ICHOM FHIR Implementation Guide: Breast Cancer
1.0.0-ballot - ballot International flag

This page is part of the ICHOM FHIR Implementation Guide: Breast Cancer (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Example Bundle: Bundle of the clinical response at 6 months follow-up

Bundle DebugBundleClinical-02-SixMonths of type transaction

Entry 1

Request:

PUT ValueSet/TNMPrimaryTumorVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    1222604002American Joint Committee on Cancer cTX
    1228882005American Joint Committee on Cancer cT0
    1228885007American Joint Committee on Cancer cTis(DCIS)
    1228888009American Joint Committee on Cancer cTis(Paget)
    1228889001American Joint Committee on Cancer cT1
    1228929004American Joint Committee on Cancer cT2
    1228938002American Joint Committee on Cancer cT3
    1228944003American Joint Committee on Cancer cT4
    1228950008American Joint Committee on Cancer pTX
    1228951007American Joint Committee on Cancer pT0
    1228954004American Joint Committee on Cancer pTis(DCIS)
    1228956002American Joint Committee on Cancer pTis(Paget)
    1228957006American Joint Committee on Cancer pT1
    1229852009American Joint Committee on Cancer pT2
    1229859000American Joint Committee on Cancer pT3
    1229864001American Joint Committee on Cancer pT4
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Entry 2

Request:

PUT ValueSet/TNMRegionalNodesVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    1229966003American Joint Committee on Cancer cNX
    1229967007American Joint Committee on Cancer cN0
    1229973008American Joint Committee on Cancer cN1
    1229978004American Joint Committee on Cancer cN2
    1229984001American Joint Committee on Cancer cN3
    1229945006American Joint Committee on Cancer pNX
    1229947003American Joint Committee on Cancer pN0
    1229951001American Joint Committee on Cancer pN1
    1229957002American Joint Committee on Cancer pN2
    1229962001American Joint Committee on Cancer pN3
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Entry 3

Request:

PUT ValueSet/TNMDistantMetastasesVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    1229901006American Joint Committee on Cancer cM0
    1229903009American Joint Committee on Cancer cM1
    1229916009American Joint Committee on Cancer pM1
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Entry 4

Request:

PUT CodeSystem/TreatmentTypesCodeSystem

Resource CodeSystem:

This code system http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem defines the following codes:

CodeDisplay
adjuvant-chemotherapy Adjuvant chemotherapy
neoadjuvant-chemotherapy Neoadjuvant chemotherapy
targeted-therapy Targeted therapy
no-treatment No treatment

Entry 5

Request:

PUT ValueSet/TreatmentTypeVS

Resource ValueSet:

This value set includes codes based on the following rules:

Entry 6

Request:

PUT CodeSystem/BreastSurgeryTypesCodeSystem

Resource CodeSystem:

This code system http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem defines the following codes:

CodeDisplay
bcs Breast conserving surgery (BCS)
bcs-with-mammoplasty BCS with mammoplasty
mastectomy-without-immediate-reconstruction Mastectomy without immediate reconstruction
mastectomy-with-immediate-reconstruction Mastectomy with immediate reconstruction

Entry 7

Request:

PUT ValueSet/BreastSurgeryTypeVS

Resource ValueSet:

This value set includes codes based on the following rules:

Entry 8

Request:

PUT ValueSet/AxillaSurgeryVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    396487001Sentinel lymph node biopsy
    234262008Excision of axillary lymph node
    79544006Complete axillary lymphadenectomy
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Entry 9

Request:

PUT ValueSet/NoYesUnknownVS

Resource ValueSet:

Entry 10

Request:

PUT CodeSystem/ReconstructionTypeCodeSystem

Resource CodeSystem:

This code system http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem defines the following codes:

CodeDisplay
direct-implant Direct implant
staged-implant Staged implant
autologous Autologous
both Both implant and autologous

Entry 11

Request:

PUT ValueSet/ReconstructionTypeVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem
    CodeDisplay
    direct-implantDirect implant
    staged-implantStaged implant
    autologousAutologous
    bothBoth implant and autologous
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Entry 12

Request:

PUT CodeSystem/ImplantLocationCodeSystem

Resource CodeSystem:

This code system http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ImplantLocationCodeSystem defines the following codes:

CodeDisplay
pre-pectoral Pre-pectoral
sub-pectoral Sub-pectoral

Entry 13

Request:

PUT ValueSet/ImplantLocationVS

Resource ValueSet:

Entry 14

Request:

PUT ValueSet/TherapyIntentVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    373847000Neo-adjuvant - intent
    373846009Adjuvant - intent
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Entry 15

Request:

PUT ValueSet/LocationRadiotherapyVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    76752008Breast structure
    78904004Chest wall structure
    68171009Axillary lymph node structure
    76838003Structure of supraclavicular lymph node
    245282001Internal mammary lymph node group
    263601005Site of tumor
    277671009Intraoperative
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    OTHother**Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).

    **Usage Notes**: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to \*any\* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.

    With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Entry 16

Request:

PUT ValueSet/ChemoTherapyTypeVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    108787006Medicinal product containing anthracycline and acting as antineoplastic agent
    418965003Taxane derivative
    768621002Product containing platinum and platinum compound
    386906001Capecitabine
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    OTHother**Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).

    **Usage Notes**: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to \*any\* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.

    With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Entry 17

Request:

PUT ValueSet/HormonalTherapyTypeVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    413575009Substance with aromatase inhibitor mechanism of action
    373336003Substance with estrogen receptor antagonist mechanism of action
    83152002Oophorectomy
    418974001Gonad regulating hormone agent
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    OTHother**Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).

    **Usage Notes**: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to \*any\* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.

    With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Entry 18

Request:

PUT ValueSet/TargetedTherapyVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    784176007HER2 (Human epidermal growth factor receptor 2) inhibitor
    426265004Substance with protein kinase inhibitor mechanism of action
    432253008Substance with nicotinamide adenine dinucleotide adenosine diphosphate ribosyltransferase inhibitor mechanism of action
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    OTHother**Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).

    **Usage Notes**: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to \*any\* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.

    With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Entry 19

Request:

PUT ValueSet/ReoperationTypeVS

Resource ValueSet:

This value set includes codes based on the following rules:

Entry 20

Request:

PUT ValueSet/InvolvedMarginsReoperationTypeVS

Resource ValueSet:

This value set includes codes based on the following rules:

Entry 21

Request:

PUT CodeSystem/ComplicationImpactCodeSystem

Resource CodeSystem:

This code system http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationImpactCodeSystem defines the following codes:

CodeDisplay
no-complication No complication
prolonged-hospitalization Complication leading to prolonged hospitalization (>14days)
treatment-discontinuation Complication leading to discontinuing of treatment
no-changes Complication, but did not result in any of the abovementioned

Entry 22

Request:

PUT ValueSet/ComplicationImpactVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationImpactCodeSystem
    CodeDisplay
    no-complicationNo complication
    prolonged-hospitalizationComplication leading to prolonged hospitalization (>14days)
    treatment-discontinuationComplication leading to discontinuing of treatment
    no-changesComplication, but did not result in any of the abovementioned
  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    240917005Interventional radiology
    303577009Interventional debulking surgery
    417005Hospital re-admission
    397945004Unexpected admission to intensive care unit
    182879007Medication decreased
    419620001Death
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Entry 23

Request:

PUT CodeSystem/ComplicationTypeCodeSystem

Resource CodeSystem:

This code system http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationTypeCodeSystem defines the following codes:

CodeDisplay
partial-loss Partial autologous graft loss
total-loss Total autologous graft loss
delay-wound Delay wound healing/dehiscence
immune-toxicity Immune related toxicity

Entry 24

Request:

PUT ValueSet/ComplicationTypeVS

Resource ValueSet:

This value set includes codes based on the following rules:

  • Include these codes as defined in http://snomed.info/sct
    CodeDisplay
    76844004Local infection of wound
    715068009Seroma
    385494008Hematoma
    131148009Bleeding
    403678005Skin flap necrosis
    27315000Removal of breast implant
    371039008Thromboembolic disorder
    57182000Nerve injury
    403675008Drug-induced dermatosis
    233604007Pneumonia
    443980004Neutropenic sepsis
  • Include these codes as defined in http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationTypeCodeSystem
    CodeDisplay
    partial-lossPartial autologous graft loss
    total-lossTotal autologous graft loss
    delay-woundDelay wound healing/dehiscence
    immune-toxicityImmune related toxicity
  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-NullFlavor
    CodeDisplayDefinition
    UNKunknown**Description:**A proper value is applicable, but not known.

    **Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:

    1. Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')
    2. Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
    OTHother**Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).

    **Usage Notes**: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to \*any\* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.

    With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.

Entry 25

Request:

PUT Questionnaire/ClinicalResponseSixMonths

Resource Questionnaire:

LinkIdTextCardinalityTypeDescription & Constraintsdoco
.. ClinicalResponseSixMonthsQuestionnairehttp://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseSixMonths
... General-Information-ClinicalGeneral information1..1group
.... NA-ClinicalWhat is the patient's medical record number?1..1string
.... LastName-ClinicalWhat is the patient's last name?1..1string
... Tumor-FactorsTumor factors1..1group
.... received_surgeryHas the patient received surgery?1..1boolean
.... TNMPT_BREASTIndicate the pathological tumor stage (per AJCC 8th Ed.)1..1choiceEnable When: received_surgery = true
Value Set: TNM Primary Tumor ValueSet
.... TNMPN_BREASTIndicate the pathological nodal stage (per AJCC 8th Ed.)1..1choiceEnable When: received_surgery = true
Value Set: TNM Regional Nodes ValueSet
.... TNMPM_BREASTIndicate the pathological distant metastasis (per AJCC 8th Ed.)1..1choiceEnable When: received_surgery = true
Value Set: TNM Distant Metastases ValueSet
.... SIZEINVIndicate size of invasive component of tumor (in mm)1..1integerEnable When: received_surgery = true
.... NumLymphNodesResectIndicate the number of lymph nodes resected1..1integerEnable When: received_surgery = true
.... LYMPHINV_BREASTIndicate the number of lymph nodes involved according to the TNM stage AJCC 8th Ed.1..1integerEnable When: received_surgery = true
... Treatment-VariablesTreatment Variables1..1group
.... TREATMENT_BREASTIndicate whether the patient received one of the following treatment during the last year (select all that apply)1..*choiceValue Set: Type of treatments ValueSet
.... SURGERY_BREASTIndicate whether the patient received surgery during the last year1..1choiceEnable When: TREATMENT_BREAST = Surgical procedure (procedure) (SNOMED CT#387713003)
Value Set: Types of breast surgery ValueSet
.... SurgeryDateKnownIs the date of surgery known?1..1booleanEnable When: TREATMENT_BREAST = Surgical procedure (procedure) (SNOMED CT#387713003)
.... SurgeryDatePlease provide the date of surgery1..1dateEnable When: SurgeryDateKnown = true
.... SURGERYAXIndicate whether the patient received surgery to the axilla1..1choiceEnable When: TREATMENT_BREAST = Operative procedure on axilla (SNOMED CT#699455008)
Value Set: Axilla surgery ValueSet
.... SURGERYAXDATE-KnownIs the date of surgery to the axilla known?1..1booleanEnable When: TREATMENT_BREAST = Operative procedure on axilla (SNOMED CT#699455008)
.... SURGERYAXDATEPlease provide the date of surgery to the axilla1..1dateEnable When: SURGERYAXDATE-Known = true
.... SURGERYAX2Indicate whether the patient received axillary clearance due to lymph node involvement after sentinel lymph node biopsy during the last year1..1choiceEnable When:
  • SURGERYAX = Sentinel lymph node biopsy (SNOMED CT#396487001)
  • SURGERYAX = Excision of axillary lymph node (SNOMED CT#234262008)

Value Set: Yes, No and Unknown Valueset
.... SURGERYAX2DATE-KnownIs the date of axillary clearance known?1..1booleanEnable When: SURGERYAX2 = Yes (expandedYes-NoIndicator#Y)
.... SURGERYAX2DATEPlease provide the date of axillary clearance1..1dateEnable When: SURGERYAX2DATE-Known = true
.... RECONSTRUCTION_DELAYIndicate whether the patient received a delayed reconstruction1..1choiceEnable When: SURGERY_BREAST = Mastectomy without immediate reconstruction (Breast surgery types CodeSystem#mastectomy-without-immediate-reconstruction)
Value Set: Yes, No and Unknown Valueset
.... SURGERY_RECONSTRUCTIONIndicate what type of reconstruction the patient received1..1choiceEnable When:
  • SURGERY_BREAST = Mastectomy without immediate reconstruction (Breast surgery types CodeSystem#mastectomy-without-immediate-reconstruction)
  • SURGERY_BREAST = Mastectomy with immediate reconstruction (Breast surgery types CodeSystem#mastectomy-with-immediate-reconstruction)

Value Set: Type of reconstruction surgery ValueSet
.... ImplantReconstructionIndicate the location of the implant1..1choiceEnable When:
Value Set: Location of the implant ValueSet
.... RECONSTRUCTDATE-KnownIs the date of the delayed reconstruction known?1..1booleanEnable When: RECONSTRUCTION_DELAY = Yes (expandedYes-NoIndicator#Y)
.... RECONSTRUCTDATEPlease provide the date of delayed reconstruction1..1dateEnable When: RECONSTRUCTDATE-Known = true
.... RADIOTX_BREASTWhat was the intent of radiotherapy1..*choiceEnable When: TREATMENT_BREAST = Radiation oncology AND/OR radiotherapy (SNOMED CT#108290001)
Value Set: Intent of therapy ValueSet
.... RADIOTXTYPE_BREASTIndicate location/type of radiotherapy1..1choiceEnable When: TREATMENT_BREAST = Radiation oncology AND/OR radiotherapy (SNOMED CT#108290001)
Value Set: The location of radiotherapy ValueSet
.... RadioTxStartDate-KnownIs the start date of radiotherapy known?1..1booleanEnable When: TREATMENT_BREAST = Radiation oncology AND/OR radiotherapy (SNOMED CT#108290001)
.... RadioTxStartDatePlease provide the start date of radiotherapy1..1dateEnable When: RadioTxStartDate-Known = true
.... RadioTxStopDate-KnownIs the stop date of radiotherapy known?1..1booleanEnable When: TREATMENT_BREAST = Radiation oncology AND/OR radiotherapy (SNOMED CT#108290001)
.... RadioTxStopDatePlease provide the stop date of radiotherapy1..1dateEnable When: RadioTxStopDate-Known = true
.... CHEMOTXINTENTIndicate the intent of chemotherapy1..1choiceEnable When:
  • TREATMENT_BREAST = Adjuvant chemotherapy (Treatment variables CodeSytem#adjuvant-chemotherapy)
  • TREATMENT_BREAST = Neoadjuvant chemotherapy (Treatment variables CodeSytem#neoadjuvant-chemotherapy)

Value Set: Intent of therapy ValueSet
.... CHEMOTXTYPE_BREASTIndicate the type of chemotherapy (select all that apply)1..*choiceEnable When:
  • TREATMENT_BREAST = Adjuvant chemotherapy (Treatment variables CodeSytem#adjuvant-chemotherapy)
  • TREATMENT_BREAST = Neoadjuvant chemotherapy (Treatment variables CodeSytem#neoadjuvant-chemotherapy)

Value Set: Type of chemotherapy ValueSet
.... ChemoTxStartDate-KnownIs the start date of chemotherapy known?1..1booleanEnable When:
  • TREATMENT_BREAST = Adjuvant chemotherapy (Treatment variables CodeSytem#adjuvant-chemotherapy)
  • TREATMENT_BREAST = Neoadjuvant chemotherapy (Treatment variables CodeSytem#neoadjuvant-chemotherapy)
.... ChemoTxStartDatePlease provide the start date of chemotherapy1..1dateEnable When: ChemoTxStartDate-Known = true
.... ChemoTxStopdate-KnownIs the stop date of chemotherapy known?1..1booleanEnable When:
  • TREATMENT_BREAST = Adjuvant chemotherapy (Treatment variables CodeSytem#adjuvant-chemotherapy)
  • TREATMENT_BREAST = Neoadjuvant chemotherapy (Treatment variables CodeSytem#neoadjuvant-chemotherapy)
.... ChemoTxStopdatePlease provide the stop date of chemotherapy1..1dateEnable When: ChemoTxStopdate-Known = true
.... HORMONTX_BREASTIndicate the intent of hormonal therapy1..1choiceEnable When: TREATMENT_BREAST = Hormone therapy (SNOMED CT#169413002)
Value Set: Intent of therapy ValueSet
.... HORMONTXTYPEIndicate the type of hormonal therapy (select all that apply)1..*choiceEnable When: TREATMENT_BREAST = Hormone therapy (SNOMED CT#169413002)
Value Set: Type of hormonal therapy ValueSet
.... HORMONTXSTARTDATE-KnownIs the start date of hormonal therapy known?1..1booleanEnable When: TREATMENT_BREAST = Hormone therapy (SNOMED CT#169413002)
.... HORMONTXSTARTDATEPlease provide the start date of hormonal therapy1..1dateEnable When: HORMONTXSTARTDATE-Known = true
.... HORMONTXSTOPDATE-KnownIs the stop date of hormonal therapy known?1..1booleanEnable When: TREATMENT_BREAST = Hormone therapy (SNOMED CT#169413002)
.... HORMONTXSTOPDATEPlease provide the stop date of hormonal therapy, if applicable1..1dateEnable When: HORMONTXSTOPDATE-Known = true
.... TARGETTX_BREASTIndicate the type of targeted therapy1..1choiceEnable When: TREATMENT_BREAST = Targeted therapy (Treatment variables CodeSytem#targeted-therapy)
Value Set: Type of targeted therapy ValueSet
.... TargetTxStartDate-KnownIs the start date of targeted therapy known?1..1booleanEnable When: TREATMENT_BREAST = Targeted therapy (Treatment variables CodeSytem#targeted-therapy)
.... TargetTxStartDatePlease provide the start date of targeted therapy1..1dateEnable When: TargetTxStartDate-Known = true
.... TargetTxStopDate-KnownIs the stop date of targeted therapy known?1..1booleanEnable When: TREATMENT_BREAST = Targeted therapy (Treatment variables CodeSytem#targeted-therapy)
.... TargetTxStopDatePlease provide the stop date of targeted therapy1..1dateEnable When: TargetTxStopDate-Known = true
.... SURGERYPATIENTIndicate if the patient has had one of the following re-operations since their surgery for breast cancer (select all that apply)1..*choiceValue Set: Type of re-operation
.... SURGERYDATEPATIENT-KnownIs the date of the reoperation known?1..1booleanEnable When:
.... SURGERYDATEPATIENTPlease provide the date of the reoperation1..1dateEnable When: SURGERYDATEPATIENT-Known = true
.... REOP_BREASTIndicate if the patient has undergone a reoperation due to involved margins after primary surgery1..1choiceEnable When: SURGERY_BREAST != unknown (NullFlavor#UNK)
Value Set: Re-operation due to involved margins ValueSet
.... REOP_RECONSTRUCTIONWhat type of reconstruction did the patient receive during reoperation?1..1choiceEnable When: REOP_BREAST = Mastectomy with immediate reconstruction (Breast surgery types CodeSystem#mastectomy-with-immediate-reconstruction)
Value Set: Type of reconstruction surgery ValueSet
.... REOPDATE_BREAST-KnownIs the date of the reoperation due to positive margins known?1..1booleanEnable When: REOP_BREAST != unknown (NullFlavor#UNK)
.... REOPDATE_BREASTProvide the date of the reoperation due to positive margins1..1dateEnable When: REOPDATE_BREAST-Known = true
.... ComplicationImpactWhat was the impact of the complication experienced by the patient1..*choiceEnable When:
Value Set: Impact of complication ValueSet
.... ComplicationAttrTreatmentIndicate whether the complication is attributable to treatment1..1choiceEnable When:
Value Set: Yes, No and Unknown Valueset
.... COMPL_BREASTIndicate the type of complication1..1choiceEnable When: ComplicationAttrTreatment = Yes (expandedYes-NoIndicator#Y)
Value Set: Type of complication ValueSet

doco Documentation for this format