ClinicalResponseSixMonths
type: Questionnaire
node role: treeRoot
id:
  v: ClinicalResponseSixMonths
text:
  status:
    v: generated
  div: LinkId Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> ClinicalResponseSixMonths Clinical response questionnaire at 6 months post-treatment follow-up Questionnaire http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseSixMonths#1.0.0 General-Information-Clinical General information 1..1 group NA-Clinical What is the patient's medical record number? 1..1 string LastName-Clinical What is the patient's last name? 1..1 string Tumor-Factors Tumor factors 1..1 group received_surgery Has the patient received surgery? 1..1 boolean TNMPT_BREAST Indicate the pathological tumor stage (per AJCC 8th Ed.) 1..1 choice Enable When: received_surgery = true Value Set: TNM Primary Tumor ValueSet TNMPN_BREAST Indicate the pathological nodal stage (per AJCC 8th Ed.) 1..1 choice Enable When: received_surgery = true Value Set: TNM Regional Nodes ValueSet TNMPM_BREAST Indicate the pathological distant metastasis (per AJCC 8th Ed.) 1..1 choice Enable When: received_surgery = true Value Set: TNM Distant Metastases ValueSet SIZEINV Indicate size of invasive component of tumor (in mm) 1..1 integer Enable When: received_surgery = true NumLymphNodesResect Indicate the number of lymph nodes resected 1..1 integer Enable When: received_surgery = true LYMPHINV_BREAST Indicate the number of lymph nodes involved according to the TNM stage AJCC 8th Ed. 1..1 integer Enable When: received_surgery = true Treatment-Variables Treatment Variables 1..1 group TREATMENT_BREAST Indicate whether the patient received one of the following treatment during the last year (select all that apply) 1..* choice Value Set: Type of treatments ValueSet SURGERY_BREAST Indicate whether the patient received surgery during the last year 1..1 choice Enable When: TREATMENT_BREAST = Surgical procedure (procedure) (SNOMED CT#387713003) Value Set: Types of breast surgery ValueSet SurgeryDateKnown Is the date of surgery known? 1..1 boolean Enable When…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
  value:
    v: informative
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
      value:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/ImplementationGuide/hl7.fhir.uv.ichom-breast-cancer
        link: http://hl7.org/fhir/uv/ichom-breast-cancer/ImplementationGuide/hl7.fhir.uv.ichom-breast-cancer
url:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseSixMonths
version:
  v: 1.0.0
name:
  v: ClinicalResponseSixMonths
title:
  v: Clinical response at 6 months post-treatment follow-up
status:
  v: draft
experimental:
  v: true
date:
  v: 2023-08-21T16:37:24+00:00
publisher:
  v: HL7 International - Clinical Interoperability Council Group
contact:
  name:
    v: HL7 International - Clinical Interoperability Council Group
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/cic
description:
  v: Clinical response questionnaire at 6 months post-treatment follow-up
jurisdiction:
  coding:
    system:
      v: http://unstats.un.org/unsd/methods/m49/m49.htm
    code:
      v: 001
    display:
      v: World
item:
  link id:
    v: General-Information-Clinical
  text:
    v: General information
  type:
    v: group
  required:
    v: true
  item:
    link id:
      v: NA-Clinical
    text:
      v: What is the patient's medical record number?
    type:
      v: string
    required:
      v: true
  item:
    link id:
      v: LastName-Clinical
    text:
      v: What is the patient's last name?
    type:
      v: string
    required:
      v: true
item:
  link id:
    v: Tumor-Factors
  text:
    v: Tumor factors
  type:
    v: group
  required:
    v: true
  item:
    link id:
      v: received_surgery
    text:
      v: Has the patient received surgery?
    type:
      v: boolean
    required:
      v: true
  item:
    link id:
      v: TNMPT_BREAST
    text:
      v: Indicate the pathological tumor stage (per AJCC 8th Ed.)
    type:
      v: choice
    enable when:
      question:
        v: received_surgery
      operator:
        v: =
      answer:
        v: true
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMPrimaryTumorVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMPrimaryTumorVS
  item:
    link id:
      v: TNMPN_BREAST
    text:
      v: Indicate the pathological nodal stage (per AJCC 8th Ed.)
    type:
      v: choice
    enable when:
      question:
        v: received_surgery
      operator:
        v: =
      answer:
        v: true
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMRegionalNodesVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMRegionalNodesVS
  item:
    link id:
      v: TNMPM_BREAST
    text:
      v: Indicate the pathological distant metastasis (per AJCC 8th Ed.)
    type:
      v: choice
    enable when:
      question:
        v: received_surgery
      operator:
        v: =
      answer:
        v: true
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMDistantMetastasesVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMDistantMetastasesVS
  item:
    link id:
      v: SIZEINV
    text:
      v: Indicate size of invasive component of tumor (in mm)
    type:
      v: integer
    enable when:
      question:
        v: received_surgery
      operator:
        v: =
      answer:
        v: true
    required:
      v: true
  item:
    link id:
      v: NumLymphNodesResect
    text:
      v: Indicate the number of lymph nodes resected
    type:
      v: integer
    enable when:
      question:
        v: received_surgery
      operator:
        v: =
      answer:
        v: true
    required:
      v: true
  item:
    link id:
      v: LYMPHINV_BREAST
    text:
      v: Indicate the number of lymph nodes involved according to the TNM stage AJCC 8th Ed.
    type:
      v: integer
    enable when:
      question:
        v: received_surgery
      operator:
        v: =
      answer:
        v: true
    required:
      v: true

link id:
  v: Treatment-Variables
text:
  v: Treatment Variables
type:
  v: group
required:
  v: true
item:
  link id:
    v: TREATMENT_BREAST
  text:
    v: Indicate whether the patient received one of the following treatment during the last year (select all that apply)
  type:
    v: choice
  required:
    v: true
  repeats:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS
item:
  link id:
    v: SURGERY_BREAST
  text:
    v: Indicate whether the patient received surgery during the last year
  type:
    v: choice
  enable when:
    question:
      v: TREATMENT_BREAST
    operator:
      v: =
    answer: Coding
      type: http://snomed.info/id/387713003
      system:
        v: http://snomed.info/sct
      code:
        v: 387713003
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS
item:
  link id:
    v: SurgeryDateKnown
  text:
    v: Is the date of surgery known?
  type:
    v: boolean
  enable when:
    question:
      v: TREATMENT_BREAST
    operator:
      v: =
    answer: Coding
      type: http://snomed.info/id/387713003
      system:
        v: http://snomed.info/sct
      code:
        v: 387713003
  required:
    v: true
item:
  link id:
    v: SurgeryDate
  text:
    v: Please provide the date of surgery
  type:
    v: date
  enable when:
    question:
      v: SurgeryDateKnown
    operator:
      v: =
    answer:
      v: true
  required:
    v: true
item:
  link id:
    v: SURGERYAX
  text:
    v: Indicate whether the patient received surgery to the axilla
  type:
    v: choice
  enable when:
    question:
      v: TREATMENT_BREAST
    operator:
      v: =
    answer: Coding
      type: http://snomed.info/id/699455008
      system:
        v: http://snomed.info/sct
      code:
        v: 699455008
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS
item:
  link id:
    v: SURGERYAXDATE-Known
  text:
    v: Is the date of surgery to the axilla known?
  type:
    v: boolean
  enable when:
    question:
      v: TREATMENT_BREAST
    operator:
      v: =
    answer: Coding
      type: http://snomed.info/id/699455008
      system:
        v: http://snomed.info/sct
      code:
        v: 699455008
  required:
    v: true
item:
  link id:
    v: SURGERYAXDATE
  text:
    v: Please provide the date of surgery to the axilla
  type:
    v: date
  enable when:
    question:
      v: SURGERYAXDATE-Known
    operator:
      v: =
    answer:
      v: true
  required:
    v: true
item:
  link id:
    v: SURGERYAX2
  text:
    v: Indicate whether the patient received axillary clearance due to lymph node involvement after sentinel lymph node biopsy during the last year
  type:
    v: choice
  enable when:
    question:
      v: SURGERYAX
    operator:
      v: =
    answer: Coding
      type: http://snomed.info/id/396487001
      system:
        v: http://snomed.info/sct
      code:
        v: 396487001
      display:
        v: Sentinel lymph node biopsy
  enable when:
    question:
      v: SURGERYAX
    operator:
      v: =
    answer: Coding
      type: http://snomed.info/id/234262008
      system:
        v: http://snomed.info/sct
      code:
        v: 234262008
      display:
        v: Excision of axillary lymph node
  enable behavior:
    v: any
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS
item:
  link id:
    v: SURGERYAX2DATE-Known
  text:
    v: Is the date of axillary clearance known?
  type:
    v: boolean
  enable when:
    question:
      v: SURGERYAX2
    operator:
      v: =
    answer: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0532
      code:
        v: Y
  required:
    v: true
item:
  link id:
    v: SURGERYAX2DATE

v: Please provide the date of axillary clearance

v: date

question:
  v: SURGERYAX2DATE-Known
operator:
  v: =
answer:
  v: true

v: true

link id:
  v: RECONSTRUCTION_DELAY
text:
  v: Indicate whether the patient received a delayed reconstruction
type:
  v: choice
enable when:
  question:
    v: SURGERY_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: mastectomy-without-immediate-reconstruction
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS

link id:
  v: SURGERY_RECONSTRUCTION
text:
  v: Indicate what type of reconstruction the patient received
type:
  v: choice
enable when:
  question:
    v: SURGERY_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: mastectomy-without-immediate-reconstruction
enable when:
  question:
    v: SURGERY_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: mastectomy-with-immediate-reconstruction
enable behavior:
  v: any
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS

link id:
  v: ImplantReconstruction
text:
  v: Indicate the location of the implant
type:
  v: choice
enable when:
  question:
    v: SURGERY_RECONSTRUCTION
  operator:
    v: !=
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem
    code:
      v: autologous
enable when:
  question:
    v: SURGERY_RECONSTRUCTION
  operator:
    v: !=
  answer: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    code:
      v: UNK
enable behavior:
  v: all
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS

link id:
  v: RECONSTRUCTDATE-Known
text:
  v: Is the date of the delayed reconstruction known?
type:
  v: boolean
enable when:
  question:
    v: RECONSTRUCTION_DELAY
  operator:
    v: =
  answer: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v2-0532
    code:
      v: Y
required:
  v: true

link id:
  v: RECONSTRUCTDATE
text:
  v: Please provide the date of delayed reconstruction
type:
  v: date
enable when:
  question:
    v: RECONSTRUCTDATE-Known
  operator:
    v: =
  answer:
    v: true
required:
  v: true

link id:
  v: RADIOTX_BREAST
text:
  v: What was the intent of radiotherapy
type:
  v: choice
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/108290001
    system:
      v: http://snomed.info/sct
    code:
      v: 108290001
required:
  v: true
repeats:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS

link id:
  v: RADIOTXTYPE_BREAST
text:
  v: Indicate location/type of radiotherapy
type:
  v: choice
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/108290001
    system:
      v: http://snomed.info/sct
    code:
      v: 108290001
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS

link id:
  v: RadioTxStartDate-Known
text:
  v: Is the start date of radiotherapy known?
type:
  v: boolean
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/108290001
    system:
      v: http://snomed.info/sct
    code:
      v: 108290001
required:
  v: true

link id:
  v: RadioTxStartDate
text:
  v: Please provide the start date of radiotherapy
type:
  v: date
enable when:
  question:
    v: RadioTxStartDate-Known
  operator:
    v: =
  answer:
    v: true
required:
  v: true

link id:
  v: RadioTxStopDate-Known
text:
  v: Is the stop date of radiotherapy known?
type:
  v: boolean
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/108290001
    system:
      v: http://snomed.info/sct
    code:
      v: 108290001
required:
  v: true

link id:
  v: RadioTxStopDate
text:
  v: Please provide the stop date of radiotherapy
type:
  v: date
enable when:
  question:
    v: RadioTxStopDate-Known
  operator:
    v: =
  answer:
    v: true
required:
  v: true

link id:
  v: CHEMOTXINTENT
text:
  v: Indicate the intent of chemotherapy
type:
  v: choice
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
    code:
      v: adjuvant-chemotherapy
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
    code:
      v: neoadjuvant-chemotherapy
enable behavior:
  v: any
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS

link id:
  v: CHEMOTXTYPE_BREAST
text:
  v: Indicate the type of chemotherapy (select all that apply)
type:
  v: choice
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
    code:
      v: adjuvant-chemotherapy
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
    code:
      v: neoadjuvant-chemotherapy
enable behavior:
  v: any
required:
  v: true
repeats:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS

link id:
  v: ChemoTxStartDate-Known
text:
  v: Is the start date of chemotherapy known?
type:
  v: boolean
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
    code:
      v: adjuvant-chemotherapy
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
    code:
      v: neoadjuvant-chemotherapy
enable behavior:
  v: any
required:
  v: true

link id:
  v: ChemoTxStartDate
text:
  v: Please provide the start date of chemotherapy
type:
  v: date
enable when:
  question:
    v: ChemoTxStartDate-Known
  operator:
    v: =
  answer:
    v: true
required:
  v: true

link id:
  v: ChemoTxStopdate-Known
text:
  v: Is the stop date of chemotherapy known?
type:
  v: boolean
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
    code:
      v: adjuvant-chemotherapy
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
    code:
      v: neoadjuvant-chemotherapy
enable behavior:
  v: any
required:
  v: true

link id:
  v: ChemoTxStopdate
text:
  v: Please provide the stop date of chemotherapy
type:
  v: date
enable when:
  question:
    v: ChemoTxStopdate-Known
  operator:
    v: =
  answer:
    v: true
required:
  v: true

link id:
  v: HORMONTX_BREAST
text:
  v: Indicate the intent of hormonal therapy
type:
  v: choice
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/169413002
    system:
      v: http://snomed.info/sct
    code:
      v: 169413002
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS

link id:
  v: HORMONTXTYPE
text:
  v: Indicate the type of hormonal therapy (select all that apply)
type:
  v: choice
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/169413002
    system:
      v: http://snomed.info/sct
    code:
      v: 169413002
required:
  v: true
repeats:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS

link id:
  v: HORMONTXSTARTDATE-Known
text:
  v: Is the start date of hormonal therapy known?
type:
  v: boolean
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/169413002
    system:
      v: http://snomed.info/sct
    code:
      v: 169413002
required:
  v: true

link id:
  v: HORMONTXSTARTDATE
text:
  v: Please provide the start date of hormonal therapy
type:
  v: date
enable when:
  question:
    v: HORMONTXSTARTDATE-Known
  operator:
    v: =
  answer:
    v: true
required:
  v: true

link id:
  v: HORMONTXSTOPDATE-Known
text:
  v: Is the stop date of hormonal therapy known?
type:
  v: boolean
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/169413002
    system:
      v: http://snomed.info/sct
    code:
      v: 169413002
required:
  v: true

link id:
  v: HORMONTXSTOPDATE
text:
  v: Please provide the stop date of hormonal therapy, if applicable
type:
  v: date
enable when:
  question:
    v: HORMONTXSTOPDATE-Known
  operator:
    v: =
  answer:
    v: true
required:
  v: true

link id:
  v: TARGETTX_BREAST
text:
  v: Indicate the type of targeted therapy
type:
  v: choice
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
    code:
      v: targeted-therapy
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS

link id:
  v: TargetTxStartDate-Known
text:
  v: Is the start date of targeted therapy known?
type:
  v: boolean
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
    code:
      v: targeted-therapy
required:
  v: true

link id:
  v: TargetTxStartDate
text:
  v: Please provide the start date of targeted therapy
type:
  v: date
enable when:
  question:
    v: TargetTxStartDate-Known
  operator:
    v: =
  answer:
    v: true
required:
  v: true

link id:
  v: TargetTxStopDate-Known
text:
  v: Is the stop date of targeted therapy known?
type:
  v: boolean
enable when:
  question:
    v: TREATMENT_BREAST
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
    code:
      v: targeted-therapy
required:
  v: true

link id:
  v: TargetTxStopDate
text:
  v: Please provide the stop date of targeted therapy
type:
  v: date
enable when:
  question:
    v: TargetTxStopDate-Known
  operator:
    v: =
  answer:
    v: true
required:
  v: true

link id:
  v: SURGERYPATIENT
text:
  v: Indicate if the patient has had one of the following re-operations since their surgery for breast cancer (select all that apply)
type:
  v: choice
required:
  v: true
repeats:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS

link id:
  v: SURGERYDATEPATIENT-Known
text:
  v: Is the date of the reoperation known?
type:
  v: boolean
enable when:
  question:
    v: SURGERYPATIENT
  operator:
    v: !=
  answer: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    code:
      v: UNK
    display:
      v: unknown
enable when:
  question:
    v: SURGERYPATIENT
  operator:
    v: !=
  answer: Coding
    type: http://snomed.info/id/373572006
    system:
      v: http://snomed.info/sct
    code:
      v: 373572006
    display:
      v: Clinical finding absent
enable behavior:
  v: all
required:
  v: true

link id:
  v: SURGERYDATEPATIENT
text:
  v: Please provide the date of the reoperation
type:
  v: date
enable when:
  question:
    v: SURGERYDATEPATIENT-Known
  operator:
    v: =
  answer:
    v: true
required:
  v: true

link id:
  v: DisutilityofCare
text:
  v: Disutility of care
type:
  v: group
required:
  v: true
item:
  link id:
    v: REOP_BREAST
  text:
    v: Indicate if the patient has undergone a reoperation due to involved margins after primary surgery
  type:
    v: choice
  enable when:
    question:
      v: SURGERY_BREAST
    operator:
      v: !=
    answer: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      code:
        v: UNK
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/InvolvedMarginsReoperationTypeVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/InvolvedMarginsReoperationTypeVS
item:
  link id:
    v: REOP_RECONSTRUCTION
  text:
    v: What type of reconstruction did the patient receive during reoperation?
  type:
    v: choice
  enable when:
    question:
      v: REOP_BREAST
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: mastectomy-with-immediate-reconstruction
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS
item:
  link id:
    v: REOPDATE_BREAST-Known
  text:
    v: Is the date of the reoperation due to positive margins known?
  type:
    v: boolean
  enable when:
    question:
      v: REOP_BREAST
    operator:
      v: !=
    answer: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      code:
        v: UNK
  required:
    v: true
item:
  link id:
    v: REOPDATE_BREAST
  text:
    v: Provide the date of the reoperation due to positive margins
  type:
    v: date
  enable when:
    question:
      v: REOPDATE_BREAST-Known
    operator:
      v: =
    answer:
      v: true
  required:
    v: true
item:
  link id:
    v: ComplicationImpact
  text:
    v: What was the impact of the complication experienced by the patient
  type:
    v: choice
  enable when:
    question:
      v: TREATMENT_BREAST
    operator:
      v: !=
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem
      code:
        v: no-treatment
  enable when:
    question:
      v: TREATMENT_BREAST
    operator:
      v: !=
    answer: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      code:
        v: UNK
  enable behavior:
    v: all
  required:
    v: true
  repeats:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ComplicationImpactVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ComplicationImpactVS
item:
  link id:
    v: ComplicationAttrTreatment
  text:
    v: Indicate whether the complication is attributable to treatment
  type:
    v: choice
  enable when:
    question:
      v: ComplicationImpact
    operator:
      v: !=
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationImpactCodeSystem
      code:
        v: no-complication
  enable when:
    question:
      v: ComplicationImpact
    operator:
      v: !=
    answer: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
      code:
        v: UNK
  enable behavior:
    v: all
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS
item:
  link id:
    v: COMPL_BREAST
  text:
    v: Indicate the type of complication
  type:
    v: choice
  enable when:
    question:
      v: ComplicationAttrTreatment
    operator:
      v: =
    answer: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/v2-0532
      code:
        v: Y
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ComplicationTypeVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ComplicationTypeVS