PatientReportedFollowUp
type: Questionnaire
node role: treeRoot
id:
  v: PatientReportedFollowUp
text:
  status:
    v: generated
  div: Structure LinkId Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> PatientReportedFollowUp Patient-reported response at every 6 months for first 2 years post-treatment, after 2 years tracked annually for up to 10 years Questionnaire http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/PatientReportedFollowUp#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 Degree-of-Health-EORTC-QLQ Degree of Health - EORTC-QLQ 0..1 group EORTCQLQ-Question01-05 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: Agreement response ValueSet EORTCQLQC30_Q02 Do you have any trouble taking a long walk? 1..1 choice Value Set: Agreement response ValueSet EORTCQLQC30_Q03 Do you have any trouble taking a short walk outside of the house? 1..1 choice Value Set: Agreement response ValueSet EORTCQLQC30_Q04 Do you need to stay in bed or a chair during the day? 1..1 choice Value Set: Agreement response ValueSet EORTCQLQC30_Q05 Do you need help with eating, dressing, washing yourself or using the toilet? 1..1 choice Value Set: Agreement response ValueSet EORTCQLQ-Question06-28 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: Agreement response ValueSet EORTCQLQC30_Q07 Were you limited in pursuing your hobbies or other leisure time activities? 1..1 choice Value Set: Agreement response ValueSet EORTCQLQC30_Q08 Were you short of breath? 1..…
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/PatientReportedFollowUp
version:
  v: 1.0.0
name:
  v: PatientReportedFollowUp
title:
  v: Patient reported response at 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: Patient-reported response at every 6 months for first 2 years post-treatment, after 2 years tracked annually for up to 10 years
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: 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

v: true

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

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

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

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

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

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

link id:
  v: EORTCQLQC30_Q16
text:
  v: Have you been constipated?
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_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: BreastQ_Surgery
  text:
    v: Which type of surgery did you receive?
  type:
    v: choice
  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: MastectomyFollowUp
  text:
    v: With your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with:
  type:
    v: group
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: mastectomy-without-immediate-reconstruction
  enable behavior:
    v: all
  item:
    link id:
      v: BREASTQMASTP_Q01
    text:
      v: How you look in the mirror clothed?
    type:
      v: choice
    enable when:
      question:
        v: BreastQ_Surgery
      operator:
        v: =
      answer: Coding
    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: BREASTQMASTP_Q02
    text:
      v: How comfortably your bras fit?
    type:
      v: choice
    enable when:
      question:
        v: BreastQ_Surgery
      operator:
        v: =
      answer: Coding
    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: BREASTQMASTP_Q03
    text:
      v: Being able to wear clothing that is more fitted?
    type:
      v: choice
    enable when:
      question:
        v: BreastQ_Surgery
      operator:
        v: =
      answer: Coding
    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: BREASTQMASTP_Q04
    text:
      v: How you look in the mirror unclothed?
    type:
      v: choice
    enable when:
      question:
        v: BreastQ_Surgery
      operator:
        v: =
      answer: Coding
    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: BreastConservingTherapyFollowUp
  text:
    v: The following questions are about your breasts and your breast cancer treatment (by treatment, we mean lumpectomy with or without radiation). If you have had a lumpectomy and radiation of both breasts, answer these questions thinking of the breast you are least satisfied with. With your breasts in mind, in the past week, how satisfied or dissatisfied have you been with:
  type:
    v: group
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: bcs
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: bcs-with-mammoplasty
  enable behavior:
    v: any
  item:
    link id:
      v: BREASTQBCTP_Q01
    text:
      v: How you look in the mirror clothed?
    type:
      v: choice
    enable when:
      question:
        v: BreastQ_Surgery
      operator:
        v: =
      answer: Coding
    enable when:
      question:
        v: BreastQ_Surgery
      operator:
        v: =
      answer: Coding
    enable behavior:
      v: any
    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: BREASTQBCTP_Q02
    text:
      v: The shape of your lumpectomy breast when you are wearing a bra?
    type:
      v: choice
    enable when:
      question:
        v: BreastQ_Surgery
      operator:
        v: =
      answer: Coding
    enable when:
      question:
        v: BreastQ_Surgery
      operator:
        v: =
      answer: Coding
    enable behavior:
      v: any
    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: BREASTQBCTP_Q03
    text:
      v: How normal you feel in your clothes?
    type:
      v: choice
    enable when:
      question:
        v: BreastQ_Surgery
      operator:
        v: =
      answer: Coding
    enable when:
      question:
        v: BreastQ_Surgery
      operator:
        v: =
      answer: Coding
    enable behavior:
      v: any
    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

v: mastectomy-without-immediate-reconstruction

v: mastectomy-without-immediate-reconstruction

v: mastectomy-without-immediate-reconstruction

v: mastectomy-without-immediate-reconstruction

v: bcs

v: bcs-with-mammoplasty

v: bcs

v: bcs-with-mammoplasty

v: bcs

v: bcs-with-mammoplasty

link id:
  v: BREASTQBCTP_Q04
text:
  v: Being able to wear clothing that is more fitted?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs-with-mammoplasty
enable behavior:
  v: any
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

link id:
  v: BREASTQBCTP_Q05
text:
  v: How your lumpectomy breast sits/hangs?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs-with-mammoplasty
enable behavior:
  v: any
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

link id:
  v: BREASTQBCTP_Q06
text:
  v: How smoothly shaped your lumpectomy breast looks?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs-with-mammoplasty
enable behavior:
  v: any
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

link id:
  v: BREASTQBCTP_Q07
text:
  v: The contour (outline) of your lumpectomy breast?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs-with-mammoplasty
enable behavior:
  v: any
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

link id:
  v: BREASTQBCTP_Q08
text:
  v: How equal in size your breasts are to each other?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs-with-mammoplasty
enable behavior:
  v: any
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

link id:
  v: BREASTQBCTP_Q09
text:
  v: How normal your lumpectomy breast looks?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs-with-mammoplasty
enable behavior:
  v: any
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

link id:
  v: BREASTQBCTP_Q10
text:
  v: How much your breast look the same?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs-with-mammoplasty
enable behavior:
  v: any
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

link id:
  v: BREASTQBCTP_Q11
text:
  v: How you look in the mirror unclothed?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: bcs-with-mammoplasty
enable behavior:
  v: any
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

link id:
  v: ReconstructionFollowUp
text:
  v: If you have had a mastectomy and reconstruction of both breasts, answer these questions thinking of the breast you are least satisfied with. With your breasts in mind ,in the past week, how satisfied or dissatisfied have you been with:
type:
  v: group
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: mastectomy-with-immediate-reconstruction
item:
  link id:
    v: BREASTQRECP_Q01
  text:
    v: How you look in the mirror clothed?
  type:
    v: choice
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: mastectomy-with-immediate-reconstruction
  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: BREASTQRECP_Q02
  text:
    v: The shape of your reconstructed breast(s) when you are wearing a bra?
  type:
    v: choice
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: mastectomy-with-immediate-reconstruction
  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: BREASTQRECP_Q03
  text:
    v: How normal you feel in your clothes?
  type:
    v: choice
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: mastectomy-with-immediate-reconstruction
  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: BREASTQRECP_Q04
  text:
    v: The size of your reconstructed breast(s)?
  type:
    v: choice
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: mastectomy-with-immediate-reconstruction
  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: BREASTQRECP_Q05
  text:
    v: Being able to wear clothing that is more fitted?
  type:
    v: choice
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: mastectomy-with-immediate-reconstruction
  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: BREASTQRECP_Q06
  text:
    v: How your breasts are lined up in relation to each other?
  type:
    v: choice
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: mastectomy-with-immediate-reconstruction
  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: BREASTQRECP_Q07
  text:
    v: How comfortably your bras fit?
  type:
    v: choice
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: mastectomy-with-immediate-reconstruction
  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: BREASTQRECP_Q08
  text:
    v: The softness of your reconstructed breast(s)?
  type:
    v: choice
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: mastectomy-with-immediate-reconstruction
  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: BREASTQRECP_Q09
  text:
    v: How equal in size your breasts are to each other?
  type:
    v: choice
  enable when:
    question:
      v: BreastQ_Surgery
    operator:
      v: =
    answer: Coding
      system:
        v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
      code:
        v: mastectomy-with-immediate-reconstruction
  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: BREASTQRECP_Q10
  text:
    v: How natural your reconstructed breast(s) looks?

v: choice

question:
  v: BreastQ_Surgery
operator:
  v: =
answer: Coding
  system:
    v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
  code:
    v: mastectomy-with-immediate-reconstruction

link id:
  v: BREASTQRECP_Q11
text:
  v: How naturally your reconstructed breast(s) sits/hangs?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: mastectomy-with-immediate-reconstruction
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

link id:
  v: BREASTQRECP_Q12
text:
  v: How your reconstructed breast(s) feel to touch?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: mastectomy-with-immediate-reconstruction
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

link id:
  v: BREASTQRECP_Q13
text:
  v: How much your reconstructed breast(s) feels like a natural part of your body?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: mastectomy-with-immediate-reconstruction
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

link id:
  v: BREASTQRECP_Q14
text:
  v: How closely matched (similar) your breasts are to each other?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: mastectomy-with-immediate-reconstruction
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

link id:
  v: BREASTQRECP_Q15
text:
  v: How your reconstructed breast(s) look now compared to before you had any breast surgery?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: mastectomy-with-immediate-reconstruction
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

link id:
  v: BREASTQRECP_Q16
text:
  v: How you look in the mirror unclothed?
type:
  v: choice
enable when:
  question:
    v: BreastQ_Surgery
  operator:
    v: =
  answer: Coding
    system:
      v: http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem
    code:
      v: mastectomy-with-immediate-reconstruction
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