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

Questionnaire: BreastQ (Experimental)

Official URL: https://connect.ichom.org/fhir/Questionnaire/BreastQ Version: 0.0.1
Draft as of 2022-03-28 Computable Name: BreastQ
LinkIdTextCardinalityTypeDescription & Constraintsdoco
.. BreastQQuestionnairehttps://connect.ichom.org/fhir/Questionnaire/BreastQ#0.0.1
... BreastQ_TimingWhat is the timing of the response of this questionnaire?1..1choiceValue Set: Timing of the response of the BreastQ
... BreastQ_SurgeryWhich type of surgery did you receive?1..1choiceValue Set: Type of surgery for the Patient Reported Outcomes Instrument (BreastQ)
... Group-Mastectomy-baselineWith 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..1groupEnable 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_Q01a. How you look in the mirror clothed?0..1choiceEnable 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_Q02b. How comfortable your bras fit?0..1choiceEnable 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_Q03c. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q04d. How you look in the mirror unclothed?0..1choiceEnable 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-1With 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..1groupEnable 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_Q01.1a. How you look in the mirror clothed?0..1choiceEnable 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_Q02.1b. How comfortable your bras fit?0..1choiceEnable 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_Q03.1c. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q04.1d. How you look in the mirror unclothed?0..1choiceEnable 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-2With 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..1groupEnable 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_Q01.2a. How you look in the mirror clothed?0..1choiceEnable 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_Q02.2b. How comfortable your bras fit?0..1choiceEnable 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_Q03.2c. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q04.2d. How you look in the mirror unclothed?0..1choiceEnable 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-1With 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..1groupEnable 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_Q01.1a. How you look in the mirror clothed?0..1choiceEnable 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_Q02.1b. How comfortable your bras fit?0..1choiceEnable 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_Q03.1c. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q04.1d. How you look in the mirror unclothed?0..1choiceEnable 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-2With 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..1groupEnable 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_Q01.2a. How you look in the mirror clothed?0..1choiceEnable 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_Q02.2b. How comfortable your bras fit?0..1choiceEnable 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_Q03.2c. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q04.2d. How you look in the mirror unclothed?0..1choiceEnable 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-3With 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..1groupEnable 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_Q01.3a. How you look in the mirror clothed?0..1choiceEnable 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_Q02.3b. How comfortable your bras fit?0..1choiceEnable 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_Q03.3c. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q04.3d. How you look in the mirror unclothed?0..1choiceEnable 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-posttreatmentWith 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..1groupEnable 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_Q01a. How you look in the mirror clothed?0..1choiceEnable 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_Q02b. How comfortable your bras fit?0..1choiceEnable 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_Q03c. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q04d. How you look in the mirror unclothed?0..1choiceEnable 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-posttreatmentWith 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..1groupEnable 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_Q01.1a. How you look in the mirror clothed?0..1choiceEnable 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_Q02.1b. The shape of your lumpectomy breast when you are wearing a bra?0..1choiceEnable 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_Q03.1c. How normal you feel in your clothes?0..1choiceEnable 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_Q04.1d. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q05.1e. How your lumpectomy breast sits/hangs?0..1choiceEnable 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_Q06.1f. How smoothly shaped your lumpectomy breast looks?0..1choiceEnable 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_Q07.1g. The contour (outline) of your lumpectomy breast?0..1choiceEnable 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_Q08.1h. How equal in size your breasts are to each other?0..1choiceEnable 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_Q09.1i. How normal your lumpectomy breast looks?0..1choiceEnable 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_Q10.1j. How much your breast look the same?0..1choiceEnable 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_Q11.1k. How you look in the mirror unclothed?0..1choiceEnable 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-posttreatmentWith 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..1groupEnable 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_Q01.2a. How you look in the mirror clothed?0..1choiceEnable 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_Q02.2b. The shape of your lumpectomy breast when you are wearing a bra?0..1choiceEnable 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_Q03.2c. How normal you feel in your clothes?0..1choiceEnable 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_Q04.2d. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q05.2e. How your lumpectomy breast sits/hangs?0..1choiceEnable 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_Q06.2f. How smoothly shaped your lumpectomy breast looks?0..1choiceEnable 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_Q07.2g. The contour (outline) of your lumpectomy breast?0..1choiceEnable 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_Q08.2h. How equal in size your breasts are to each other?0..1choiceEnable 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_Q09.2i. How normal your lumpectomy breast looks?0..1choiceEnable 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_Q10.2j. How much your breast look the same?0..1choiceEnable 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_Q11.2k. How you look in the mirror unclothed?0..1choiceEnable 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-posttreatmentWith 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..1groupEnable 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_Q01.1a. How you look in the mirror clothed?0..1choiceEnable 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_Q02.1b. The shape of your reconstructed breast(s) when you are wearing a bra?0..1choiceEnable 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_Q03.1c. How normal you feel in your clothes?0..1choiceEnable 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_Q04.1d. The size of your reconstructed breast(s)?0..1choiceEnable 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_Q05.1e. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q06.1f. How your breasts are lined up in relation to each other?0..1choiceEnable 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_Q07.1g. How comfortable your bras fit?0..1choiceEnable 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_Q08.1h. The softness of your reconstructed breast(s)?0..1choiceEnable 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_Q09.1i. How equal in size your breasts are to each other?0..1choiceEnable 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_Q10.1j. How natural your reconstructed breast(s) looks?0..1choiceEnable 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_Q11.1k. How naturally your reconstructed breast(s) sits/hangs?0..1choiceEnable 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_Q12.1l. How your reconstructed breast(s) feel to touch?0..1choiceEnable 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_Q13.1m. How much your reconstructed breast(s) feels like a natural part of your body?0..1choiceEnable 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_Q14.1n. How closely matched your breasts are to each other?0..1choiceEnable 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_Q15.1o. How your reconstructed breast(s) look now compared to before you had any breast surgery?0..1choiceEnable 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_Q16.1p. How you look in the mirror unclothed?0..1choiceEnable 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-posttreatmentWith 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..1groupEnable 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_Q01.2a. How you look in the mirror clothed?0..1choiceEnable 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_Q02.2b. The shape of your reconstructed breast(s) when you are wearing a bra?0..1choiceEnable 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_Q03.2c. How normal you feel in your clothes?0..1choiceEnable 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_Q04.2d. The size of your reconstructed breast(s)?0..1choiceEnable 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_Q05.2e. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q06.2f. How your breasts are lined up in relation to each other?0..1choiceEnable 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_Q07.2g. How comfortable your bras fit?0..1choiceEnable 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_Q08.2h. The softness of your reconstructed breast(s)?0..1choiceEnable 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_Q09.2i. How equal in size your breasts are to each other?0..1choiceEnable 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_Q10.2j. How natural your reconstructed breast(s) looks?0..1choiceEnable 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_Q11.2k. How naturally your reconstructed breast(s) sits/hangs?0..1choiceEnable 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_Q12.2l. How your reconstructed breast(s) feel to touch?0..1choiceEnable 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_Q13.2m. How much your reconstructed breast(s) feels like a natural part of your body?0..1choiceEnable 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_Q14.2n. How closely matched your breasts are to each other?0..1choiceEnable 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_Q15.2o. How your reconstructed breast(s) look now compared to before you had any breast surgery?0..1choiceEnable 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_Q16.2p. How you look in the mirror unclothed?0..1choiceEnable 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-posttreatmentWith 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..1groupEnable 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_Q01.3a. How you look in the mirror clothed?0..1choiceEnable 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_Q02.3b. The shape of your reconstructed breast(s) when you are wearing a bra?0..1choiceEnable 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_Q03.3c. How normal you feel in your clothes?0..1choiceEnable 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_Q04.3d. The size of your reconstructed breast(s)?0..1choiceEnable 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_Q05.3e. Being able to wear clothing that is more fitted?0..1choiceEnable 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_Q06.3f. How your breasts are lined up in relation to each other?0..1choiceEnable 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_Q07.3g. How comfortable your bras fit?0..1choiceEnable 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_Q08.3h. The softness of your reconstructed breast(s)?0..1choiceEnable 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_Q09.3i. How equal in size your breasts are to each other?0..1choiceEnable 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_Q10.3j. How natural your reconstructed breast(s) looks?0..1choiceEnable 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_Q11.3k. How naturally your reconstructed breast(s) sits/hangs?0..1choiceEnable 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_Q12.3l. How your reconstructed breast(s) feel to touch?0..1choiceEnable 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_Q13.3m. How much your reconstructed breast(s) feels like a natural part of your body?0..1choiceEnable 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_Q14.3n. How closely matched your breasts are to each other?0..1choiceEnable 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_Q15.3o. How your reconstructed breast(s) look now compared to before you had any breast surgery?0..1choiceEnable 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_Q16.3p. How you look in the mirror unclothed?0..1choiceEnable 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)

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