>true</td></tr></table><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Clinical Tumor Stage</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TNMCN_BREAST</p><p><b>text</b>: Clinical nodal stage (per AJCC 5th - 7th Ed.)</p><p><b>type</b>: choice</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_neoadjuvant_therapy</td><td>=</td><td>true</td></tr></table><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Clinical Nodal Stage</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TNMCM_BREAST</p><p><b>text</b>: Clinical distant metastasis (per AJCC 5th - 7th Ed.)</p><p><b>type</b>: choice</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_neoadjuvant_therapy</td><td>=</td><td>true</td></tr></table><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Clinical Distant Metastasis</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: received_surgery</p><p><b>text</b>: Has the patient received surgery?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TNMPT_BREAST</p><p><b>text</b>: Pathological tumor stage (per AJCC 5th - 7th Ed.)</p><p><b>type</b>: choice</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_surgery</td><td>=</td><td>true</td></tr></table><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Pathological Tumor Stage</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TNMPN_BREAST</p><p><b>text</b>: Pathological nodal stage (per AJCC 5th - 7th Ed.)</p><p><b>type</b>: choice</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_surgery</td><td>=</td><td>true</td></tr></table><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Pathological Nodal Stage</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TNMPM_BREAST</p><p><b>text</b>: Pathological distant metastasis (per AJCC 5th - 7th Ed.)</p><p><b>type</b>: choice</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_surgery</td><td>=</td><td>true</td></tr></table><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">Pathological Distant Metastasis</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SIZEINV</p><p><b>text</b>: Indicate size of invasive component of tumor (in mm, 999 if unknown)</p><p><b>type</b>: integer</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_surgery</td><td>=</td><td>true</td></tr></table><p><b>required</b>: true</p><h3>Initials</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>999</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: NumLymphNodesResect</p><p><b>text</b>: Number of lymph nodes resected (999 if unknown)</p><p><b>type</b>: integer</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_surgery</td><td>=</td><td>true</td></tr></table><p><b>required</b>: true</p><h3>Initials</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>999</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: LYMPHINV_BREAST</p><p><b>text</b>: Number of lymph nodes involved according to the TNM stage AJCC 7th Ed. (999 if unknown)</p><p><b>type</b>: integer</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_surgery</td><td>=</td><td>true</td></tr></table><p><b>required</b>: true</p><h3>Initials</h3><table class=\"grid\"><tr><td>-</td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>999</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ERSTATUS</p><p><b>text</b>: Indicate if the estrogen receptor status is positive</p><p><b>type</b>: choice</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_surgery</td><td>=</td><td>true</td></tr></table><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">ReceptorStatus</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: PRSTATUS</p><p><b>text</b>: Indicate if the progesterone receptor status is positive</p><p><b>type</b>: choice</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_surgery</td><td>=</td><td>true</td></tr></table><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">ReceptorStatus</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HER2STATUS</p><p><b>text</b>: Indicate if the HER2 receptor status is positive</p><p><b>type</b>: choice</p><h3>EnableWhens</h3><table class=\"grid\"><tr><td>-</td><td><b>Question</b></td><td><b>Operator</b></td><td><b>Answer[x]</b></td></tr><tr><td>*</td><td>received_surgery</td><td>=</td><td>true</td></tr></table><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBaselineTumorFactorsBundle.html\">HER2 Receptor Status</a></p></blockquote></div>"       ];
       fhir:Questionnaire.url [ fhir:value "https://connect.ichom.org/fhir/Questionnaire/BaselineTumorFactors" ];
       fhir:Questionnaire.name [ fhir:value "BaselineTumorFactors" ];
       fhir:Questionnaire.title [ fhir:value "Baseline Tumor Factors" ];
       fhir:Questionnaire.status [ fhir:value "draft" ];
       fhir:Questionnaire.experimental [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.publisher [ fhir:value "ICHOM" ];
       fhir:Questionnaire.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "HistologicalDiagnosisDate" ];
         fhir:Questionnaire.item.text [ fhir:value "The initial date of histological diagnosis" ];
         fhir:Questionnaire.item.type [ fhir:value "date" ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "HISTOTYPE" ];
         fhir:Questionnaire.item.text [ fhir:value "Indicate histologic type of the tumor (select all that apply)" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/historical-type";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/historical-type>         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "MUTBC" ];
         fhir:Questionnaire.item.text [ fhir:value "Indicate if the patient carries a genetic mutation predisposing breast cancer" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/genetic-mutation";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/genetic-mutation>         ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "GRADEINV" ];
         fhir:Questionnaire.item.text [ fhir:value "Indicate grade of invasive component of tumor" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/invasion-grade";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/invasion-grade>         ]       ], [
         fhir:index 4;
         fhir:Questionnaire.item.linkId [ fhir:value "GRADEDCIS" ];
         fhir:Questionnaire.item.text [ fhir:value "Indicate tumor grade of DCIS component of tumor" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/tumor-grade";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/tumor-grade>         ]       ], [
         fhir:index 5;
         fhir:Questionnaire.item.linkId [ fhir:value "received_neoadjuvant_therapy" ];
         fhir:Questionnaire.item.text [ fhir:value "Has the patient received neoadjuvant therapy?" ];
         fhir:Questionnaire.item.type [ fhir:value "boolean" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 6;
         fhir:Questionnaire.item.linkId [ fhir:value "TNMCT_BREAST" ];
         fhir:Questionnaire.item.text [ fhir:value "Clinical tumor stage (per AJCC 5th - 7th Ed.)" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_neoadjuvant_therapy" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/clinical-tumor-stage";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/clinical-tumor-stage>         ]       ], [
         fhir:index 7;
         fhir:Questionnaire.item.linkId [ fhir:value "TNMCN_BREAST" ];
         fhir:Questionnaire.item.text [ fhir:value "Clinical nodal stage (per AJCC 5th - 7th Ed.)" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_neoadjuvant_therapy" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/clinical-nodal-stage";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/clinical-nodal-stage>         ]       ], [
         fhir:index 8;
         fhir:Questionnaire.item.linkId [ fhir:value "TNMCM_BREAST" ];
         fhir:Questionnaire.item.text [ fhir:value "Clinical distant metastasis (per AJCC 5th - 7th Ed.)" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_neoadjuvant_therapy" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/clinical-distant-metastasis";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/clinical-distant-metastasis>         ]       ], [
         fhir:index 9;
         fhir:Questionnaire.item.linkId [ fhir:value "received_surgery" ];
         fhir:Questionnaire.item.text [ fhir:value "Has the patient received surgery?" ];
         fhir:Questionnaire.item.type [ fhir:value "boolean" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 10;
         fhir:Questionnaire.item.linkId [ fhir:value "TNMPT_BREAST" ];
         fhir:Questionnaire.item.text [ fhir:value "Pathological tumor stage (per AJCC 5th - 7th Ed.)" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_surgery" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/pathological-tumor-stage";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/pathological-tumor-stage>         ]       ], [
         fhir:index 11;
         fhir:Questionnaire.item.linkId [ fhir:value "TNMPN_BREAST" ];
         fhir:Questionnaire.item.text [ fhir:value "Pathological nodal stage (per AJCC 5th - 7th Ed.)" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_surgery" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/pathological-nodal-stage";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/pathological-nodal-stage>         ]       ], [
         fhir:index 12;
         fhir:Questionnaire.item.linkId [ fhir:value "TNMPM_BREAST" ];
         fhir:Questionnaire.item.text [ fhir:value "Pathological distant metastasis (per AJCC 5th - 7th Ed.)" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_surgery" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/pathological-distant-metastasis";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/pathological-distant-metastasis>         ]       ], [
         fhir:index 13;
         fhir:Questionnaire.item.linkId [ fhir:value "SIZEINV" ];
         fhir:Questionnaire.item.text [ fhir:value "Indicate size of invasive component of tumor (in mm, 999 if unknown)" ];
         fhir:Questionnaire.item.type [ fhir:value "integer" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_surgery" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.initial [
           fhir:index 0;
           fhir:Questionnaire.item.initial.valueInteger [ fhir:value "999"^^xsd:integer ]         ]       ], [
         fhir:index 14;
         fhir:Questionnaire.item.linkId [ fhir:value "NumLymphNodesResect" ];
         fhir:Questionnaire.item.text [ fhir:value "Number of lymph nodes resected (999 if unknown)" ];
         fhir:Questionnaire.item.type [ fhir:value "integer" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_surgery" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.initial [
           fhir:index 0;
           fhir:Questionnaire.item.initial.valueInteger [ fhir:value "999"^^xsd:integer ]         ]       ], [
         fhir:index 15;
         fhir:Questionnaire.item.linkId [ fhir:value "LYMPHINV_BREAST" ];
         fhir:Questionnaire.item.text [ fhir:value "Number of lymph nodes involved according to the TNM stage AJCC 7th Ed. (999 if unknown)" ];
         fhir:Questionnaire.item.type [ fhir:value "integer" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_surgery" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.initial [
           fhir:index 0;
           fhir:Questionnaire.item.initial.valueInteger [ fhir:value "999"^^xsd:integer ]         ]       ], [
         fhir:index 16;
         fhir:Questionnaire.item.linkId [ fhir:value "ERSTATUS" ];
         fhir:Questionnaire.item.text [ fhir:value "Indicate if the estrogen receptor status is positive" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_surgery" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/receptor-status-positive";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/receptor-status-positive>         ]       ], [
         fhir:index 17;
         fhir:Questionnaire.item.linkId [ fhir:value "PRSTATUS" ];
         fhir:Questionnaire.item.text [ fhir:value "Indicate if the progesterone receptor status is positive" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_surgery" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/receptor-status-positive";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/receptor-status-positive>         ]       ], [
         fhir:index 18;
         fhir:Questionnaire.item.linkId [ fhir:value "HER2STATUS" ];
         fhir:Questionnaire.item.text [ fhir:value "Indicate if the HER2 receptor status is positive" ];
         fhir:Questionnaire.item.type [ fhir:value "choice" ];
         fhir:Questionnaire.item.enableWhen [
           fhir:index 0;
           fhir:Questionnaire.item.enableWhen.question [ fhir:value "received_surgery" ];
           fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
           fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]         ];
         fhir:Questionnaire.item.answerValueSet [
           fhir:value "https://connect.ichom.org/fhir/ValueSet/her2-receptor-status";
           fhir:link <https://connect.ichom.org/fhir/ValueSet/her2-receptor-status>         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "Questionnaire/BaselineTumorFactors" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.