Generated Narrative: Questionnaire Breastrequestsandreports-BreastRequest LinkID Text Cardinality Type Flags Description & Constraints Breastrequestsandreports-BreastRequest The main request form Questionnaire http://canshare.co.nz/questionnaire/Breastrequestsandreports-BreastRequest#0.1.0 #xD; 66aAjg BreastRequest 0..1 group #xD; tV0v8Q Patient 0..1 group #xD; qaOktA NHI 0..1 string Definition: Patient.identifier.value #xD; yCCn1Q help text for NHI 0..1 display #xD; Ah66bA Given name 0..* string #xD; HgydRQ Family name 0..1 string #xD; Eko8vA Date of Birth 0..1 date Definition: Patient.birthDate #xD; t39aiw Ethnicity 0..1 open-choice Definition: Patient.extension.value Enable When: sLExmA = Female (AdministrativeGender#female) Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/ethnic-group-level-4-code #xD; sLExmA Gender 0..1 choice Definition: Patient.gender Value Set: AdministrativeGender #xD; 9gYExQ Administration 0..1 group #xD; acEEWg Date 0..1 dateTime #xD; LpmleA Clinical Information 0..1 group #xD; afqj9Q Pathway 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-referral-pathway-simple #xD; 1Sb4CQ The method or programme that led to this service request, e.g. screening, diagnostic. 0..1 display #xD; eOT4Hw Clinical Impression (Screening) 0..1 choice Enable When: afqj9Q = National screening programme (SNOMED CT#381081000210101) Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-tumour-origin #xD; P23GAQ 1321324 0..1 display #xD; HZj_FA Clinical Impression (Diagnostic) 0..1 choice Enable When: afqj9Q = Diagnostic assessment (SNOMED CT#165197003) Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-tumour-origin #xD; Y-eZsA Clinical Presentation 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-clinical-presentation #xD; KQV-sQ Clinical Behaviour 0..1 group #xD; u-TOCw Clinical behaviour 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-clinical-impression-behaviour #xD; 2KwHtg Clinical category 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-clinical-behaviour-category #xD; q9r65Q Previous Medical condition 0..* group #xD; n6j-yA Condition 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-previous-condition #xD; sPFwog Comments 0..1 string #xD; eZ40Tg Menopausal status 0..1 choice Definition: Observation.valueCodeableConcept.coding Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-menopause-status #xD; WTJCLw Neoadjuvant summary 0..* group #xD; Ku_rMA Adjuvant therapy type 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-neoadjuvant-therapy-type #xD; gQ-Y5A Adjuvant therapy status 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-neoadjuvant-therapy-status #xD; y_T8Hg Neoadjuvent summary (2) 0..1 group #xD; xkxV6A Neoadjuvant chemotherapy 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-neoadjuvant-therapy-status #xD; 3yCfIA Neoadjuvant hormone therapy 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-neoadjuvant-therapy-status #xD; O4rysA Neoadjuvant radiotherapy 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-neoadjuvant-therapy-status #xD; VI-F4w Other neoadjuvant therapy 0..1 string #xD; UFsaIA Radiology 0..* group #xD; lnvhoA Radiology type 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-radiology-type #xD; 8DOCXg Radiologic category 0..1 choice Enable When: lnvhoA = Other (SNOMED CT#74964007) Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-radiological-behaviour-category #xD; elj6Pg Radiologic Finding 0..* choice Enable When: lnvhoA = Other (SNOMED CT#74964007) #xD; _TA1qg Mammogram Category 0..1 choice Enable When: lnvhoA = Mammogram (SNOMED CT#71651007) Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-mammogram-behaviour-category #xD; ItIxXA Mammogram Finding 0..1 choice Enable When: lnvhoA = Mammogram (SNOMED CT#71651007) Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-mammogram-finding #xD; px_AOg Ultrasound Category 0..1 choice Enable When: lnvhoA = Ultrasound (SNOMED CT#16310003) Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-ultrasound-behaviour-category #xD; sUvIZw Ultrasound Finding 0..1 choice Enable When: lnvhoA = Ultrasound (SNOMED CT#16310003) Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-ultrasound-finding #xD; GwBa_g Comments 0..1 text #xD; F4w9Qg Tumours 0..1 group #xD; UqCacw Count 0..1 integer #xD; heaiUg Details 0..* group #xD; 3HHGaQ Laterality 0..1 choice Definition: BodyStructure.locationQualifier.coding Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-laterality #xD; MbjvjA Structure 0..1 choice Definition: BodyStructure.location.coding Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-topography #xD; YSLK3g Clockface 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-clockface-position #xD; qOZSOg Dispance from nipple (cm) 0..1 decimal #xD; CKHWag Maximum dimension (cm) 0..1 decimal #xD; x2IbZQ Length (cm) 0..1 decimal #xD; HFuV8w Width (cm) 0..1 decimal #xD; CDwftQ Depth (cm) 0..1 decimal #xD; jAFQFA Specimens 0..1 group #xD; Bk07Cw Count 0..1 integer #xD; vWnoqA Details 0..* group #xD; kDEz3w Category 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-specimen-category-biopsy-cytology #xD; Pfx26w Type 0..1 choice Definition: Specimen.type.coding Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-small-diagnostic-specimen-type #xD; RqvyIA Laterality 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-laterality #xD; JletPA Structure 0..1 choice Definition: Specimen.collection.bodySite.coding Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-topography #xD; K-znEA ProcedureType 0..1 choice Definition: Specimen.collection.method.coding Enable When: Pfx26w = Specimen obtained by core needle biopsy (SNOMED CT#427558003) Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-specimen-core-biopsy-procedure-type #xD; HxskzQ ImageGuidance 0..1 choice Definition: Specimen.collection.extension.value Enable When: Pfx26w = Specimen obtained by core needle biopsy (SNOMED CT#427558003) Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-procedure-image-guided-method #xD; GQ2SPA Lymph nodes 0..1 group #xD; fj5O1Q Number taken 0..1 integer #xD; wz0ezA Number abnormal 0..1 integer #xD; x4KYCA Comments 0..1 string #xD; aAQhMQ Node Details 0..* group #xD; DWzM_A Type 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-lymph-node-specimen-type-biopsy-excision #xD; r82SQw Laterality 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-laterality #xD; ZKlnww Structure 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-lymphnode-breast #xD; YQV4mw Procedure 0..1 choice Value Set: https://nzhts.digital.health.nz/fhir/ValueSet/canshare-breast-lymph-node-specimen-procedure-type #xD; Documentation for this format
The patient that is to be used to pre-populate the form
The practitioner that is to be used to pre-populate the form
The method or programme that led to this service request, e.g. screening, diagnostic.