PatientReportedBaseline
type: Questionnaire
node role: treeRoot
id:
  v: PatientReportedBaseline
text:
  status:
    v: generated
  div: Structure LinkId Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> PatientReportedBaseline Patient-reported response at baseline (first doctors' visit) Questionnaire http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/PatientReportedBaseline#1.0.0 General-Information-Clinical General information 1..1 group NA-Clinical What is your medical record number? 1..1 string LastName-Clinical What is your last name? 1..1 string Demographics Demographic factors 1..1 group Sex Please indicate your sex at birth 1..1 choice Value Set: AdministrativeGender COUNTRY What is your country of residence? 1..1 choice Value Set: Iso 3166 Part 1: 3 Letter Codes Ethnicity Please indicate the ethnicity that you identify with 1..1 choice Value Set: Ethnicity Race Please indicate the biological race that you identify with 1..1 choice Value Set: Race EducationLevel Please indicate your highest level of schooling 1..1 choice Value Set: Education level of patient ValueSet RelationshipStatus Please indicate your current relationship status 1..1 choice Value Set: Relationship status of patient ValueSet MENOPAUSE Please indicate your current menopausal status 1..1 choice Enable When: Sex = Female (AdministrativeGender#female) Value Set: Menopausal status of patient ValueSet Baseline-Clinical-Factors Clinical factors 1..1 group ComorbiditiesSACQ Have you been told by a doctor that you have any of the following? 1..* choice Value Set: SACQ Patient's comorbidity history ValueSet ComorbiditiesSACQ_HeartDiseaseFU1 Do you receive treatment for heart disease (For example, angina, heart failure, or heart attack)? 0..1 boolean Enable When: ComorbiditiesSACQ = Heart disease (SNOMED CT#56265001) ComorbiditiesSACQ_HeartDiseaseFU2 Does your heart disease limit your activities? 0..1 boolean Enable When: ComorbiditiesSACQ = Heart disease (SNOMED CT#56265001) ComorbiditiesSACQ_HighBloodPressureFU1 Do you receive treatment for high blood pressure? …
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/PatientReportedBaseline
version:
  v: 1.0.0
name:
  v: PatientReportedBaseline
title:
  v: Patient reported response at baseline
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: Patient-reported response at baseline (first doctors' visit)
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 your medical record number?
    type:
      v: string
    required:
      v: true
  item:
    link id:
      v: LastName-Clinical
    text:
      v: What is your last name?
    type:
      v: string
    required:
      v: true
item:
  link id:
    v: Demographics
  text:
    v: Demographic factors
  type:
    v: group
  required:
    v: true
  item:
    link id:
      v: Sex
    text:
      v: Please indicate your sex at birth
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/ValueSet/administrative-gender
      link: http://hl7.org/fhir/ValueSet/administrative-gender
  item:
    link id:
      v: COUNTRY
    text:
      v: What is your country of residence?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/ValueSet/iso3166-1-3
      link: http://hl7.org/fhir/ValueSet/iso3166-1-3
  item:
    link id:
      v: Ethnicity
    text:
      v: Please indicate the ethnicity that you identify with
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://terminology.hl7.org/ValueSet/v3-Ethnicity
      link: http://terminology.hl7.org/ValueSet/v3-Ethnicity
  item:
    link id:
      v: Race
    text:
      v: Please indicate the biological race that you identify with
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://terminology.hl7.org/ValueSet/v3-Race
      link: http://terminology.hl7.org/ValueSet/v3-Race
  item:
    link id:
      v: EducationLevel
    text:
      v: Please indicate your highest level of schooling
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/EducationLevelVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/EducationLevelVS
  item:
    link id:
      v: RelationshipStatus
    text:
      v: Please indicate your current relationship status
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RelationshipStatusVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RelationshipStatusVS
  item:
    link id:
      v: MENOPAUSE
    text:
      v: Please indicate your current menopausal status
    type:
      v: choice
    enable when:
      question:
        v: Sex
      operator:
        v: =
      answer: Coding
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/MenopausalStatusVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/MenopausalStatusVS
item:
  link id:
    v: Baseline-Clinical-Factors
  text:
    v: Clinical factors
  type:
    v: group
  required:
    v: true
  item:
    link id:
      v: ComorbiditiesSACQ
    text:
      v: Have you been told by a doctor that you have any of the following?
    type:
      v: choice
    required:
      v: true
    repeats:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SACQPatientComorbidityHistory
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SACQPatientComorbidityHistory

v: female

link id:
  v: ComorbiditiesSACQ_HeartDiseaseFU1
text:
  v: Do you receive treatment for heart disease (For example, angina, heart failure, or heart attack)?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/56265001
    system:
      v: http://snomed.info/sct
    code:
      v: 56265001

link id:
  v: ComorbiditiesSACQ_HeartDiseaseFU2
text:
  v: Does your heart disease limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/56265001
    system:
      v: http://snomed.info/sct
    code:
      v: 56265001

link id:
  v: ComorbiditiesSACQ_HighBloodPressureFU1
text:
  v: Do you receive treatment for high blood pressure?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
    code:
      v: 38341003

link id:
  v: ComorbiditiesSACQ_HighBloodPressureFU2
text:
  v: Does your high blood pressure limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/38341003
    system:
      v: http://snomed.info/sct
    code:
      v: 38341003

link id:
  v: ComorbiditiesSACQ_LungDiseaseFU1
text:
  v: Do you receive treatment for lung disease?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/19829001
    system:
      v: http://snomed.info/sct
    code:
      v: 19829001

link id:
  v: ComorbiditiesSACQ_LungDiseaseFU2
text:
  v: Does your lung disease limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/19829001
    system:
      v: http://snomed.info/sct
    code:
      v: 19829001

link id:
  v: ComorbiditiesSACQ_DiabetesFU1
text:
  v: Do you receive treatment for diabetes?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/73211009
    system:
      v: http://snomed.info/sct
    code:
      v: 73211009

link id:
  v: ComorbiditiesSACQ_DiabetesFU2
text:
  v: Does your diabetes limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/73211009
    system:
      v: http://snomed.info/sct
    code:
      v: 73211009

link id:
  v: ComorbiditiesSACQ_StomachDiseaseFU1
text:
  v: Do you receive treatment for an ulcer or stomach disease?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/29384001
    system:
      v: http://snomed.info/sct
    code:
      v: 29384001

link id:
  v: ComorbiditiesSACQ_StomachDiseaseFU2
text:
  v: Does your ulcer or stomach disease limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/29384001
    system:
      v: http://snomed.info/sct
    code:
      v: 29384001

link id:
  v: ComorbiditiesSACQ_KidneyDiseaseFU1
text:
  v: Do you receive treatment for kidney disease?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/90708001
    system:
      v: http://snomed.info/sct
    code:
      v: 90708001

link id:
  v: ComorbiditiesSACQ_KidneyDiseaseFU2
text:
  v: Does your kidney disease limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/90708001
    system:
      v: http://snomed.info/sct
    code:
      v: 90708001

link id:
  v: ComorbiditiesSACQ_LiverDiseaseFU1
text:
  v: Do you receive treatment for liver disease?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/235856003
    system:
      v: http://snomed.info/sct
    code:
      v: 235856003

link id:
  v: ComorbiditiesSACQ_LiverDiseaseFU2
text:
  v: Does your liver disease limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/235856003
    system:
      v: http://snomed.info/sct
    code:
      v: 235856003

link id:
  v: ComorbiditiesSACQ_BloodDiseaseFU1
text:
  v: Do you receive treatment for anemia or other blood disease?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/414022008
    system:
      v: http://snomed.info/sct
    code:
      v: 414022008

link id:
  v: ComorbiditiesSACQ_BloodDiseaseFU2
text:
  v: Does your anemia or other blood disease limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/414022008
    system:
      v: http://snomed.info/sct
    code:
      v: 414022008

link id:
  v: ComorbiditiesSACQ_CancerFU1
text:
  v: Do you receive treatment for cancer/another cancer?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/363346000
    system:
      v: http://snomed.info/sct
    code:
      v: 363346000

link id:
  v: ComorbiditiesSACQ_CancerFU2
text:
  v: Does your cancer/other cancer limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/363346000
    system:
      v: http://snomed.info/sct
    code:
      v: 363346000

link id:
  v: ComorbiditiesSACQ_DepressionFU1
text:
  v: Do you receive treatment for depression?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/35489007
    system:
      v: http://snomed.info/sct
    code:
      v: 35489007

link id:
  v: ComorbiditiesSACQ_DepressionFU2
text:
  v: Does your depression limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/35489007
    system:
      v: http://snomed.info/sct
    code:
      v: 35489007

link id:
  v: ComorbiditiesSACQ_OsteoarthritisFU1
text:
  v: Do you receive treatment for osteoarthritis/degenerative arthritis?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/396275006
    system:
      v: http://snomed.info/sct
    code:
      v: 396275006

link id:
  v: ComorbiditiesSACQ_OsteoarthritisFU2
text:
  v: Does your osteoarthritis/degenerative arthritis limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/396275006
    system:
      v: http://snomed.info/sct
    code:
      v: 396275006

link id:
  v: ComorbiditiesSACQ_BackPainFU1
text:
  v: Do you receive treatment for back pain?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/161891005
    system:
      v: http://snomed.info/sct
    code:
      v: 161891005

link id:
  v: ComorbiditiesSACQ_BackPainFU2
text:
  v: Does your back pain limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/161891005
    system:
      v: http://snomed.info/sct
    code:
      v: 161891005

link id:
  v: ComorbiditiesSACQ_RheumatoidArthritisFU1
text:
  v: Do you receive treatment for rheumatoid arthritis?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/69896004
    system:
      v: http://snomed.info/sct
    code:
      v: 69896004

link id:
  v: ComorbiditiesSACQ_RheumatoidArthritisFU2
text:
  v: Does your rheumatoid arthritis limit your activities?
type:
  v: boolean
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/69896004
    system:
      v: http://snomed.info/sct
    code:
      v: 69896004

link id:
  v: ComorbiditiesSACQ_Other
text:
  v: What other medical problems are you experiencing?
type:
  v: text
enable when:
  question:
    v: ComorbiditiesSACQ
  operator:
    v: =
  answer: Coding
    system:
      v: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    code:
      v: OTH

link id:
  v: Treatment-Variables
text:
  v: Treatment Variables
type:
  v: group
required:
  v: true
item:
  link id:
    v: PatientEducation
  text:
    v: Did you feel you received sufficient information about your treatment options?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/PatientEducationVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/PatientEducationVS

link id:
  v: Degree-of-Health-EORTC-QLQ
text:
  v: Degree of Health - EORTC-QLQ
type:
  v: group
item:
  link id:
    v: EORTCQLQ-Question01-05
  text:
    v: 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.
  type:
    v: group
  item:
    link id:
      v: EORTCQLQC30_Q01
    text:
      v: Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q02
    text:
      v: Do you have any trouble taking a long walk?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q03
    text:
      v: Do you have any trouble taking a short walk outside of the house?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q04
    text:
      v: Do you need to stay in bed or a chair during the day?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q05
    text:
      v: Do you need help with eating, dressing, washing yourself or using the toilet?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQ-Question06-28
  text:
    v: During the past week:
  type:
    v: group
  item:
    link id:
      v: EORTCQLQC30_Q06
    text:
      v: Were you limited in doing either your work or other daily activities?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q07
    text:
      v: Were you limited in pursuing your hobbies or other leisure time activities?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q08
    text:
      v: Were you short of breath?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q09
    text:
      v: Have you had pain?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q10
    text:
      v: Did you need to rest?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q11
    text:
      v: Have you had trouble sleeping?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q12
    text:
      v: Have you felt weak?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q13
    text:
      v: Have you lacked appetite?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q14
    text:
      v: Have you felt nauseated?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q15
    text:
      v: Have you vomited?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  item:
    link id:
      v: EORTCQLQC30_Q16

v: Have you been constipated?

v: choice

v: true

link id:
  v: EORTCQLQC30_Q17
text:
  v: Have you had diarrhea?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQC30_Q18
text:
  v: Were you tired?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQC30_Q19
text:
  v: Did pain interfere with your daily activities?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQC30_Q20
text:
  v: Have you had difficulty in concentrating on things, like reading a newspaper or watching television?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQC30_Q21
text:
  v: Did you feel tense?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQC30_Q22
text:
  v: Did you worry?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQC30_Q23
text:
  v: Did you feel irritable?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQC30_Q24
text:
  v: Did you feel depressed?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQC30_Q25
text:
  v: Have you had difficulty remembering things?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQC30_Q26
text:
  v: Has your physical condition or medical treatment interfered with your family life?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQC30_Q27
text:
  v: Has your physical condition or medical treatment interfered with your social activities?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQC30_Q28
text:
  v: Has your physical condition or medical treatment caused you financial difficulties?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQ-Question29-30
text:
  v: For the following questions please select the number between 1 and 7 that best applies to you, with 1 = Very poor and 7 = Excellent.
type:
  v: group
item:
  link id:
    v: EORTCQLQC30_Q29
  text:
    v: How would you rate your overall health during the past week?
  type:
    v: choice
  required:
    v: true
  answer option:
    value:
      v: 1
  answer option:
    value:
      v: 2
  answer option:
    value:
      v: 3
  answer option:
    value:
      v: 4
  answer option:
    value:
      v: 5
  answer option:
    value:
      v: 6
  answer option:
    value:
      v: 7
item:
  link id:
    v: EORTCQLQC30_Q30
  text:
    v: How would you rate your overall quality of life during the past week?
  type:
    v: choice
  required:
    v: true
  answer option:
    value:
      v: 1
  answer option:
    value:
      v: 2
  answer option:
    value:
      v: 3
  answer option:
    value:
      v: 4
  answer option:
    value:
      v: 5
  answer option:
    value:
      v: 6
  answer option:
    value:
      v: 7

link id:
  v: EORTCQLQ-Question31-43
text:
  v: 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:
type:
  v: group
item:
  link id:
    v: EORTCQLQBR45_Q31
  text:
    v: Have you had dry mouth?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q32
  text:
    v: Have food and drink tasted different than usual?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q33
  text:
    v: Have your eyes been painful, irritated or watery?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q34
  text:
    v: Have you lost any hair?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q35
  text:
    v: Have you been upset by the loss of your hair?
  type:
    v: choice
  enable when:
    question:
      v: EORTCQLQBR45_Q34
    operator:
      v: !=
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/AgreementResponseCodeSystem
      code:
        v: no
      display:
        v: Not at all
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q36
  text:
    v: Have you felt ill or unwell?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q37
  text:
    v: Have you had hot flushes?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q38
  text:
    v: Have you had headaches?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q39
  text:
    v: Have you felt physically less attractive as a result of your disease or treatment?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q40
  text:
    v: Have you felt less feminine as a result of your disease or treatment?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q41
  text:
    v: Have you had problems looking at yourself naked?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q42
  text:
    v: Have you been dissatisfied with your body?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q43
  text:
    v: Have you worried about your health in the future?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQ-Question44-46
text:
  v: During the past four weeks:
type:
  v: group
item:
  link id:
    v: EORTCQLQBR45_Q44
  text:
    v: Have you been sexually active? (with or without intercourse)
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q45
  text:
    v: To what extent were you sexually active? (with or without intercourse)
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q46
  text:
    v: Has sex been enjoyable for you?
  type:
    v: choice
  enable when:
    question:
      v: EORTCQLQBR45_Q45
    operator:
      v: !=
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/AgreementResponseCodeSystem
      code:
        v: no
      display:
        v: Not at all
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQ-Question47-69
text:
  v: During the past week:
type:
  v: group
item:
  link id:
    v: EORTCQLQBR45_Q48
  text:
    v: Have you had a swollen arm or hand?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q49
  text:
    v: Have you had problems raising your arm or moving it sideways?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q50
  text:
    v: Have you had any pain in the area of your affected breast?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q51
  text:
    v: Has the area of your affected breast been swollen?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q52
  text:
    v: Has the area of your affected breast been oversensitive?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q53
  text:
    v: Have you had skin problems on or in the area of your affected breast (e.g., itchy, dry, flaky)?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q54
  text:
    v: Have you sweated excessively?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q55
  text:
    v: Have you had mood swings?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q56
  text:
    v: Have you been dizzy?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q57
  text:
    v: Have you had soreness in your mouth?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q58
  text:
    v: Have you had any reddening in your mouth?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q59
  text:
    v: Have you had pain in your hands or feet?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q60
  text:
    v: Have you had any redenning on your hands or feet?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q61
  text:
    v: Have you had tingling in your fingers or toes?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q62
  text:
    v: Have you had numbness in your fingers or toes?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q63
  text:
    v: Have you had problems with your joints?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q64

v: Have you had stiffness in your joints?

v: choice

v: true

link id:
  v: EORTCQLQBR45_Q65
text:
  v: Have you had pain in your joints?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQBR45_Q66
text:
  v: Have you had aches or pains in your bones?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQBR45_Q67
text:
  v: Have you had aches or pains in your muscles?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQBR45_Q68
text:
  v: Have you gained weight?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQBR45_Q69
text:
  v: Has weight gain been a problem for you?
type:
  v: choice
required:
  v: true
answer value set:
  v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
  link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQ-Question70-71
text:
  v: During the past four weeks:
type:
  v: group
item:
  link id:
    v: EORTCQLQBR45_Q70
  text:
    v: Have you had a dry vagina?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q71
  text:
    v: Have you had discomfort in your vagina?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQ-Question72-73
text:
  v: Please answer the following two questions only if you have been sexually active:
type:
  v: group
item:
  link id:
    v: EORTCQLQBR45_Q72
  text:
    v: Have you had pain in your vagina during sexual activity?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q73
  text:
    v: Have you experienced a dry vagina during sexual activity?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: EORTCQLQ-Question74-75
text:
  v: During the past week:
type:
  v: group
item:
  link id:
    v: EORTCQLQBR45_Q74
  text:
    v: Have you been satisfied with the cosmetic result of the surgery?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
item:
  link id:
    v: EORTCQLQBR45_Q75
  text:
    v: Have you been satisfied with the appearance of the skin of your affected breast (thoracic area)?
  type:
    v: choice
  required:
    v: true
  answer value set:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS
    link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS

link id:
  v: Degree-of-Health-BreastQ
text:
  v: Degree of Health - BreastQ:
type:
  v: group
item:
  link id:
    v: IntroBreastQ
  text:
    v: With your breasts in mind, or if you have had a mastectomy, with your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with:
  type:
    v: group
  item:
    link id:
      v: BREASTQMAST_Q01
    text:
      v: How you look in the mirror clothed?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS
  item:
    link id:
      v: BREASTQMAST_Q02
    text:
      v: How comfortable your bras fit?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS
  item:
    link id:
      v: BREASTQMAST_Q03
    text:
      v: Being able to wear clothing that is more fitted?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS
  item:
    link id:
      v: BREASTQMAST_Q04
    text:
      v: How you look in the mirror unclothed?
    type:
      v: choice
    required:
      v: true
    answer value set:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS
      link: http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS