EORTCQLQ
type: Questionnaire
node role: treeRoot
resource.id:
  value: EORTCQLQ
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Structure LinkId Text Cardinality Type Description & Constraints EORTCQLQ Questionnaire https://connect.ichom.org/fhir/Questionnaire/EORTCQLQ#0.0.1 EORTCQLQC30_Timing What is the timing of the response of this questionnaire? 1..1 choice Value Set: Timing of the response of the patient reported outcome measures Group_Q01-Q05 We are interested in some things about you and your health. Please answer all of the questions yourself by selecting the answer that best applies to you. There are no 'right' or 'wrong' answers. The information that you provide will remain strictly confidential. 0..1 group EORTCQLQC30_Q01 Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase? 1..1 choice Value Set: Values used in EORTC-QLQ questionnaire response EORTCQLQC30_Q02 Do you have any trouble taking a long walk? 1..1 choice Value Set: Values used in EORTC-QLQ questionnaire response EORTCQLQC30_Q03 Do you have any trouble taking a short walk outside of the house? 1..1 choice Value Set: Values used in EORTC-QLQ questionnaire response EORTCQLQC30_Q04 Do you need to stay in bed or a chair during the day? 1..1 choice Value Set: Values used in EORTC-QLQ questionnaire response EORTCQLQC30_Q05 Do you need help with eating, dressing, washing yourself or using the toilet? 1..1 choice Value Set: Values used in EORTC-QLQ questionnaire response Group_Q06-Q28 During the past week: 0..1 group EORTCQLQC30_Q06 Were you limited in doing either your work or other daily activities? 1..1 choice Value Set: Values used in EORTC-QLQ questionnaire response EORTCQLQC30_Q07 Were you limited in pursuing your hobbies or other leisure time activities? 1..1 choice Value Set: Values used in EORTC-QLQ questionnaire response EORTCQLQC30_Q08 Were you short of breath? 1..1 choice Value Set: Values used in EORTC-QLQ questionnaire response EORTCQLQC30_Q09 Have you had pain? 1..1 choice Value Set: Values used in EORTC-QLQ questionnaire response EORTCQLQC30_Q10 Did you need to res…
questionnaire.url:
  value: https://connect.ichom.org/fhir/Questionnaire/EORTCQLQ
questionnaire.version:
  value: 0.0.1
questionnaire.name:
  value: EORTCQLQ
questionnaire.title:
  value: European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire
questionnaire.status:
  value: draft
questionnaire.experimental:
  value: true
questionnaire.date:
  value: 2022-03-28T13:44:43+00:00
questionnaire.publisher:
  value: ICHOM
questionnaire.contact:
  index: 0
  contact detail.name:
    value: ICHOM
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: https://ichom.org
questionnaire.jurisdiction:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://unstats.un.org/unsd/methods/m49/m49.htm
    coding.code:
      value: 001
    coding.display:
      value: World
questionnaire.item:
  index: 0
  questionnaire.item.link id:
    value: EORTCQLQC30_Timing
  questionnaire.item.text:
    value: What is the timing of the response of this questionnaire?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/ResponseTimingValueSet
    link: https://connect.ichom.org/fhir/ValueSet/ResponseTimingValueSet
questionnaire.item:
  index: 1
  questionnaire.item.link id:
    value: Group_Q01-Q05
  questionnaire.item.text:
    value: We are interested in some things about you and your health. Please answer all of the questions yourself by selecting the answer that best applies to you. There are no 'right' or 'wrong' answers. The information that you provide will remain strictly confidential.
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: EORTCQLQC30_Q01
    questionnaire.item.text:
      value: Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.answer value set:
      value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
      link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: EORTCQLQC30_Q02
    questionnaire.item.text:
      value: Do you have any trouble taking a long walk?
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.answer value set:
      value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
      link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: EORTCQLQC30_Q03
    questionnaire.item.text:
      value: Do you have any trouble taking a short walk outside of the house?
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.answer value set:
      value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
      link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: EORTCQLQC30_Q04
    questionnaire.item.text:
      value: Do you need to stay in bed or a chair during the day?
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.answer value set:
      value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
      link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: EORTCQLQC30_Q05
    questionnaire.item.text:
      value: Do you need help with eating, dressing, washing yourself or using the toilet?
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.answer value set:
      value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
      link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item:
  index: 2
  questionnaire.item.link id:
    value: Group_Q06-Q28
  questionnaire.item.text:
    value: During the past week:
  questionnaire.item.type:
    value: group
  questionnaire.item.item:
    index: 0
    questionnaire.item.link id:
      value: EORTCQLQC30_Q06
    questionnaire.item.text:
      value: Were you limited in doing either your work or other daily activities?
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.answer value set:
      value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
      link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  questionnaire.item.item:
    index: 1
    questionnaire.item.link id:
      value: EORTCQLQC30_Q07
    questionnaire.item.text:
      value: Were you limited in pursuing your hobbies or other leisure time activities?
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.answer value set:
      value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
      link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  questionnaire.item.item:
    index: 2
    questionnaire.item.link id:
      value: EORTCQLQC30_Q08
    questionnaire.item.text:
      value: Were you short of breath?
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.answer value set:
      value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
      link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  questionnaire.item.item:
    index: 3
    questionnaire.item.link id:
      value: EORTCQLQC30_Q09
    questionnaire.item.text:
      value: Have you had pain?
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.answer value set:
      value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
      link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  questionnaire.item.item:
    index: 4
    questionnaire.item.link id:
      value: EORTCQLQC30_Q10
    questionnaire.item.text:
      value: Did you need to rest?
    questionnaire.item.type:
      value: choice
    questionnaire.item.required:
      value: true
    questionnaire.item.answer value set:
      value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
      link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 5
questionnaire.item.link id:
  value: EORTCQLQC30_Q11
questionnaire.item.text:
  value: Have you had trouble sleeping?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 6
questionnaire.item.link id:
  value: EORTCQLQC30_Q12
questionnaire.item.text:
  value: Have you felt weak?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 7
questionnaire.item.link id:
  value: EORTCQLQC30_Q13
questionnaire.item.text:
  value: Have you lacked appetite?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 8
questionnaire.item.link id:
  value: EORTCQLQC30_Q14
questionnaire.item.text:
  value: Have you felt nauseated?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 9
questionnaire.item.link id:
  value: EORTCQLQC30_Q15
questionnaire.item.text:
  value: Have you vomited?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 10
questionnaire.item.link id:
  value: EORTCQLQC30_Q16
questionnaire.item.text:
  value: Have you been constipated?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 11
questionnaire.item.link id:
  value: EORTCQLQC30_Q17
questionnaire.item.text:
  value: Have you had diarrhea?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 12
questionnaire.item.link id:
  value: EORTCQLQC30_Q18
questionnaire.item.text:
  value: Were you tired?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 13
questionnaire.item.link id:
  value: EORTCQLQC30_Q19
questionnaire.item.text:
  value: Did pain interfere with your daily activities?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 14
questionnaire.item.link id:
  value: EORTCQLQC30_Q20
questionnaire.item.text:
  value: Have you had difficulty in concentrating on things, like reading a newspaper or watching television?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 15
questionnaire.item.link id:
  value: EORTCQLQC30_Q21
questionnaire.item.text:
  value: Did you feel tense?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 16
questionnaire.item.link id:
  value: EORTCQLQC30_Q22
questionnaire.item.text:
  value: Did you worry?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 17
questionnaire.item.link id:
  value: EORTCQLQC30_Q23
questionnaire.item.text:
  value: Did you feel irritable?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 18
questionnaire.item.link id:
  value: EORTCQLQC30_Q24
questionnaire.item.text:
  value: Did you feel depressed?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 19
questionnaire.item.link id:
  value: EORTCQLQC30_Q25
questionnaire.item.text:
  value: Have you had difficulty remembering things?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 20
questionnaire.item.link id:
  value: EORTCQLQC30_Q26
questionnaire.item.text:
  value: Has your physical condition or medical treatment interfered with your family life?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 21
questionnaire.item.link id:
  value: EORTCQLQC30_Q27
questionnaire.item.text:
  value: Has your physical condition or medical treatment interfered with your social activities?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 22
questionnaire.item.link id:
  value: EORTCQLQC30_Q28
questionnaire.item.text:
  value: Has your physical condition or medical treatment caused you financial difficulties?
questionnaire.item.type:
  value: choice
questionnaire.item.required:
  value: true
questionnaire.item.answer value set:
  value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
  link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 3
questionnaire.item.link id:
  value: Group_Q29-Q30
questionnaire.item.text:
  value: For the following questions please select the number between 1 and 7 that best applies to you, with 1 = Very poor and 7 = Excellent.
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: EORTCQLQC30_Q29
  questionnaire.item.text:
    value: How would you rate your overall health during the past week?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value integer:
      value: 1
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value integer:
      value: 2
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value integer:
      value: 3
  questionnaire.item.answer option:
    index: 3
    questionnaire.item.answer option.value integer:
      value: 4
  questionnaire.item.answer option:
    index: 4
    questionnaire.item.answer option.value integer:
      value: 5
  questionnaire.item.answer option:
    index: 5
    questionnaire.item.answer option.value integer:
      value: 6
  questionnaire.item.answer option:
    index: 6
    questionnaire.item.answer option.value integer:
      value: 7
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: EORTCQLQC30_Q30
  questionnaire.item.text:
    value: How would you rate your overall quality of life during the past week?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer option:
    index: 0
    questionnaire.item.answer option.value integer:
      value: 1
  questionnaire.item.answer option:
    index: 1
    questionnaire.item.answer option.value integer:
      value: 2
  questionnaire.item.answer option:
    index: 2
    questionnaire.item.answer option.value integer:
      value: 3
  questionnaire.item.answer option:
    index: 3
    questionnaire.item.answer option.value integer:
      value: 4
  questionnaire.item.answer option:
    index: 4
    questionnaire.item.answer option.value integer:
      value: 5
  questionnaire.item.answer option:
    index: 5
    questionnaire.item.answer option.value integer:
      value: 6
  questionnaire.item.answer option:
    index: 6
    questionnaire.item.answer option.value integer:
      value: 7

index: 4
questionnaire.item.link id:
  value: Group_Q31-Q43
questionnaire.item.text:
  value: Patients sometimes report that they have the following symptoms or problems. Please indicate the extent to which you have experienced these symptoms or problems during the past week. Please answer by selecting the answer that best applies to you. During the past week:
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q31
  questionnaire.item.text:
    value: Did you have a dry mouth?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q32
  questionnaire.item.text:
    value: Did food and drink taste different than usual?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q33
  questionnaire.item.text:
    value: Were your eyes painful, irritated or watery?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q34
  questionnaire.item.text:
    value: Have you lost any hair?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 4
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q35
  questionnaire.item.text:
    value: Were you upset by the loss of your hair?
  questionnaire.item.type:
    value: choice
  questionnaire.item.enable when:
    index: 0
    questionnaire.item.enable when.question:
      value: EORTCQLQBR23_Q34
    questionnaire.item.enable when.operator:
      value: =
    questionnaire.item.enable when.answer boolean:
      value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 5
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q36
  questionnaire.item.text:
    value: Did you feel ill or unwell?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 6
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q37
  questionnaire.item.text:
    value: Did you have hot flushes?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 7
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q38
  questionnaire.item.text:
    value: Did you have headaches?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 8
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q39
  questionnaire.item.text:
    value: Have you felt physically less attractive as a result of your disease or treatment?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 9
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q40
  questionnaire.item.text:
    value: Have you been feeling less feminine as a result of your disease or treatment?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 10
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q41
  questionnaire.item.text:
    value: Did you find it difficult to look at yourself naked?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 11
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q42
  questionnaire.item.text:
    value: Have you been dissatisfied with your body?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 12
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q43
  questionnaire.item.text:
    value: Were you worried about your health in the future?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 5
questionnaire.item.link id:
  value: Group_Q44-Q46
questionnaire.item.text:
  value: During the past four weeks:
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q44
  questionnaire.item.text:
    value: To what extent were you interested in sex?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q45
  questionnaire.item.text:
    value: To what extent were you sexually active? (with or without intercourse)
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q46
  questionnaire.item.text:
    value: To what extent was sex enjoyable for you?
  questionnaire.item.type:
    value: choice
  questionnaire.item.enable when:
    index: 0
    questionnaire.item.enable when.question:
      value: EORTCQLQBR23_Q45
    questionnaire.item.enable when.operator:
      value: =
    questionnaire.item.enable when.answer boolean:
      value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet

index: 6
questionnaire.item.link id:
  value: Group_Q47-Q53
questionnaire.item.text:
  value: During the past week:
questionnaire.item.type:
  value: group
questionnaire.item.item:
  index: 0
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q48
  questionnaire.item.text:
    value: Did you have a swollen arm or hand?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 1
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q49
  questionnaire.item.text:
    value: Was it difficult to raise your arm or to move it sideways?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 2
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q50
  questionnaire.item.text:
    value: Have you had any pain in the area of your affected breast?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 3
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q51
  questionnaire.item.text:
    value: Was the area of your affected breast swollen?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 4
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q52
  questionnaire.item.text:
    value: Was the area of your affected breast oversensitive?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 5
  questionnaire.item.link id:
    value: EORTCQLQBR23_Q53
  questionnaire.item.text:
    value: Have you had skin problems on or in the area of your affected breast (e.g., itchy, dry, flaky)?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
questionnaire.item.item:
  index: 6
  questionnaire.item.link id:
    value: EORTC QLQ-LMC21
  questionnaire.item.text:
    value: Have you had tingling hands or feet?
  questionnaire.item.type:
    value: choice
  questionnaire.item.required:
    value: true
  questionnaire.item.answer value set:
    value: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet
    link: https://connect.ichom.org/fhir/ValueSet/EORTCQLQValueSet