onco-trastuzumab-questionnaire
type: StructureDefinition
node role: treeRoot
id:
  v: onco-trastuzumab-questionnaire
language:
  v: en
text:
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  div:
    v: Generated Narrative: StructureDefinition onco-trastuzumab-questionnaire Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> <a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire" title="Logical model representing the nursing assessment questionnaire for home hospitalization patients receiving Trastuzumab. This questionnaire is filled in by the home nurse during each visit and exchanged as a FHIR QuestionnaireResponse with the hospital. Specific features: includes body weight, aftercare/reaction monitoring, and cardiac-focused contraindication checklist.">ONCOTrastuzumabQuestionnaire 0..* Base ONCO Trastuzumab Questionnaire Logical Model #xD; nursingAssessment 1..1 BackboneElement Nursing Assessment #xD; storage 1..1 BackboneElement Storage #xD; medicationStorageRemarks 1..1 code Are there any remarks or concerns regarding the (proper) home storage of medication? (SNOMED 422413002) | Answers: 710977001 Medication stored correctly | 424363005 Concern about proper home storage #xD; storageRemarksSpecification 0..1 string Specify remarks or concerns (conditional: if medicationStorageRemarks = concern) #xD; observationParameters 1..1 BackboneElement Observation Parameters #xD; bodyTemperature 1..1 decimal Body temperature (°C) (LOINC 8310-5) #xD; pulse 1..1 decimal Pulse (beats/min) (SNOMED 364075005) #xD; bloodPressureSystolic 1..1 decimal Blood pressure systolic (mmHg) (LOINC 8480-6) #xD; bloodPressureDiastolic 1..1 decimal Blood pressure diastolic (mmHg) (LOINC 8462-4) #xD; bodyWeight 1..1 decimal Body weight (kg) (LOINC 29463-7) #xD; contraindications 1..1 BackboneElement Contraindications #xD; anyContraindication 1..1 code Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No #xD; feverChillsUnwell 0..1 code Fever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (condit…
url:
  v: http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/onco-trastuzumab-questionnaire
  l: onco-trastuzumab-questionnaire
identifier:
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    v: urn:ietf:rfc:3986
    l: 3986
  value:
    v: urn:oid:2.16.840.1.113883.4.642.40.54.42.19
version:
  v: 0.1.0
name:
  v: ONCOTrastuzumabQuestionnaire
title:
  v: ONCO Trastuzumab Questionnaire Logical Model
status:
  v: draft
date:
  v: 2026-05-18T17:09:55+00:00
publisher:
  v: HL7 Belgium
contact:
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    use:
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  v: Logical model representing the nursing assessment questionnaire for home hospitalization patients receiving Trastuzumab. This questionnaire is filled in by the home nurse during each visit and exchanged as a FHIR QuestionnaireResponse with the hospital. Specific features: includes body weight, aftercare/reaction monitoring, and cardiac-focused contraindication checklist.
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      v: urn:iso:std:iso:3166
      l: 3166
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      v: BE
    display:
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      v: Logical model representing the nursing assessment questionnaire for home hospitalization patients receiving Trastuzumab. This questionnaire is filled in by the home nurse during each visit and exchanged as a FHIR QuestionnaireResponse with the hospital. Specific features: includes body weight, aftercare/reaction monitoring, and cardiac-focused contraindication checklist.
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path:
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path:
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path:
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definition:
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path:
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short:
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definition:
  v: Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (<=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)
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path:
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path:
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path:
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definition:
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definition:
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path:
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element:
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    v: Logical model representing the nursing assessment questionnaire for home hospitalization patients receiving Trastuzumab. This questionnaire is filled in by the home nurse during each visit and exchanged as a FHIR QuestionnaireResponse with the hospital. Specific features: includes body weight, aftercare/reaction monitoring, and cardiac-focused contraindication checklist.
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    v: Are there any remarks or concerns regarding the (proper) home storage of medication? (SNOMED 422413002) | Answers: 710977001 Medication stored correctly | 424363005 Concern about proper home storage
  definition:
    v: Are there any remarks or concerns regarding the (proper) home storage of medication? (SNOMED 422413002) | Answers: 710977001 Medication stored correctly | 424363005 Concern about proper home storage
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  path:
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v: Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No

v: Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No

v: 1

v: 1

code:
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path:
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short:
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definition:
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path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.lowBloodPressure
short:
  v: Repeated blood pressure lower than 100/60 mmHg (SNOMED 12763006) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Repeated blood pressure lower than 100/60 mmHg (SNOMED 12763006) | Answers: 373066001 Yes | 373067005 No
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.elevatedHeartRate
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.elevatedHeartRate
short:
  v: Heart rate above 100 bpm at rest or irregular heart rhythm, unless chronically known (SNOMED 361137007) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Heart rate above 100 bpm at rest or irregular heart rhythm, unless chronically known (SNOMED 361137007) | Answers: 373066001 Yes | 373067005 No
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.rapidWeightIncrease
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.rapidWeightIncrease
short:
  v: Increase in body weight of 3 kg/3 weeks or 5 kg/6 weeks, especially with increased edema (SNOMED 262286000) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Increase in body weight of 3 kg/3 weeks or 5 kg/6 weeks, especially with increased edema (SNOMED 262286000) | Answers: 373066001 Yes | 373067005 No
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedEdemaHandsFeet
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedEdemaHandsFeet
short:
  v: Increased edema in hands and/or feet (SNOMED 267038008) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Increased edema in hands and/or feet (SNOMED 267038008) | Answers: 373066001 Yes | 373067005 No
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedDyspnea
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedDyspnea
short:
  v: Increased or severe shortness of breath (at rest or impacting daily activities) (SNOMED 297216006) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Increased or severe shortness of breath (at rest or impacting daily activities) (SNOMED 297216006) | Answers: 373066001 Yes | 373067005 No
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation
short:
  v: Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other
definition:
  v: Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification
short:
  v: Specify if decision = Other (SNOMED 438833006)
definition:
  v: Specify if decision = Other (SNOMED 438833006)
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden
short:
  v: Symptom Burden
definition:
  v: Symptom Burden
min:
  v: 1
max:
  v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.nausea
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.nausea
short:
  v: Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3
definition:
  v: Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.vomiting
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.vomiting
short:
  v: Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (<=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)
definition:
  v: Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (<=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.reducedAppetiteOrTasteChanges
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.reducedAppetiteOrTasteChanges
short:
  v: Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3
definition:
  v: Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.diarrhea
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.diarrhea
short:
  v: Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (>6x or impacting daily life)
definition:
  v: Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (>6x or impacting daily life)
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.constipation
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.constipation
short:
  v: Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3
definition:
  v: Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.fatigue
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.fatigue
short:
  v: Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)
definition:
  v: Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.pain
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.pain
short:
  v: Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)
definition:
  v: Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.skinRash
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.skinRash
short:
  v: Skin rash (SNOMED 271807003) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (limited redness) | 444457005 Grade 2 (moderate redness) | 444447009 Grade 3 (severe redness or peeling)
definition:
  v: Skin rash (SNOMED 271807003) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (limited redness) | 444457005 Grade 2 (moderate redness) | 444447009 Grade 3 (severe redness or peeling)
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.psychosocialBurden
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.psychosocialBurden
short:
  v: Psychosocial burden (SNOMED 384821006) | Answers: 444431007 Grade 0 (Feels well) | 444456001 Grade 1 (slight distress) | 444457005 Grade 2 (significant distress) | 444447009 Grade 3 (severe distress)
definition:
  v: Psychosocial burden (SNOMED 384821006) | Answers: 444431007 Grade 0 (Feels well) | 444456001 Grade 1 (slight distress) | 444457005 Grade 2 (significant distress) | 444447009 Grade 3 (severe distress)
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.shortnessOfBreath
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.shortnessOfBreath
short:
  v: Shortness of breath (SNOMED 267036007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (moderate exertion only) | 444457005 Grade 2 (light exertion) | 444447009 Grade 3 (at rest)
definition:
  v: Shortness of breath (SNOMED 267036007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (moderate exertion only) | 444457005 Grade 2 (light exertion) | 444447009 Grade 3 (at rest)
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.edema
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.edema
short:
  v: Edema (SNOMED 79654002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)
definition:
  v: Edema (SNOMED 79654002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations
short:
  v: Other Relevant Observations
definition:
  v: Other Relevant Observations
min:
  v: 0
max:
  v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations
short:
  v: Other side effects or relevant clinical and psychosocial observations. Contact hospital in case of clinical concern. (SNOMED 365275006)
definition:
  v: Other side effects or relevant clinical and psychosocial observations. Contact hospital in case of clinical concern. (SNOMED 365275006)
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.task
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.task
short:
  v: Task
definition:
  v: Task
min:
  v: 1
max:
  v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationPreparedPerProcedure
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationPreparedPerProcedure
short:
  v: Could the medication be prepared according to the procedure? (SNOMED 385796006) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Could the medication be prepared according to the procedure? (SNOMED 385796006) | Answers: 373066001 Yes | 373067005 No
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure
short:
  v: Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare
short:
  v: Aftercare
definition:
  v: Aftercare
min:
  v: 1
max:
  v: 1
type:
  code:
    v: BackboneElement
    l: BackboneElement

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.reactionDuringObservation
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.reactionDuringObservation
short:
  v: Was there a reaction during the home observation period? (SNOMED 281647001) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Was there a reaction during the home observation period? (SNOMED 281647001) | Answers: 373066001 Yes | 373067005 No
min:
  v: 1
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fever
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fever
short:
  v: Fever (SNOMED 386661006) | Answers: 373066001 Yes | 373067005 No (conditional: if reactionDuringObservation = Yes)
definition:
  v: Fever (SNOMED 386661006) | Answers: 373066001 Yes | 373067005 No (conditional: if reactionDuringObservation = Yes)
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.nausea
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.nausea
short:
  v: Nausea (SNOMED 422587007) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Nausea (SNOMED 422587007) | Answers: 373066001 Yes | 373067005 No
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.shortnessOfBreath
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.shortnessOfBreath
short:
  v: Shortness of breath (SNOMED 255365009) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Shortness of breath (SNOMED 255365009) | Answers: 373066001 Yes | 373067005 No
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.chills
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.chills
short:
  v: Chills (SNOMED 43724002) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Chills (SNOMED 43724002) | Answers: 373066001 Yes | 373067005 No
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fluLikeSymptoms
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fluLikeSymptoms
short:
  v: Flu-like symptoms (SNOMED 95891005) | Answers: 373066001 Yes | 373067005 No
definition:
  v: Flu-like symptoms (SNOMED 95891005) | Answers: 373066001 Yes | 373067005 No
min:
  v: 0
max:
  v: 1
type:
  code:
    v: code
    l: code

id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp
short:
  v: Quality Follow-Up
definition:
  v: Quality Follow-Up
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  v: 0
max:
  v: 1
type:
  code:
    v: BackboneElement
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id:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.remarks
path:
  v: ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.remarks
short:
  v: Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)
definition:
  v: Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)
min:
  v: 0
max:
  v: 1
type:
  code:
    v: string
    l: string