Patient Monitoring Outcome FHIR Implementation Guide
0.1.0 - STU1 Belgium flag

Patient Monitoring Outcome FHIR Implementation Guide, published by HL7 Belgium. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/patient-monitoring/ and changes regularly. See the Directory of published versions

Logical Model: ONCO Trastuzumab Questionnaire Logical Model - XML Profile

Draft as of 2026-11-05

XML representation of the onco-trastuzumab-questionnaire logical model.

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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="onco-trastuzumab-questionnaire"/>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition onco-trastuzumab-questionnaire</b></p><a name="onco-trastuzumab-questionnaire"> </a><a name="hconco-trastuzumab-questionnaire"> </a><table border="0" cellpadding="0" cellspacing="0" class="xhtTableBorder0"><tr class="xhtRowBorder1"><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th scope="col" style="; width: 100px" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th scope="col" style="" class="hierarchy xhtCellBorder0"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck1.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="" style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <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</a><a name="ONCOTrastuzumabQuestionnaire"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0"><span class="xhtPieceDeEmphasized">0</span><span class="xhtPieceDeEmphasized">..</span><span class="xhtPieceDeEmphasized">*</span></td><td style="" class="hierarchy xhtCellBorder0"><a href="http://build.fhir.org/types.html#Base">Base</a></td><td style="" class="hierarchy xhtCellBorder0">ONCO Trastuzumab Questionnaire Logical Model</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck01.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment" title="Nursing Assessment">nursingAssessment</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Nursing Assessment</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck011.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.storage" title="Storage">storage</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Storage</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.medicationStorageRemarks" title="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">medicationStorageRemarks</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.medicationStorageRemarks"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">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</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.storageRemarksSpecification" title="Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)">storageRemarksSpecification</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.storageRemarksSpecification"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck011.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters" title="Observation Parameters">observationParameters</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Observation Parameters</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyTemperature" title="Body temperature (°C) (LOINC 8310-5)">bodyTemperature</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyTemperature"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="" class="hierarchy xhtCellBorder0">Body temperature (°C) (LOINC 8310-5)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.pulse" title="Pulse (beats/min) (SNOMED 364075005)">pulse</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.pulse"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="" class="hierarchy xhtCellBorder0">Pulse (beats/min) (SNOMED 364075005)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic" title="Blood pressure systolic (mmHg) (LOINC 8480-6)">bloodPressureSystolic</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="" class="hierarchy xhtCellBorder0">Blood pressure systolic (mmHg) (LOINC 8480-6)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic" title="Blood pressure diastolic (mmHg) (LOINC 8462-4)">bloodPressureDiastolic</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="" class="hierarchy xhtCellBorder0">Blood pressure diastolic (mmHg) (LOINC 8462-4)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyWeight" title="Body weight (kg) (LOINC 29463-7)">bodyWeight</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyWeight"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#decimal">decimal</a></td><td style="" class="hierarchy xhtCellBorder0">Body weight (kg) (LOINC 29463-7)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck011.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications" title="Contraindications">contraindications</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Contraindications</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.anyContraindication" title="Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No">anyContraindication</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.anyContraindication"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell" title="Fever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (conditional: if anyContraindication = Yes)">feverChillsUnwell</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Fever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (conditional: if anyContraindication = Yes)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.lowBloodPressure" title="Repeated blood pressure lower than 100/60 mmHg (SNOMED 12763006) | Answers: 373066001 Yes | 373067005 No">lowBloodPressure</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.lowBloodPressure"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Repeated blood pressure lower than 100/60 mmHg (SNOMED 12763006) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.elevatedHeartRate" title="Heart rate above 100 bpm at rest or irregular heart rhythm, unless chronically known (SNOMED 361137007) | Answers: 373066001 Yes | 373067005 No">elevatedHeartRate</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.elevatedHeartRate"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Heart rate above 100 bpm at rest or irregular heart rhythm, unless chronically known (SNOMED 361137007) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.rapidWeightIncrease" title="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">rapidWeightIncrease</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.rapidWeightIncrease"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">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</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedEdemaHandsFeet" title="Increased edema in hands and/or feet (SNOMED 267038008) | Answers: 373066001 Yes | 373067005 No">increasedEdemaHandsFeet</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedEdemaHandsFeet"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Increased edema in hands and/or feet (SNOMED 267038008) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedDyspnea" title="Increased or severe shortness of breath (at rest or impacting daily activities) (SNOMED 297216006) | Answers: 373066001 Yes | 373067005 No">increasedDyspnea</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedDyspnea"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Increased or severe shortness of breath (at rest or impacting daily activities) (SNOMED 297216006) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation" title="Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other">decisionAfterConsultation</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification" title="Specify if decision = Other (SNOMED 438833006)">decisionOtherSpecification</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Specify if decision = Other (SNOMED 438833006)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck011.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden" title="Symptom Burden">symptomBurden</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Symptom Burden</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.nausea" title="Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3">nausea</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.nausea"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.vomiting" title="Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (&lt;=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)">vomiting</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.vomiting"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (&lt;=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.reducedAppetiteOrTasteChanges" title="Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3">reducedAppetiteOrTasteChanges</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.reducedAppetiteOrTasteChanges"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.diarrhea" title="Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (&gt;6x or impacting daily life)">diarrhea</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.diarrhea"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (&gt;6x or impacting daily life)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.constipation" title="Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3">constipation</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.constipation"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.fatigue" title="Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)">fatigue</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.fatigue"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.pain" title="Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)">pain</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.pain"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.skinRash" title="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)">skinRash</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.skinRash"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">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)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.psychosocialBurden" title="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)">psychosocialBurden</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.psychosocialBurden"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">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)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.shortnessOfBreath" title="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)">shortnessOfBreath</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.shortnessOfBreath"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">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)</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.edema" title="Edema (SNOMED 79654002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)">edema</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.edema"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Edema (SNOMED 79654002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck011.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations" title="Other Relevant Observations">otherRelevantObservations</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Other Relevant Observations</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations" title="Other side effects or relevant clinical and psychosocial observations. Contact hospital in case of clinical concern. (SNOMED 365275006)">otherObservations</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Other side effects or relevant clinical and psychosocial observations. Contact hospital in case of clinical concern. (SNOMED 365275006)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck011.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.task" title="Task">task</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.task"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Task</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.task.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationPreparedPerProcedure" title="Could the medication be prepared according to the procedure? (SNOMED 385796006) | Answers: 373066001 Yes | 373067005 No">medicationPreparedPerProcedure</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationPreparedPerProcedure"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Could the medication be prepared according to the procedure? (SNOMED 385796006) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.task.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure" title="Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No">medicationAdministeredPerProcedure</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck011.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare" title="Aftercare">aftercare</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Aftercare</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.reactionDuringObservation" title="Was there a reaction during the home observation period? (SNOMED 281647001) | Answers: 373066001 Yes | 373067005 No">reactionDuringObservation</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.reactionDuringObservation"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">1..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Was there a reaction during the home observation period? (SNOMED 281647001) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fever" title="Fever (SNOMED 386661006) | Answers: 373066001 Yes | 373067005 No (conditional: if reactionDuringObservation = Yes)">fever</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fever"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Fever (SNOMED 386661006) | Answers: 373066001 Yes | 373067005 No (conditional: if reactionDuringObservation = Yes)</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.nausea" title="Nausea (SNOMED 422587007) | Answers: 373066001 Yes | 373067005 No">nausea</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.nausea"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Nausea (SNOMED 422587007) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.shortnessOfBreath" title="Shortness of breath (SNOMED 255365009) | Answers: 373066001 Yes | 373067005 No">shortnessOfBreath</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.shortnessOfBreath"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Shortness of breath (SNOMED 255365009) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck0110.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.chills" title="Chills (SNOMED 43724002) | Answers: 373066001 Yes | 373067005 No">chills</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.chills"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Chills (SNOMED 43724002) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0100.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fluLikeSymptoms" title="Flu-like symptoms (SNOMED 95891005) | Answers: 373066001 Yes | 373067005 No">fluLikeSymptoms</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fluLikeSymptoms"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></td><td style="" class="hierarchy xhtCellBorder0">Flu-like symptoms (SNOMED 95891005) | Answers: 373066001 Yes | 373067005 No</td></tr>
<tr class="xhtRowBorder0 xhtRowOdd"><td style="background-image: url(tbl_bck001.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_datatype.gif" alt="" style="background-color: #F7F7F7; background-color: inherit" title="Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp" title="Quality Follow-Up">qualityFollowUp</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#BackboneElement">BackboneElement</a></td><td style="" class="hierarchy xhtCellBorder0">Quality Follow-Up</td></tr>
<tr class="xhtRowBorder0 xhtRowEven"><td style="background-image: url(tbl_bck0000.png)" class="hierarchy xhtCellBorder0 xhtCellNoWrap"><img src="tbl_spacer.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="" style="background-color: inherit" class="hierarchy"/><img src="icon_primitive.png" alt="" style="background-color: white; background-color: inherit" title="Primitive Data Type" class="hierarchy"/> <span style="position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0" class="sr-only">ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.</span><a href="StructureDefinition-onco-trastuzumab-questionnaire-definitions.html#ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.remarks" title="Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)">remarks</a><a name="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.remarks"> </a></td><td style="" class="hierarchy xhtCellBorder0"/><td style="" class="hierarchy xhtCellBorder0">0..1</td><td style="" class="hierarchy xhtCellBorder0"><a href="http://hl7.org/fhir/R4/datatypes.html#string">string</a></td><td style="" class="hierarchy xhtCellBorder0">Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)</td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
  </text>
  <url
       value="http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/onco-trastuzumab-questionnaire"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.54.42.19"/>
  </identifier>
  <version value="0.1.0"/>
  <name value="ONCOTrastuzumabQuestionnaire"/>
  <title value="ONCO Trastuzumab Questionnaire Logical Model"/>
  <status value="draft"/>
  <date value="2026-11-05T13:37:44+00:00"/>
  <publisher value="HL7 Belgium"/>
  <contact>
    <name value="HL7 Belgium"/>
    <telecom>
      <system value="url"/>
      <value value="http://example.com/committees"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="my-group@example.com"/>
    </telecom>
  </contact>
  <contact>
    <name value="Bob Smith"/>
    <telecom>
      <system value="email"/>
      <value value="bobsmith@example.com"/>
      <use value="work"/>
    </telecom>
  </contact>
  <description
               value="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."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="BE"/>
      <display value="Belgium"/>
    </coding>
  </jurisdiction>
  <fhirVersion value="4.0.1"/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type
        value="http://hl7belgium.org/fhir/patient-monitoring/StructureDefinition/ONCOTrastuzumabQuestionnaire"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Base"/>
  <derivation value="specialization"/>
  <snapshot>
    <extension
               url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
      <valueString value="4.0.1"/>
    </extension>
    <element id="ONCOTrastuzumabQuestionnaire">
      <path value="ONCOTrastuzumabQuestionnaire"/>
      <short value="ONCO Trastuzumab Questionnaire Logical Model"/>
      <definition
                  value="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."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Base"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <isModifier value="false"/>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment">
      <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment"/>
      <short value="Nursing Assessment"/>
      <definition value="Nursing Assessment"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment.id">
      <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment.extension">
      <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.modifierExtension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage">
      <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage"/>
      <short value="Storage"/>
      <definition value="Storage"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.id">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.extension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.modifierExtension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.medicationStorageRemarks">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.medicationStorageRemarks"/>
      <short
             value="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
                  value="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"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.medicationStorageRemarks"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.storageRemarksSpecification">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.storageRemarksSpecification"/>
      <short
             value="Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)"/>
      <definition
                  value="Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.storageRemarksSpecification"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters"/>
      <short value="Observation Parameters"/>
      <definition value="Observation Parameters"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.id">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.extension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.modifierExtension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyTemperature">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyTemperature"/>
      <short value="Body temperature (°C) (LOINC 8310-5)"/>
      <definition value="Body temperature (°C) (LOINC 8310-5)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyTemperature"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.pulse">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.pulse"/>
      <short value="Pulse (beats/min) (SNOMED 364075005)"/>
      <definition value="Pulse (beats/min) (SNOMED 364075005)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.pulse"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic"/>
      <short value="Blood pressure systolic (mmHg) (LOINC 8480-6)"/>
      <definition value="Blood pressure systolic (mmHg) (LOINC 8480-6)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic"/>
      <short value="Blood pressure diastolic (mmHg) (LOINC 8462-4)"/>
      <definition value="Blood pressure diastolic (mmHg) (LOINC 8462-4)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyWeight">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyWeight"/>
      <short value="Body weight (kg) (LOINC 29463-7)"/>
      <definition value="Body weight (kg) (LOINC 29463-7)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyWeight"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications"/>
      <short value="Contraindications"/>
      <definition value="Contraindications"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.id">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.extension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.modifierExtension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.anyContraindication">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.anyContraindication"/>
      <short
             value="Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.anyContraindication"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell"/>
      <short
             value="Fever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (conditional: if anyContraindication = Yes)"/>
      <definition
                  value="Fever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (conditional: if anyContraindication = Yes)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.lowBloodPressure">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.lowBloodPressure"/>
      <short
             value="Repeated blood pressure lower than 100/60 mmHg (SNOMED 12763006) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Repeated blood pressure lower than 100/60 mmHg (SNOMED 12763006) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.lowBloodPressure"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.elevatedHeartRate">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.elevatedHeartRate"/>
      <short
             value="Heart rate above 100 bpm at rest or irregular heart rhythm, unless chronically known (SNOMED 361137007) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Heart rate above 100 bpm at rest or irregular heart rhythm, unless chronically known (SNOMED 361137007) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.elevatedHeartRate"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.rapidWeightIncrease">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.rapidWeightIncrease"/>
      <short
             value="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
                  value="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 value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.rapidWeightIncrease"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedEdemaHandsFeet">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedEdemaHandsFeet"/>
      <short
             value="Increased edema in hands and/or feet (SNOMED 267038008) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Increased edema in hands and/or feet (SNOMED 267038008) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedEdemaHandsFeet"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedDyspnea">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedDyspnea"/>
      <short
             value="Increased or severe shortness of breath (at rest or impacting daily activities) (SNOMED 297216006) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Increased or severe shortness of breath (at rest or impacting daily activities) (SNOMED 297216006) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedDyspnea"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation"/>
      <short
             value="Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other"/>
      <definition
                  value="Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification"/>
      <short value="Specify if decision = Other (SNOMED 438833006)"/>
      <definition value="Specify if decision = Other (SNOMED 438833006)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden"/>
      <short value="Symptom Burden"/>
      <definition value="Symptom Burden"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.id">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.extension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.modifierExtension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.nausea">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.nausea"/>
      <short
             value="Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <definition
                  value="Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.nausea"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.vomiting">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.vomiting"/>
      <short
             value="Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (&lt;=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)"/>
      <definition
                  value="Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (&lt;=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.vomiting"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.reducedAppetiteOrTasteChanges">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.reducedAppetiteOrTasteChanges"/>
      <short
             value="Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <definition
                  value="Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.reducedAppetiteOrTasteChanges"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.diarrhea">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.diarrhea"/>
      <short
             value="Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (&gt;6x or impacting daily life)"/>
      <definition
                  value="Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (&gt;6x or impacting daily life)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.diarrhea"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.constipation">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.constipation"/>
      <short
             value="Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <definition
                  value="Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.constipation"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.fatigue">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.fatigue"/>
      <short
             value="Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <definition
                  value="Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.fatigue"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.pain">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.pain"/>
      <short
             value="Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <definition
                  value="Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.pain"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.skinRash">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.skinRash"/>
      <short
             value="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
                  value="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 value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.skinRash"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.psychosocialBurden">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.psychosocialBurden"/>
      <short
             value="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
                  value="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 value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.psychosocialBurden"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.shortnessOfBreath">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.shortnessOfBreath"/>
      <short
             value="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
                  value="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 value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.shortnessOfBreath"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.edema">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.edema"/>
      <short
             value="Edema (SNOMED 79654002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <definition
                  value="Edema (SNOMED 79654002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.edema"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations"/>
      <short value="Other Relevant Observations"/>
      <definition value="Other Relevant Observations"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.id">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.extension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.modifierExtension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations"/>
      <short
             value="Other side effects or relevant clinical and psychosocial observations. Contact hospital in case of clinical concern. (SNOMED 365275006)"/>
      <definition
                  value="Other side effects or relevant clinical and psychosocial observations. Contact hospital in case of clinical concern. (SNOMED 365275006)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment.task">
      <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task"/>
      <short value="Task"/>
      <definition value="Task"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.id">
      <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.extension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.modifierExtension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationPreparedPerProcedure">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationPreparedPerProcedure"/>
      <short
             value="Could the medication be prepared according to the procedure? (SNOMED 385796006) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Could the medication be prepared according to the procedure? (SNOMED 385796006) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationPreparedPerProcedure"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure"/>
      <short
             value="Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare">
      <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare"/>
      <short value="Aftercare"/>
      <definition value="Aftercare"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.id">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.extension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.modifierExtension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.reactionDuringObservation">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.reactionDuringObservation"/>
      <short
             value="Was there a reaction during the home observation period? (SNOMED 281647001) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Was there a reaction during the home observation period? (SNOMED 281647001) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.reactionDuringObservation"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fever">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fever"/>
      <short
             value="Fever (SNOMED 386661006) | Answers: 373066001 Yes | 373067005 No (conditional: if reactionDuringObservation = Yes)"/>
      <definition
                  value="Fever (SNOMED 386661006) | Answers: 373066001 Yes | 373067005 No (conditional: if reactionDuringObservation = Yes)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fever"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.nausea">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.nausea"/>
      <short
             value="Nausea (SNOMED 422587007) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Nausea (SNOMED 422587007) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.nausea"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.shortnessOfBreath">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.shortnessOfBreath"/>
      <short
             value="Shortness of breath (SNOMED 255365009) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Shortness of breath (SNOMED 255365009) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.shortnessOfBreath"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.chills">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.chills"/>
      <short
             value="Chills (SNOMED 43724002) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Chills (SNOMED 43724002) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.chills"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fluLikeSymptoms">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fluLikeSymptoms"/>
      <short
             value="Flu-like symptoms (SNOMED 95891005) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Flu-like symptoms (SNOMED 95891005) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fluLikeSymptoms"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp"/>
      <short value="Quality Follow-Up"/>
      <definition value="Quality Follow-Up"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.id">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.id"/>
      <representation value="xmlAttr"/>
      <short value="Unique id for inter-element referencing"/>
      <definition
                  value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/>
        </extension>
        <code value="http://hl7.org/fhirpath/System.String"/>
      </type>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.extension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.extension"/>
      <slicing>
        <discriminator>
          <type value="value"/>
          <path value="url"/>
        </discriminator>
        <description value="Extensions are always sliced by (at least) url"/>
        <rules value="open"/>
      </slicing>
      <short value="Additional content defined by implementations"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.modifierExtension">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.modifierExtension"/>
      <short value="Extensions that cannot be ignored even if unrecognized"/>
      <definition
                  value="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)."/>
      <comment
               value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <requirements
                    value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension)."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression
                    value="hasValue() or (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
      </constraint>
      <constraint>
        <key value="ext-1"/>
        <severity value="error"/>
        <human value="Must have either extensions or value[x], not both"/>
        <expression value="extension.exists() != value.exists()"/>
        <xpath
               value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/>
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>
      </constraint>
      <isModifier value="true"/>
      <isModifierReason
                        value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.remarks">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.remarks"/>
      <short
             value="Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)"/>
      <definition
                  value="Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path
              value="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.remarks"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
    </element>
  </snapshot>
  <differential>
    <element id="ONCOTrastuzumabQuestionnaire">
      <path value="ONCOTrastuzumabQuestionnaire"/>
      <short value="ONCO Trastuzumab Questionnaire Logical Model"/>
      <definition
                  value="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."/>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment">
      <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment"/>
      <short value="Nursing Assessment"/>
      <definition value="Nursing Assessment"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage">
      <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage"/>
      <short value="Storage"/>
      <definition value="Storage"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.medicationStorageRemarks">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.medicationStorageRemarks"/>
      <short
             value="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
                  value="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"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.storageRemarksSpecification">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.storage.storageRemarksSpecification"/>
      <short
             value="Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)"/>
      <definition
                  value="Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters"/>
      <short value="Observation Parameters"/>
      <definition value="Observation Parameters"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyTemperature">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyTemperature"/>
      <short value="Body temperature (°C) (LOINC 8310-5)"/>
      <definition value="Body temperature (°C) (LOINC 8310-5)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.pulse">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.pulse"/>
      <short value="Pulse (beats/min) (SNOMED 364075005)"/>
      <definition value="Pulse (beats/min) (SNOMED 364075005)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureSystolic"/>
      <short value="Blood pressure systolic (mmHg) (LOINC 8480-6)"/>
      <definition value="Blood pressure systolic (mmHg) (LOINC 8480-6)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bloodPressureDiastolic"/>
      <short value="Blood pressure diastolic (mmHg) (LOINC 8462-4)"/>
      <definition value="Blood pressure diastolic (mmHg) (LOINC 8462-4)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyWeight">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.observationParameters.bodyWeight"/>
      <short value="Body weight (kg) (LOINC 29463-7)"/>
      <definition value="Body weight (kg) (LOINC 29463-7)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications"/>
      <short value="Contraindications"/>
      <definition value="Contraindications"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.anyContraindication">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.anyContraindication"/>
      <short
             value="Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Are there contraindications for administration? (SNOMED 395008009) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.feverChillsUnwell"/>
      <short
             value="Fever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (conditional: if anyContraindication = Yes)"/>
      <definition
                  value="Fever, chills, feeling unwell (SNOMED 39104002) | Answers: 373066001 Yes | 373067005 No (conditional: if anyContraindication = Yes)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.lowBloodPressure">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.lowBloodPressure"/>
      <short
             value="Repeated blood pressure lower than 100/60 mmHg (SNOMED 12763006) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Repeated blood pressure lower than 100/60 mmHg (SNOMED 12763006) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.elevatedHeartRate">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.elevatedHeartRate"/>
      <short
             value="Heart rate above 100 bpm at rest or irregular heart rhythm, unless chronically known (SNOMED 361137007) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Heart rate above 100 bpm at rest or irregular heart rhythm, unless chronically known (SNOMED 361137007) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.rapidWeightIncrease">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.rapidWeightIncrease"/>
      <short
             value="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
                  value="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 value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedEdemaHandsFeet">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedEdemaHandsFeet"/>
      <short
             value="Increased edema in hands and/or feet (SNOMED 267038008) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Increased edema in hands and/or feet (SNOMED 267038008) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedDyspnea">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.increasedDyspnea"/>
      <short
             value="Increased or severe shortness of breath (at rest or impacting daily activities) (SNOMED 297216006) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Increased or severe shortness of breath (at rest or impacting daily activities) (SNOMED 297216006) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionAfterConsultation"/>
      <short
             value="Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other"/>
      <definition
                  value="Decision after consultation with hospital (SNOMED 182836005) | Answers: Administration | No administration | Other"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.contraindications.decisionOtherSpecification"/>
      <short value="Specify if decision = Other (SNOMED 438833006)"/>
      <definition value="Specify if decision = Other (SNOMED 438833006)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden"/>
      <short value="Symptom Burden"/>
      <definition value="Symptom Burden"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.nausea">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.nausea"/>
      <short
             value="Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <definition
                  value="Nausea (SNOMED 422587007) | Answers: 444431007 Grade 0 (None) | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.vomiting">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.vomiting"/>
      <short
             value="Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (&lt;=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)"/>
      <definition
                  value="Vomiting (SNOMED 249497008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (&lt;=2 times) | 444457005 Grade 2 (3-5 times) | 444447009 Grade 3 (6+ times)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.reducedAppetiteOrTasteChanges">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.reducedAppetiteOrTasteChanges"/>
      <short
             value="Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <definition
                  value="Reduced appetite or taste changes (SNOMED 64379006) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.diarrhea">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.diarrhea"/>
      <short
             value="Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (&gt;6x or impacting daily life)"/>
      <definition
                  value="Diarrhea (SNOMED 62315008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (1-3x more) | 444457005 Grade 2 (4-6x more) | 444447009 Grade 3 (&gt;6x or impacting daily life)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.constipation">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.constipation"/>
      <short
             value="Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <definition
                  value="Constipation (SNOMED 14760008) | Answers: 444431007 Grade 0 | 444456001 Grade 1 | 444457005 Grade 2 | 444447009 Grade 3"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.fatigue">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.fatigue"/>
      <short
             value="Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <definition
                  value="Fatigue / lack of energy (SNOMED 224960004) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.pain">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.pain"/>
      <short
             value="Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <definition
                  value="Pain (SNOMED 112104007) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.skinRash">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.skinRash"/>
      <short
             value="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
                  value="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 value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.psychosocialBurden">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.psychosocialBurden"/>
      <short
             value="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
                  value="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 value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.shortnessOfBreath">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.shortnessOfBreath"/>
      <short
             value="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
                  value="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 value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.edema">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.symptomBurden.edema"/>
      <short
             value="Edema (SNOMED 79654002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <definition
                  value="Edema (SNOMED 79654002) | Answers: 444431007 Grade 0 | 444456001 Grade 1 (mild) | 444457005 Grade 2 (moderate) | 444447009 Grade 3 (severe)"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations"/>
      <short value="Other Relevant Observations"/>
      <definition value="Other Relevant Observations"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.otherRelevantObservations.otherObservations"/>
      <short
             value="Other side effects or relevant clinical and psychosocial observations. Contact hospital in case of clinical concern. (SNOMED 365275006)"/>
      <definition
                  value="Other side effects or relevant clinical and psychosocial observations. Contact hospital in case of clinical concern. (SNOMED 365275006)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment.task">
      <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task"/>
      <short value="Task"/>
      <definition value="Task"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationPreparedPerProcedure">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationPreparedPerProcedure"/>
      <short
             value="Could the medication be prepared according to the procedure? (SNOMED 385796006) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Could the medication be prepared according to the procedure? (SNOMED 385796006) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.task.medicationAdministeredPerProcedure"/>
      <short
             value="Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Could the medication be administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare">
      <path value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare"/>
      <short value="Aftercare"/>
      <definition value="Aftercare"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.reactionDuringObservation">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.reactionDuringObservation"/>
      <short
             value="Was there a reaction during the home observation period? (SNOMED 281647001) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Was there a reaction during the home observation period? (SNOMED 281647001) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fever">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fever"/>
      <short
             value="Fever (SNOMED 386661006) | Answers: 373066001 Yes | 373067005 No (conditional: if reactionDuringObservation = Yes)"/>
      <definition
                  value="Fever (SNOMED 386661006) | Answers: 373066001 Yes | 373067005 No (conditional: if reactionDuringObservation = Yes)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.nausea">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.nausea"/>
      <short
             value="Nausea (SNOMED 422587007) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Nausea (SNOMED 422587007) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.shortnessOfBreath">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.shortnessOfBreath"/>
      <short
             value="Shortness of breath (SNOMED 255365009) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Shortness of breath (SNOMED 255365009) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.chills">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.chills"/>
      <short
             value="Chills (SNOMED 43724002) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Chills (SNOMED 43724002) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fluLikeSymptoms">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.aftercare.fluLikeSymptoms"/>
      <short
             value="Flu-like symptoms (SNOMED 95891005) | Answers: 373066001 Yes | 373067005 No"/>
      <definition
                  value="Flu-like symptoms (SNOMED 95891005) | Answers: 373066001 Yes | 373067005 No"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp"/>
      <short value="Quality Follow-Up"/>
      <definition value="Quality Follow-Up"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
    </element>
    <element
             id="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.remarks">
      <path
            value="ONCOTrastuzumabQuestionnaire.nursingAssessment.qualityFollowUp.remarks"/>
      <short
             value="Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)"/>
      <definition
                  value="Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
    </element>
  </differential>
</StructureDefinition>