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
| Official URL: https://connect.ichom.org/fhir/Questionnaire/TreatmentVariables | Version: 0.0.1 | |||
| Draft as of 2022-03-28 | Computable Name: TreatmentVariables | |||
| LinkId | Text | Cardinality | Type | Description & Constraints![]() |
|---|---|---|---|---|
![]() | Questionnaire | https://connect.ichom.org/fhir/Questionnaire/TreatmentVariables#0.0.1 | ||
![]() ![]() | Indicate whether the patient received one of the following treatment during the last year: (select all that apply) | 1..* | choice | Value Set: Treatment variables |
![]() ![]() | Indicate whether the patient received surgery during the last year: | 0..1 | choice | Enable When: TREATMENT_BREAST = Surgery (Treatment variables#1) Value Set: BreastSurgeryTypes |
![]() ![]() | Provide the date of surgery: | 0..1 | date | Enable When: TREATMENT_BREAST = Surgery (Treatment variables#1) |
![]() ![]() | Indicate whether the patient received surgery to the axilla during the last year: | 0..1 | choice | Enable When: TREATMENT_BREAST = Surgery to axilla (Treatment variables#2) Value Set: Surgery Axilla Types |
![]() ![]() | Please provide the date of surgery to the axilla: | 0..1 | date | Enable When: TREATMENT_BREAST = Surgery to axilla (Treatment variables#2) |
![]() ![]() | Indicate whether the patient received axillary clearance due to lymph node involvement after sentinel lymph node biopsy during the last year: | 0..1 | choice | Enable When:
Value Set: Boolean extended Code System |
![]() ![]() | Please provide the date of axillary clearance: | 0..1 | date | Enable When: SURGERYAX2 = Yes (Boolean extended Code System#1) |
![]() ![]() | Indicate whether the patient received a delayed reconstruction during the last year: | 0..1 | choice | Enable When: TREATMENT_BREAST = Delayed reconstruction (Treatment variables#3) Value Set: Delayed reconstruction Code System |
![]() ![]() | Please provide the date of delayed reconstruction: | 0..1 | date | Enable When: TREATMENT_BREAST = Delayed reconstruction (Treatment variables#3) |
![]() ![]() | If the patient received radiotherapy during the last year, please indicate the intent of radiotherapy: | 0..1 | choice | Enable When: TREATMENT_BREAST = Radiotherapy (Treatment variables#4) Value Set: Intent of Therapy ValueSet |
![]() ![]() | Indicate location/type of radiotherapy: | 0..1 | choice | Enable When: TREATMENT_BREAST = Radiotherapy (Treatment variables#4) Value Set: Location of radiotherapy ValueSet |
![]() ![]() | Please provide the start date of radiotherapy: | 0..1 | date | Enable When: TREATMENT_BREAST = Radiotherapy (Treatment variables#4) |
![]() ![]() | Please provide the stop date of radiotherapy: | 0..1 | date | Enable When: TREATMENT_BREAST = Radiotherapy (Treatment variables#4) |
![]() ![]() | If the patient received chemotherapy during the last year, please indicate the intent of chemotherapy: | 0..1 | choice | Enable When: TREATMENT_BREAST = Chemotherapy (Treatment variables#5) Value Set: Intent of Therapy ValueSet |
![]() ![]() | Indicate what type of chemotherapy (select all that apply): | 0..1 | choice | Enable When: TREATMENT_BREAST = Chemotherapy (Treatment variables#5) Value Set: Type of chemotherapy ValueSet |
![]() ![]() | Please provide the start date of chemotherapy: | 0..1 | date | Enable When: TREATMENT_BREAST = Chemotherapy (Treatment variables#5) |
![]() ![]() | Please provide the stop date of chemotherapy: | 0..1 | date | Enable When: TREATMENT_BREAST = Chemotherapy (Treatment variables#5) |
![]() ![]() | If the patient received hormontherapy during the last year, please indicate the intent of hormontherapy: | 0..1 | choice | Enable When: TREATMENT_BREAST = Hormonal therapy (Treatment variables#6) Value Set: Intent of Therapy ValueSet |
![]() ![]() | Indicate what type of hormonal therapy (select all that apply): | 0..1 | choice | Enable When: TREATMENT_BREAST = Hormonal therapy (Treatment variables#6) Value Set: Hormonal therapy type ValueSet |
![]() ![]() | Please provide the start date of hormonal therapy: | 0..1 | date | Enable When: TREATMENT_BREAST = Hormonal therapy (Treatment variables#6) |
![]() ![]() | Please provide the stop date of hormonal therapy, if applicable: | 0..1 | date | Enable When: TREATMENT_BREAST = Hormonal therapy (Treatment variables#6) |
![]() ![]() | Indicate what type of targeted therapy: | 0..1 | choice | Enable When: TREATMENT_BREAST = Targeted therapy (Treatment variables#7) Value Set: Targeted Therapy ValueSet |
![]() ![]() | Please provide the start date of targeted therapy, if applicable | 0..1 | date | Enable When: TREATMENT_BREAST = Targeted therapy (Treatment variables#7) |
![]() ![]() | Please provide the stop date of targeted therapy, if applicable | 0..1 | date | Enable When: TREATMENT_BREAST = Targeted therapy (Treatment variables#7) |
![]() ![]() | Indicate if the patient has had one of the following re-operations since their surgery for breast cancer? (select all that apply) | 0..1 | choice | Value Set: Reoperations ValueSet |
![]() ![]() | When was the reoperation? | 0..1 | date | Enable When:
|
![]() ![]() | Is the patient currently receiving systemic (ie drug) treatment for breast cancer? | 0..1 | choice | Value Set: Systemic Therapy ValueSet |
![]() ![]() | When did the systemic treatment stop? | 0..1 | date | Enable When: SYSTPATIENT = Breast reconstruction surgery (Reoperations Code System#1) |
![]() ![]() | Indicate if the patient has undergone a reoperation due to involved margins after primary surgery: | 0..1 | choice | Enable When: SURGERY_BREAST != Unknown (Breast surgery types#999) Value Set: Involved margins ValueSet |
![]() ![]() | Please provide the date of the reoperation due to positive margins: | 0..1 | date | Enable When:
|
![]() ![]() | Please state the impact of the complication experienced by the patient: | 1..1 | choice | Enable When:
Value Set: Complication impact ValueSet |
![]() ![]() | Indicate whether the complication is attributable to treatment: | 0..1 | choice | Enable When:
Value Set: Boolean extended Code System |
![]() ![]() | Please indicate the type of complication: | 0..1 | choice | Enable When: ComplicationAttrTreatment = Yes (Boolean extended Code System#1) Value Set: Complication type ValueSet |
Documentation for this format | ||||