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 DebugBundleBreastQ of type transaction
Entry 1
Request:
PUT CodeSystem/BreastQCodeSystem
Resource CodeSystem:
This code system http://connect.ichom.org/fhir/CodeSystem/Breast-Q defines the following codes:
Code Display 1 Very dissatisfied 2 Somewhat dissatisfied 3 Somewhat satisfied 4 Very satisfied
Entry 2
Request:
PUT ValueSet/BreastQValueSet
Resource ValueSet:
- Include all codes defined in
http://connect.ichom.org/fhir/CodeSystem/Breast-Q
Entry 3
Request:
PUT CodeSystem/BreastQSurgeryCodeSystem
Resource CodeSystem:
This code system http://connect.ichom.org/fhir/CodeSystem/Breast-Q-surgery defines the following codes:
Entry 4
Request:
PUT ValueSet/BreastQSurgeryValueSet
Resource ValueSet:
- Include all codes defined in
http://connect.ichom.org/fhir/CodeSystem/Breast-Q-surgery
Entry 5
Request:
PUT CodeSystem/ResponseTimingCodeSystem
Resource CodeSystem:
This code system http://connect.ichom.org/fhir/CodeSystem/Timing defines the following codes:
Entry 6
Request:
PUT ValueSet/ResponseTimingBreastQValueSet
Resource ValueSet:
- Include these codes as defined in
http://connect.ichom.org/fhir/CodeSystem/Timing
Code Display 0 Patient's first doctor's visit (baseline) 1 1 year post-treatment 2 2 years post-treatment
Entry 7
Request:
PUT Questionnaire/BreastQ
Resource Questionnaire:
LinkId Text Cardinality Type Description & Constraints BreastQ
Questionnaire https://connect.ichom.org/fhir/Questionnaire/BreastQ BreastQ_Timing
What is the timing of the response of this questionnaire? 1..1 choice Value Set: Timing of the response of the BreastQ BreastQ_Surgery
Which type of surgery did you receive? 1..1 choice Value Set: Type of surgery for the Patient Reported Outcomes Instrument (BreastQ) Group-Mastectomy-baseline
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy without immediate reconstruction (Type of surgery for BreastQ#2)
BREASTQMAST_Q01
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy without immediate reconstruction (Type of surgery for BreastQ#2)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQMAST_Q02
b. How comfortable your bras fit? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy without immediate reconstruction (Type of surgery for BreastQ#2)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQMAST_Q03
c. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy without immediate reconstruction (Type of surgery for BreastQ#2)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQMAST_Q04
d. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy without immediate reconstruction (Type of surgery for BreastQ#2)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Group-BCT-Baseline-1
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
BREASTQBCT_Q01.1
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCT_Q02.1
b. How comfortable your bras fit? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCT_Q03.1
c. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCT_Q04.1
d. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Group-BCT-Baseline-2
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
BREASTQBCT_Q01.2
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCT_Q02.2
b. How comfortable your bras fit? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCT_Q03.2
c. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCT_Q04.2
d. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Group-Resection-Baseline-1
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
BREASTQREC_Q01.1
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQREC_Q02.1
b. How comfortable your bras fit? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQREC_Q03.1
c. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQREC_Q04.1
d. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Group-Resection-Baseline-2
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
BREASTQREC_Q01.2
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQREC_Q02.2
b. How comfortable your bras fit? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQREC_Q03.2
c. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQREC_Q04.2
d. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Group-Resection-Baseline-3
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
BREASTQREC_Q01.3
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQREC_Q02.3
b. How comfortable your bras fit? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQREC_Q03.3
c. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQREC_Q04.3
d. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing = Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Group_mastectomy-posttreatment
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy without immediate reconstruction (Type of surgery for BreastQ#2)
BREASTQMASTP_Q01
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy without immediate reconstruction (Type of surgery for BreastQ#2)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQMASTP_Q02
b. How comfortable your bras fit? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy without immediate reconstruction (Type of surgery for BreastQ#2)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQMASTP_Q03
c. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy without immediate reconstruction (Type of surgery for BreastQ#2)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQMASTP_Q04
d. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy without immediate reconstruction (Type of surgery for BreastQ#2)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Group-BCT0-posttreatment
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
BREASTQBCTP_Q01.1
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q02.1
b. The shape of your lumpectomy breast when you are wearing a bra? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q03.1
c. How normal you feel in your clothes? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q04.1
d. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q05.1
e. How your lumpectomy breast sits/hangs? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q06.1
f. How smoothly shaped your lumpectomy breast looks? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q07.1
g. The contour (outline) of your lumpectomy breast? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q08.1
h. How equal in size your breasts are to each other? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q09.1
i. How normal your lumpectomy breast looks? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q10.1
j. How much your breast look the same? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q11.1
k. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery (Type of surgery for BreastQ#0)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Group-BCT1-posttreatment
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
BREASTQBCTP_Q01.2
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q02.2
b. The shape of your lumpectomy breast when you are wearing a bra? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q03.2
c. How normal you feel in your clothes? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q04.2
d. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q05.2
e. How your lumpectomy breast sits/hangs? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q06.2
f. How smoothly shaped your lumpectomy breast looks? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q07.2
g. The contour (outline) of your lumpectomy breast? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q08.2
h. How equal in size your breasts are to each other? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q09.2
i. How normal your lumpectomy breast looks? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q10.2
j. How much your breast look the same? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQBCTP_Q11.2
k. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Breast conserving surgery with mammoplasty (Type of surgery for BreastQ#1)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Group_reconstruction3-posttreatment
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
BREASTQRECP_Q01.1
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q02.1
b. The shape of your reconstructed breast(s) when you are wearing a bra? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q03.1
c. How normal you feel in your clothes? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q04.1
d. The size of your reconstructed breast(s)? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q05.1
e. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q06.1
f. How your breasts are lined up in relation to each other? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q07.1
g. How comfortable your bras fit? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q08.1
h. The softness of your reconstructed breast(s)? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q09.1
i. How equal in size your breasts are to each other? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q10.1
j. How natural your reconstructed breast(s) looks? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q11.1
k. How naturally your reconstructed breast(s) sits/hangs? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q12.1
l. How your reconstructed breast(s) feel to touch? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q13.1
m. How much your reconstructed breast(s) feels like a natural part of your body? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q14.1
n. How closely matched your breasts are to each other? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q15.1
o. How your reconstructed breast(s) look now compared to before you had any breast surgery? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q16.1
p. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant) (Type of surgery for BreastQ#3)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Group_reconstruction4-posttreatment
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
BREASTQRECP_Q01.2
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q02.2
b. The shape of your reconstructed breast(s) when you are wearing a bra? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q03.2
c. How normal you feel in your clothes? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q04.2
d. The size of your reconstructed breast(s)? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q05.2
e. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q06.2
f. How your breasts are lined up in relation to each other? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q07.2
g. How comfortable your bras fit? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q08.2
h. The softness of your reconstructed breast(s)? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q09.2
i. How equal in size your breasts are to each other? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q10.2
j. How natural your reconstructed breast(s) looks? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q11.2
k. How naturally your reconstructed breast(s) sits/hangs? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q12.2
l. How your reconstructed breast(s) feel to touch? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q13.2
m. How much your reconstructed breast(s) feels like a natural part of your body? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q14.2
n. How closely matched your breasts are to each other? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q15.2
o. How your reconstructed breast(s) look now compared to before you had any breast surgery? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q16.2
p. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (autologous) (Type of surgery for BreastQ#4)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Group_reconstruction5-posttreatment
With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with: 0..1 group Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
BREASTQRECP_Q01.3
a. How you look in the mirror clothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q02.3
b. The shape of your reconstructed breast(s) when you are wearing a bra? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q03.3
c. How normal you feel in your clothes? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q04.3
d. The size of your reconstructed breast(s)? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q05.3
e. Being able to wear clothing that is more fitted? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q06.3
f. How your breasts are lined up in relation to each other? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q07.3
g. How comfortable your bras fit? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q08.3
h. The softness of your reconstructed breast(s)? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q09.3
i. How equal in size your breasts are to each other? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q10.3
j. How natural your reconstructed breast(s) looks? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q11.3
k. How naturally your reconstructed breast(s) sits/hangs? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q12.3
l. How your reconstructed breast(s) feel to touch? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q13.3
m. How much your reconstructed breast(s) feels like a natural part of your body? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q14.3
n. How closely matched your breasts are to each other? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q15.3
o. How your reconstructed breast(s) look now compared to before you had any breast surgery? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)BREASTQRECP_Q16.3
p. How you look in the mirror unclothed? 0..1 choice Enable When:
- BreastQ_Timing != Patient's first doctor's visit (baseline) (Timing of the response of the patient reported outcome measures#0)
- BreastQ_Surgery = Mastectomy with immediate reconstruction (direct/staged implant and autologous) (Type of surgery for BreastQ#5)
Value Set: Patient Reported Outcomes Instrument response (BreastQ)Documentation for this format