ICHOM Patient Centered Outcomes Measure Set for Breast Cancer
1.0.0 - trial-use

ICHOM Patient Centered Outcomes Measure Set for Breast Cancer, published by HL7 International - Clinical Interoperability Council Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/fhir-ichom-breast-cancer-ig/ and changes regularly. See the Directory of published versions

## Questionnaire: ClinicalResponseBaseline (Experimental)

Official URL: http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseBaseline | Version: 1.0.0
Standards status: Informative | Computable Name: ClinicalResponseBaseline

Clinical response questionnaire at baseline (first doctors’ visit)

LinkId | Text | Cardinality | Type | Flags | Description & Constraints
--- | --- | --- | --- | --- | ---
ClinicalResponseBaseline | Clinical response questionnaire at baseline (first doctors' visit) |  | Questionnaire |  | http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseBaseline#1.0.0
General-Information-Clinical | General information | 1..1 | group |  |
NA-Clinical | What is the patient's medical record number? | 1..1 | string |  | Expressions: Initial Value: `%patient.id`
LastName-Clinical | What is the patient's last name? | 1..1 | string |  | Expressions: Initial Value: `%patient.name.first().family.first()`
Demographics | Demographic factors | 1..1 | group |  |
Sex | Indicate the sex of the patient at birth: | 1..1 | choice |  | Value Set: AdministrativeGender Expressions: Initial Value: `%expandedGender.expansion.contains.where(code=%patient.gender)`
YearOfBirth | In what year was the patient born? | 1..1 | integer |  | Max Length: 4 Expressions: Initial Value: `%patient.birthDate.substring(0,4)`
Clinical-Factors | Clinical factors | 1..1 | group |  |
Height | Indicate the patient's body height | 1..1 | quantity |  |
Weight | Indicate the patient's weight. | 1..1 | quantity |  |
LATERAL | Indicate the laterality of breast cancer | 1..1 | choice |  | Value Set: Laterality of breast cancer ValueSet
FIRSTBC | Indicate if this is the first breast cancer | 1..1 | choice |  | Value Set: Yes, No and Unknown Valueset
NewBC | Indicate if this is a new cancer on contralateral or ipsilateral breast | 1..1 | choice |  | Enable When: FIRSTBC = No (expandedYes-NoIndicator#N) Value Set: Laterality of new cancer ValueSet
Tumor-Factors | Tumor factors | 1..1 | group |  |
HistologicalDateKnown | Is the date of histological diagnosis known? | 1..1 | boolean |  |
HistologicalDiagnosisDate | Indicate the initial date of histological diagnosis: | 1..1 | date |  | Enable When: HistologicalDateKnown = true
HISTOTYPE | Indicate the histologic type of the tumor (select all that apply) | 1..* | choice |  | Value Set: Histological type of the tumor ValueSet
MUTBC | Indicate if the patient carries a germline mutation predisposing breast cancer | 1..* | choice |  | Value Set: Germline Mutation ValueSet
GRADEINV | Indicate the grade of the invasive component of tumor | 1..1 | choice |  | Value Set: Grading of tumor ValueSet
GRADEDCIS | Indicate the tumor grade of DCIS component of tumor | 1..1 | choice |  | Value Set: Grading of tumor ValueSet
TNMCT_BREAST | Indicate the clinical tumor stage (per AJCC 8th Ed.): | 1..1 | choice |  | Value Set: TNM Primary Tumor ValueSet
TNMCN_BREAST | Indicate the clinical nodal stage (per AJCC 8th Ed.): | 1..1 | choice |  | Value Set: TNM Regional Nodes ValueSet
TNMCM_BREAST | Indicate the clinical distant metastasis (per AJCC 8th Ed.): | 1..1 | choice |  | Value Set: TNM Distant Metastases ValueSet
ERSTATUS | Indicate if the estrogen receptor status is positive: | 1..1 | choice |  | Value Set: Estrogen receptor status ValueSet
PRSTATUS | Indicate if the progesterone receptor status is positive: | 1..1 | choice |  | Value Set: Progesterone receptor status ValueSet
HER2STATUS | Indicate if the HER2 receptor status is positive: | 1..1 | choice |  | Value Set: HER2 receptor status ValueSet
MolecularProfiling | Indicate if a molecular profiling tool was used. If so, which one? | 1..1 | choice |  | Value Set: Molecular profiling
Mammaprint | Indicate the mammaprint score on a scale of 0.000 to 1.000 | 1..1 | decimal |  | Enable When: MolecularProfiling = Mammaprint Score (Molecular Profiling CodeSystem#mammaprint)
Oncotype | Indicate the oncotype score on a scale of 0 to 100 | 1..1 | decimal |  | Enable When: MolecularProfiling = Oncotype Score (Molecular Profiling CodeSystem#oncotype)
Endopredict | Indicate the endopredict score on a scale of 1.1 to 6.2 | 1..1 | decimal |  | Enable When: MolecularProfiling = Endopredict Score (Molecular Profiling CodeSystem#endopredict)
Treatment-Variables | Treatment variables | 1..1 | group |  |
MultMeet | Indicate if a multidisciplinary meeting was conducted | 1..1 | choice |  | Value Set: Yes, No and Unknown Valueset
MultRecTreatments | Which treatments did the multidisciplinary team recommend (select all that apply)? | 1..* | choice |  | Enable When: MultMeet = Yes (expandedYes-NoIndicator#Y) Value Set: Recommended treatment types ValueSet
Documentation for this format